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Obstructive sleep apnea syndrome: correction by mandibular advancement
E Dierks1, M Geller, H Roffwarg
1Department of Otolaryngology, University of Texas Southwestern Medical Center, Dallas 75235-9035.
Southern Medical Journal
|April 1, 1990
Summary
Surgical advancement of the mandible effectively treated obstructive sleep apnea syndrome (OSAS) in a patient with mandibular retrusion. This multidisciplinary approach resolved OSAS symptoms without additional procedures.
Area of Science:
- Oral and Maxillofacial Surgery
- Sleep Medicine
- Orthodontics
Background:
- Obstructive sleep apnea syndrome (OSAS) is increasingly diagnosed, often presenting with severe snoring and daytime somnolence.
- While multifactorial, mandibular retrusion is a recognized comorbidity in OSAS patients.
- The efficacy of surgical mandibular advancement for OSAS remains incompletely defined.
Observation:
- A 43-year-old nonobese male patient presented with diagnosed OSAS and mandibular retrusion.
- Treatment involved a multidisciplinary approach: orthodontic treatment, prosthetic dental rehabilitation, and surgical mandibular advancement.
- No palatal surgery or other OSAS-specific treatments were administered.
Findings:
- Successful resolution of obstructive sleep apnea syndrome was achieved.
- Significant improvement in the patient's snoring was documented.
- The surgical intervention was the sole OSAS treatment, highlighting its targeted effectiveness.
Implications:
- Corrective jaw surgery, specifically mandibular advancement, can be a successful standalone treatment for OSAS in select patients.
- This case supports the integration of orthognathic surgery into multidisciplinary OSAS management protocols.
- Further research is warranted to define the precise role and patient selection criteria for mandibular advancement in OSAS treatment.