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Maxillomandibular advancement for obstructive sleep apnea
M Düzlü1, M Yilmaz1, F Karaloglu1
1Department of Otorhinolaryngology, Faculty of Medicine, Gazi University, Ankara, Turkey.
Nigerian Journal of Clinical Practice
|June 12, 2018
Summary
Maxillomandibular advancement (MMA) effectively treats obstructive sleep apnea (OSA), achieving 100% surgical success in a small cohort. This surgical intervention offers a viable alternative for severe OSA patients intolerant to positive airway pressure therapy.
Area of Science:
- Oral and Maxillofacial Surgery
- Sleep Medicine
- Otolaryngology
Background:
- Obstructive sleep apnea (OSA) is a common sleep disorder.
- Positive airway pressure (PAP) therapy is the standard treatment for OSA.
- Maxillomandibular advancement (MMA) is a surgical option for severe OSA.
Purpose of the Study:
- To report clinical experience with MMA for OSA treatment.
- To compare MMA outcomes with existing literature data.
Main Methods:
- Retrospective chart review of OSA patients undergoing MMA over 10 years.
- Inclusion of patients with pre- and post-operative polysomnography data.
Main Results:
- Seven patients underwent MMA for OSA.
- 100% surgical success rate was achieved.
- Mean apnea-hypopnea index decreased from 63.3 to 7.5 (P < 0.05).
- Inferior alveolar nerve deficit occurred in 71.4% of cases (temporary in 57.1%, permanent in 14.3%).
Conclusions:
- MMA outcomes align with published literature.
- MMA is a recommended treatment for severe OSA in patients who cannot tolerate PAP therapy.
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