Maxillomandibular Advancement for Obstructive Sleep Apnea

作者：Duzlu M^*; Yilmaz M; Karaloglu F; Karamert R; Goksu V C; Kahraman S A; Kemaloglu Y K

来源：Nigerian Journal of Clinical Practice, 2018, 21(6): 716-720.

DOI：10.4103/njcp.njcp_176_17

• Apnea-hypopnea index
• maxillomandibular advancement
• obstructive sleep apnea
• polysomnography
• positive airway pressure

Objective: We aimed to present our clinical experience with maxillomandibular advancement (MMA) for the treatment of obstructive sleep apnea (OSA) syndrome and to compare our results with literature data. Materials and Methods: The patients who were operated for OSA in the last 10 years were included in the study. A detailed patient's charts review was retrospectively performed. Inclusion criteria were to be available with preoperative and postoperative polysomnography data. Results: There were totally 7 cases who underwent MMA procedure for OSA in our clinic. The mean age was 38.6 +/- 8.1 years. Surgical success was achieved in all cases (100%). The mean preoperative and postoperative apnea-hypopnea indexes were 63.3 +/- 35.2 and 7.5 +/- 3.4, respectively (P < 0.05). The most common complication was inferior alveolar nerve deficit following bilateral sagittal split osteotomy. The facial numbness was temporary in 4 (57.1%), and permanent in one case (14.3%). Conclusion: Our surgical results in MMA is compatible with literature data. MMA is the choice of treatment in severe OSA in case of positive airway pressure therapy intolerance.

• 出版日期2018-6