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Sleep Apnea01:21

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Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
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Insufficient Sleep and Sleep Deprivation01:13

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Skeletal Surgery for Obstructive Sleep Apnea.

José E Barrera1

  • 1Department of Surgery, Uniformed Services University, Bethesda, MD, USA; Department of Otolaryngology, University of Texas Health Sciences Center, San Antonio, TX, USA; Texas Facial Plastic Surgery and ENT, 14603 Huebner Road, Building 1, San Antonio, TX 78209, USA.

Sleep Medicine Clinics
|November 7, 2018
PubMed
Summary
This summary is machine-generated.

Multilevel surgery, including maxillomandibular advancement (MMA), is a key treatment for obstructive sleep apnea (OSA). Virtual surgical planning enhances the utility of MMA for relieving airway obstruction.

Keywords:
Genioglossal advancementHyoid myotomy and suspensionMaxillomandibular advancementObstructive sleep apneaSkeletal surgerySliding genioplastySurgery successSurgery technique

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Area of Science:

  • Sleep Medicine
  • Otolaryngology
  • Oral and Maxillofacial Surgery

Background:

  • Obstructive sleep apnea (OSA) significantly impacts patient health and quality of life.
  • Multilevel surgery is the primary surgical approach for managing OSA.
  • Targeting hypopharyngeal obstruction involves various tongue-base surgeries and skeletal procedures.

Purpose of the Study:

  • To review the role of multilevel surgery in obstructive sleep apnea management.
  • To highlight the efficacy of maxillomandibular advancement (MMA) with or without genioglossus advancement (GA).
  • To present a case study on virtual surgical planning for MMA.

Main Methods:

  • Review of established multilevel surgical techniques for OSA.
  • Discussion of tongue-base surgeries (genioglossus advancement, sliding genioplasty, hyoid myotomy/suspension).
  • Presentation of a case utilizing virtual surgical planning for MMA.

Main Results:

  • Multilevel surgery, particularly MMA, is a proven technique for relieving airway obstruction.
  • Combined procedures like MMA with GA show significant success.
  • Virtual surgical planning demonstrated utility in MMA surgery.

Conclusions:

  • Maxillomandibular advancement (MMA) is a highly effective skeletal procedure for OSA.
  • Virtual surgical planning can aid in the precise execution of MMA.
  • Multilevel surgery remains a cornerstone for surgical OSA treatment.