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Effectiveness of Maxillomandibular advancement (MMA) surgery in sleep apnea treatment: Case report
Otávio Ferraz1, Thais M Guimarães1, Rowdley R Rossi1
1Division of Sleep Medicine and Biology, Department of Psychobiology, Federal University of São Paulo (Universidade Federal de São Paulo, UNIFESP), São Paulo, SP, Brazil.
Abstract:
Obstructive sleep apnea (OSA) is characterized by episodes of pharyngeal collapse during sleep. Craniofacial alterations such as retrognathia are often found in OSA patients. Maxillomandibular advancement (MMA) surgeries increase the pharyngeal space and are a treatment option for OSA. The aim of this study was to present a successful case of MMA surgery in the treatment of OSA. A patient with moderate OSA (apnea-hypopnea index (AHI)=25.2) and mandibular retrognathism and Maxillomandibular asymmetry underwent MMA surgery. The apnea-hypopnea index (AHI) were considerably improved after six months (IAH =6.7) and one year of treatment (IAH=0.2).
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