Surgical Treatment of Obstructive Sleep Apnea by Maxillomandibular Advancement

Long-term follow-up after surgical treatment of obstructive sleep apnoea by maxillomandibular advancement

“…Current indications are that an advancement of 10 mm of both maxilla and mandible is considered to be adequate [22,29]. In eugnathic patients, the bite would remain unchanged, whilst in patients with dysgnathias, abnormalities of bite were corrected simultaneously.…”

“…This study reports results in 15 such patients, diagnosed as having OSA, then treated surgically with maxillomandibular advancement, using the operative technique described previously by HOCHBAN et al [22]. These patients were followed-up with repeat polysomnographic assessment at 6-12 weeks, and then every year postoperatively.…”

Maxillary Protraction Appliance Effect on the Size of the Upper Airway Passage

“…The indications for this procedure are determined by cephalometric and polysomnographic studies. [26][27][28] Ö zbek et al 19 studied the effects of functional-orthopedic treatment on oropharyngeal dimensions of growing patients with Class II malocclusion, and concluded that sagittal dimensions of the upper airway could be increased by functional treatment. Considering that mandibular growth has a definite influence on upper airway dimensions, one may speculate that stimulation of maxillary growth in growing subjects with a retrusive maxilla could also have beneficial effects on the upper airway dimensions.…”

Non-positive airway pressure therapy for obstructive sleep apnea

“…It pulls forward the anterior pharyngeal tissues attached to the maxilla, mandible, and hyoid to structurally enlarge the entire velo-orohypopharyngeal airway, and enhances the neuromuscular tone of the pharyngeal dilator musculature [181]. The success rate varied between 67% and 100% among studies [181][182][183]. MMA is perhaps the most effective surgery for improving OSA when performed on appropriately selected patients.…”