Maxillomandibular advancement for obstructive sleep apnea

• Published in: Nigerian journal of clinical practice Vol. 21; no. 6; pp. 716 - 720
• Main Authors: Düzlü, M, Yilmaz, M, Karaloglu, F, Karamert, R, Goksu, V, Kahraman, S, Kemaloglu, Y
• Format: Journal Article
• Language: English
• Published: India Wolters Kluwer India Pvt. Ltd 01-06-2018; Medknow Publications and Media Pvt. Ltd
• Subjects: Adult; Ambulatory Care Facilities; Analysis; Care and treatment; Female; Humans; Male; Mandibular Advancement - methods; Maxilla - surgery; Middle Aged; Orthognathic surgery; Osteotomy - methods; Patient outcomes; Polysomnography; Postoperative Period; Retrospective Studies; Sleep apnea; Sleep Apnea, Obstructive - surgery; Sleep Apnea, Obstructive - therapy; Treatment outcome; obstructive sleep apnea; maxillomandibular advancement; polysomnography; positive airway pressure; Apnea-hypopnea index; Apnea–hypopnea index
• ISSN: 1119-3077
• DOI: 10.4103/njcp.njcp_176_17

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.