Maxillomandibular advancement surgery in obstructive sleep apnea syndrome patients: long-term surgical stability.
OBJECTIVE
This study examined the long-term skeletal stability of relatively large maxillomandibular advancement surgery in the treatment of obstructive sleep apnea syndrome (OSAS).


METHODS
The presurgical, immediate (< 1 month), and long-term (> 12 months) postsurgical cephalometric radiographs of 19 patients undergoing maxillomandibular advancement with simultaneous genioplasty for OSAS were studied. The cephalometric measurements and calculations were performed using a commercial cephalometric software.


RESULTS
Maxillary and mandibular advancement seems to be stable in the horizontal and vertical planes over the long term. There was no significant correlation between the amount of surgical advancement and the amount of postsurgical instability, with the exception of gonion in the vertical plane.


CONCLUSIONS
The results from this study indicate that large surgical advancements in OSAS patients result in relatively stable repositioning of the maxilla and mandible over the long term.
D001860:Bone Plates; D001863:Bone Screws; D002508:Cephalometry; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008334:Mandible / Q000000981:diagnostic imaging / Q000601:surgery*; D008437:Maxilla / Q000000981:diagnostic imaging / Q000601:surgery*; D017090:Occlusal Splints; D010027:Osteotomy / Q000379:methods; D011859:Radiography; D012891:Sleep Apnea Syndromes / Q000000981:diagnostic imaging / Q000601:surgery*; D013997:Time Factors; D014716:Vertical Dimension