Diagnosis, treatment planning, and surgical correction of obstructive sleep apnea.
The aim of this report is to present the scientific rationale for considering maxillomandibular advancement as the surgical treatment of choice in selected patients with obstructive sleep apnea syndrome; review the treatment planning that will identify those patients who would benefit from this procedure; review the surgical techniques; and review the patient outcomes after maxillomandibular advancement surgery. Patients with obstructive sleep apnea syndrome who have demonstrable retropositioning of the maxilla and mandible should be informed of maxillomandibular advancement as the primary surgical treatment for obstructive sleep apnea syndrome.
Goodday
Reginald
R
Department of Oral and Maxillofacial Sciences, Dalhousie University, Halifax, NS, Canada. reginald.goodday@dal.ca
D000402:Airway Obstruction / Q000175:diagnosis / Q000601:surgery; D002508:Cephalometry; D005260:Female; D006801:Humans; D008297:Male; D019186:Mandibular Advancement / Q000379:methods*; D008437:Maxilla / Q000601:surgery*; D009334:Neck Muscles / Q000601:surgery; D010027:Osteotomy / Q000379:methods; D019340:Osteotomy, Le Fort / Q000379:methods; D010347:Patient Care Planning; D020181:Sleep Apnea, Obstructive / Q000175:diagnosis* / Q000601:surgery; D016896:Treatment Outcome