scholarly journals Maxillomandibular Advancement Surgery as a Treatment of Obstructive Sleep Apnea in a Patient with Cleidocranial Dysostosis: A Case Report

2016 ◽  
Vol 03 (02) ◽  
pp. 65-70
Author(s):  
Heather Chance ◽  
Lee Pollan
Keyword(s):  
Obstructive Sleep Apnea ◽  
Case Report ◽  
Sleep Apnea ◽  
Maxillomandibular Advancement ◽  
Cleidocranial Dysostosis ◽  
Obstructive Sleep

MAXILLOMANDIBULAR ADVANCEMENT IN THE TREATMENT OF SEVERE OBSTRUCTIVE SLEEP APNEA HYPOPNEA SYNDROME: A CASE REPORT

2020 ◽  
Vol 130 (3) ◽  
pp. e167
Author(s):  
MARK JON SANTANA SABEY ◽  
FÁBIO RICARDO LOUREIRO SATO ◽  
DANILO DE PAULA RIBEIRO BORGES ◽  
MARCOS ANTÔNIO LIMA DOS SANTOS ◽  
LUCAS CELESTINO GUERZET AYRES ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Case Report ◽  
Sleep Apnea ◽  
Severe Obstructive Sleep Apnea ◽  
Maxillomandibular Advancement ◽  
Obstructive Sleep ◽  
Hypopnea Syndrome

scholarly journals Effects of maxillomandibular advancement surgery on a skeletal Class III patient with obstructive sleep apnea: A case report

2021 ◽  
Vol 11 ◽  
pp. 161-168
Author(s):  
Ghaddy AlSaty ◽  
Mary Burns ◽  
Peter Ngan
Keyword(s):  
Obstructive Sleep Apnea ◽  
Case Report ◽  
Sleep Apnea ◽  
Definitive Treatment ◽  
Radiographic Examination ◽  
Apnea Hypopnea Index ◽  
Class Iii ◽  
Lateral Cephalogram ◽  
Maxillomandibular Advancement ◽  
Obstructive Sleep

This case report describes the successful surgical treatment of a patient diagnosed with obstructive sleep apnea (OSA). A 55-year-old Caucasian male patient with a body mass index (BMI) of 25.6 kg/m2 sought treatment with a chief concern of excessive daytime sleepiness and fatigue. An initial polysomnography report showed moderate OSA with an apnea-hypopnea index (AHI) of 21.2 events/h, and Epworth Sleepiness Score (ESS) of 12/24. The patient was initially prescribed with CPAP treatment but was unable to tolerate treatment after a few months. Clinical and radiographic examination revealed a concave facial profile with maxillary retrognathism. Intraoral examination revealed generalized gingival recession, missing upper lateral incisors and lower first premolars, anterior crossbite, and maxillary transverse deficiency with bilateral posterior crossbite. The lateral cephalogram showed a narrow posterior airway space at the level of the base of the tongue. The patient was treated with maxillomandibular advancement (MMA) surgery to improve airway obstruction. Results showed balanced facial esthetic and stable occlusion with a complete resolution of the patient’s OSA and a post-operative improvement of AHI from 21.2 to 0.7 events/h and ESS from 12/24 to 3/24. The lowest oxyhemoglobin saturation during sleep was improved to 97%, and the BMI decreased from 25.6 to 25.2 kg/m2. These results suggest that MMA surgical procedure can be used as a definitive treatment for patients with maxillomandibular deficiency and OSA.

Sign in / Sign up

Export Citation Format

Share Document