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Sleep Diagnosis and Therapy

Sleep Diagnosis and Therapy

Official Publication of the American Sleep and Breathing Academy

Maxillary, mandibular, and chin advancement: treatment planning based on airway anatomy in obstructive sleep apnea.

August 23, 2011 by admin

Schendel S, Powell N, Jacobson R.

Source

Stanford University, Palo Alto, CA, USA. sschendel@stanford.edu

Abstract

Surgical correction of obstructive sleep apnea (OSA) syndrome involves understanding a number of parameters, of which the 3-dimensional airway anatomy is important. Visualization of the upper airway based on cone beam computed tomography scans and automated computer analysis is an aid in understanding normal and abnormal airway conditions and their response to surgery. The goal of surgical treatment of OSA syndrome is to enlarge the velo-oropharyngeal airway by anterior/lateral displacement of the soft tissues and musculature by maxillary, mandibular, and possibly, genioglossus advancement. Knowledge of the specific airway obstruction and characteristics based on 3-dimensional studies permits a directed surgical treatment plan that can successfully address the area or areas of airway obstruction. The end occlusal result can be improved when orthodontic treatment is combined with the surgical plan. The individual with OSA, though, is more complicated than the usual orthognathic patient, and both the medical condition and treatment length need to be judiciously managed when OSA and associated conditions are present. The perioperative management of the patient with OSA is more complex and the margin for error is reduced, and this needs to be taken into consideration and the care altered as indicated.

J Oral Maxillofac Surg. 2011 Mar;69(3):663-76.

Related posts:

  1. Sleep magnetic resonance imaging: Dynamic characteristics of the airway during sleep in obstructive sleep apnea syndrome.
  2. Five years of sleep apnea treatment with a mandibular advancement device. Side effects and technical complications
  3. Effects on blood pressure after treatment of obstructive sleep apnoea with a mandibular advancement appliance – a three-year follow-up

Filed Under: Blog Tagged With: Home Sleep Testing, insomnia, sleep apnea, sleep disorders, sleep labs

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SleepDT Sleep Diagnosis and Therapy is a clinical Journal for allied Sleep Professionals, Neurologists, Psychiatrists, Pulmonologists, Primary Care Physicians, and other medical specialists. We also advocate on behalf of patient care in the field of Sleep Medicine

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