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Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
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[Bimaxillary osteotomy for obstructive sleep apnoea]
Elmer C Kruijt Spanjer1,2, Antoine J W P Rosenberg3, Jerryl Asin4
1Haaglanden Medisch Centrum, afd. Mondziekten, Kaak- en Aangezichtschirurgie, Den Haag.
Nederlands Tijdschrift Voor Geneeskunde
|May 24, 2019
Summary
Bimaxillary osteotomy significantly improves outcomes for patients with obstructive sleep apnea (OSA). This surgery offers substantial symptom reduction and positive results, even for complex cases.
Area of Science:
- Oral and Maxillofacial Surgery
- Sleep Medicine
- Otolaryngology
Background:
- Obstructive sleep apnea (OSA) is a serious sleep disorder.
- Bimaxillary osteotomy is considered a definitive treatment for some OSA patients.
Purpose of the Study:
- To evaluate the postoperative outcomes of bimaxillary osteotomy in patients diagnosed with obstructive sleep apnea.
- To assess the effectiveness of the surgical procedure in improving OSA symptoms and reducing the apnea-hypopnea index (AHI).
Main Methods:
- A retrospective analysis of 18 patients with OSA who underwent bimaxillary osteotomy over a 4-year period.
- Primary outcome measures included the apnea-hypopnea index (AHI), symptom reduction, and overall treatment success.
Main Results:
- 94.1% of patients experienced complete symptom resolution or significant improvement post-surgery.
- Complete cure (AHI < 5/h) was achieved in 23.5% of patients, with overall treatment success in 52.9%.
- The average AHI decreased from 38/h preoperatively to 11/h postoperatively.
Conclusions:
- Bimaxillary osteotomy demonstrates favorable results as a treatment for obstructive sleep apnea, even in complex cases.
- Identifying patients with OSA and retrognathia who may benefit from this surgical intervention is crucial for treatment providers.
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