Three-Dimensional Changes in Upper Airways of Patients With Obstructive Sleep Apnea Following Maxillomandibular Advancement

Fairburn, S. Craig; Waite, Peter D.; Vilos, George A.; Harding, Susan M.; Bernreuter, Wanda K.; Curé, Joel K.; Cherala, Sai

doi:10.1016/j.joms.2005.11.119

Cited by 197 publications

(137 citation statements)

References 13 publications

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“…Maxillomandibular advancement surgery has been shown to be very efficacious in the elimination of OSA because it enlarges the pharyngeal airway space and tightens the upper airway muscles and tendons, mainly the velopharyngeal and suprahyoid muscles, by advancement their bony origin 7,23,24 .…”

Section: Discussionmentioning

confidence: 99%

“…Elastics were placed maintain the ideal occlusion after IMF The preoperative CT evaluation of individual patients was performed within a week before the surgery. The postoperative CT evaluation was performed at least 3 months after surgery for all patients as referred by many authors 2,[7][8][9]24 . Informed consents were obtained from all patients and the study was approved by Kanazawa University Hospital Committee on Human Research.…”

Section: Methodsmentioning

confidence: 99%

“…Reduced pharyngeal airway space is due to morphologic narrowing of the SP and/or the BoT against the PPW 24 . In a retrospective study, Tselnik and Pogrel 6 evaluated PAS after mandibular setback surgery with LCRs.…”

Section: Reported That 3dmentioning

confidence: 99%

“…Mehra et al 18 A number of studies have also shown that diminished CSA of the pharynx may predispose a person to pharyngeal collapse 20,22,24,25 In our study, however, postoperative PAS CSA decreased at both levels evaluated in all patients, regardless of type of surgery performed, either mandibular setback surgery or bimaxillary surgery, the decreases were less in cases treated with bimaxillary surgery than mandibular setback surgery (p<.05) and any of the patients complained about any symptoms of pharyngeal collapse. The reason of absence of complains about any symptoms of pharyngeal collapse might be the larger AP dimensions and theoratically larger CSA dimensions related to AP dimension-.…”

Section: Reported That 3dmentioning

confidence: 99%

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A comparative CT evaluation of pharyngeal airway changes in class III patients receiving bimaxillary surgery or mandibular setback surgery

Degerliyurt

Ueki

Hashiba

et al. 2008

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, an

115

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Purpose: The purpose of this study was to compare the morphologic changes of the upper airway space in Class III patients underwent mandibuler set back or bimaxillary surgery (maxillary advancement and mandibular setback) by computed tomography at 2 levels: soft palate and base of tongue Materials and Methods:The sample is consisted of 47 patients in 2 groups who had been diagnosed with Class III skeletal deformities and had been treated by mandibular setback or bimaxillary surgery (maxillary advancement and mandibular setback).Anteroposterior, lateral, cross sectional area dimensions of the airway at the level of soft palate and base of tongue was measured pre-and postoperatively on computed tomography images.Results: However, anteroposterior dimensions of the airway decreased in both groups (p<.0001), the reduction was significantly less in cases treated with bimaxillary surgery (p<.05). In mandibular setback surgery group, the cross sectional area of the airway decreased significantly (p<.001) Although, the cross sectional area of the airway decrease in bimaxillary surgery group, the reduction was not statistically significant (p>.05).Conclusions: This study suggested that bimaxillary surgery could prevent narrowing of the upper airway in the correction of Class III deformities rather than mandibular setback surgery .

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Reported That 3dmentioning

confidence: 99%

Section: Reported That 3dmentioning

confidence: 99%

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A comparative CT evaluation of pharyngeal airway changes in class III patients receiving bimaxillary surgery or mandibular setback surgery

Degerliyurt

Ueki

Hashiba

et al. 2008

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, an

115

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“…Numerosos estudos têm demonstrado os benefícios do avanço do complexo maxilo-mandibular em pacientes com SAHOS, que apresentam uma melhora em 67% a 90% dos casos 32,33,34 . O avanço maxilomandibular parece alargar a via aérea superior e alongar a musculatura e tendões dessa região, mantendo os músculos velofaringeos e suprahióideos avançados em relação ao seu osso de origem.…”

Section: Revisão Da Literaturaunclassified

Avaliação da via aérea superior em pacientes Classe III submetidos à cirurgia ortognática – Revisão de Literatura

Castro-Silva

Pereira-Filho

Moraes³

et al. 2014

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Resumo Introdução:A configuração e as dimensões da via aérea superior são determinadas pelas estruturas anatômicas como: tecidos moles, musculatura e esqueleto craniofacial, que compõem ou circundam a faringe. As alterações anatômicas dos tecidos moles e/ou do esqueleto craniofacial poderão tornar a via aérea superior (VAS) mais estreita. A cirurgia ortognática, que é utilizada na correção das deformidades dento-esqueléticas, leva também a alterações na VAS. Objetivo: Em vista dos fatos apresentados, o presente artigo tem como objetivo realizar uma revisão da literatura sobre as alterações da via aérea superior em pacientes classe III submetidos à cirurgia ortognática. Metodologia: Foram selecionados artigos originais e de revisão publicados entre 1990 e 2010, em duas bases de dados bibliográficos -Literatura Internacional em Ciências da Saúde (Pubmed) e Porta de Periódicos CAPES. Resultados: Foram selecionados trinta e nove (39) artigos para a escrita dessa revisão. Conclusão: A via aérea superior e a deformidade dento-esquelética classe III devem ser avaliadas cuidadosamente antes da cirurgia ortognática e sempre que o planejamento cirúrgico permitir deve-se preferir os avanços maxilares aos recuos mandibulares. Palavras INTRODUÇÃOO tratamento ortodôntico-cirúrgico é cada vez mais utilizado no tratamento de pacientes portadores de deformidade dento-esquelética. Quando essa modalidade de tratamento é adotada, a estética e função devem ser cuidadosamente avaliadas. A deformidade dento--esquelética classe III é resultado de um prognatismo mandibular e/ou uma deficiência maxilar. Historicamente, a correção cirúrgica dessa deformidade dava-se apenas pela cirurgia de recuo mandibular. Sabe-se que o excesso ântero-posterior da mandíbula isoladamente ocorre somente em 20-25% dos casos. Atualmente as cirurgias bimaxilares ou de avanço maxilar isolado têm sido utilizadas com mais frequência para o tratamento de pacientes com deformidades classe III. Na última década as cirurgias de recuo mandibular têm diminuído e passaram a representar somente 10% dos procedimentos, enquanto que as cirurgias bimaxilares e de avanço maxilar são realizadas no restante dos pacientes 1,2,3,4 . O tratamento das deformidades dento-esquelé-ticas com osteotomias nos maxilares tem um efeito na ARTIGO DE REVISÃO

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Maxillomandibular Advancement for Treatment of Obstructive Sleep Apnea

Zaghi

Holty

Certal

et al. 2016

JAMA Otolaryngol Head Neck Surg

283

190

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Three-Dimensional Changes in Upper Airways of Patients With Obstructive Sleep Apnea Following Maxillomandibular Advancement

Cited by 197 publications

References 13 publications

A comparative CT evaluation of pharyngeal airway changes in class III patients receiving bimaxillary surgery or mandibular setback surgery

A comparative CT evaluation of pharyngeal airway changes in class III patients receiving bimaxillary surgery or mandibular setback surgery

Avaliação da via aérea superior em pacientes Classe III submetidos à cirurgia ortognática – Revisão de Literatura

Maxillomandibular Advancement for Treatment of Obstructive Sleep Apnea

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