[Principles of surgical treatment of obstructive sleep apnea by interventions on the facial bones].
The clinical picture of the obstructive sleep apnea syndrome is caused by a multifactorial etiology. Therefore a lot of different conservative as well as surgical therapeutic approaches are discussed. In approximately 40% of the patients an obstruction of the pharyngeal airway is combined with an abnormal sagittal morphology of the skull. In these cases a simultaneous maxillomandibular advancement by at least 10 mm seems to be a causal therapy, leading to an enlargement of the pharyngeal airways. The current therapeutic results are roughly stable up to a period of approximately 3 years. Requirement of this therapy is the exclusion and/or the prior therapy of an extreme obesity, which can favour the manifestation of an obstructive sleep apnea syndrome.
Reinert
S
S
Klinik für Mund-, Kiefer- und Gesichtschirurgie, Ruhr-Universität, Bochum, Deutschland.
Jung
D
D
Machtens
E
E
D000402:Airway Obstruction / Q000000981:diagnostic imaging / Q000601:surgery*; D002508:Cephalometry; D006801:Humans; D008310:Malocclusion / Q000000981:diagnostic imaging / Q000601:surgery*; D017286:Polysomnography; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011859:Radiography; D012891:Sleep Apnea Syndromes / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome