Maxillomandibular Advancement for Obstructive Sleep Apnea

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Düzlü M., Yilmaz M., Karaloglu F., Karamert R., Goksu V. C., Kahraman S., ...Daha Fazla

NIGERIAN JOURNAL OF CLINICAL PRACTICE, cilt.21, sa.6, ss.716-720, 2018 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 21 Sayı: 6
  • Basım Tarihi: 2018
  • Doi Numarası: 10.4103/njcp.njcp_176_17
  • Dergi Adı: NIGERIAN JOURNAL OF CLINICAL PRACTICE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED)
  • Sayfa Sayıları: ss.716-720
  • Anahtar Kelimeler: Apnea-hypopnea index, maxillomandibular advancement, obstructive sleep apnea, polysomnography, positive airway pressure, HYPOPNEA INDEX, SURGERY, ADULTS, AIRWAY, METAANALYSIS, EFFICACY, OBESITY, OSA
  • Gazi Üniversitesi Adresli: Evet

Özet

Objective: We aimed to present our clinical experience with maxillomandibular advancement (MMA) for the treatment of obstructive sleep apnea (OSA) syndrome and to compare our results with literature data. Materials and Methods: The patients who were operated for OSA in the last 10 years were included in the study. A detailed patient's charts review was retrospectively performed. Inclusion criteria were to be available with preoperative and postoperative polysomnography data. Results: There were totally 7 cases who underwent MMA procedure for OSA in our clinic. The mean age was 38.6 +/- 8.1 years. Surgical success was achieved in all cases (100%). The mean preoperative and postoperative apnea-hypopnea indexes were 63.3 +/- 35.2 and 7.5 +/- 3.4, respectively (P < 0.05). The most common complication was inferior alveolar nerve deficit following bilateral sagittal split osteotomy. The facial numbness was temporary in 4 (57.1%), and permanent in one case (14.3%). Conclusion: Our surgical results in MMA is compatible with literature data. MMA is the choice of treatment in severe OSA in case of positive airway pressure therapy intolerance.