Management of obstructive sleep apnea: role of distraction osteogenesis.
Distraction osteogenesis to expand the facial skeleton is an alternative to standard orthognathic surgery for selected patients with obstructive sleep apnea. For children with congenital micrognathia or midface hypoplasia, distraction osteogenesis allows large advancements without the need for bone grafting and with less risk of relapse. For later-onset obstructive sleep apnea, distraction osteogenesis may represent an alternative when acute bone movement is expected to be difficult (scarring from previous surgery or radiation therapy) or when the risk for inferior alveolar nerve damage is unacceptable (patients older than 40 years).
Bouchard
Carl
C
Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, Harvard School of Dental Medicine, Boston, MA 02114, USA. carlbouch@hotmail.com
Troulis
Maria J
MJ
Kaban
Leonard B
LB
D000328:Adult; D000402:Airway Obstruction / Q000151:congenital / Q000601:surgery; D002648:Child; D019465:Craniofacial Abnormalities / Q000601:surgery; D006801:Humans; D019186:Mandibular Advancement / Q000379:methods; D008844:Micrognathism / Q000601:surgery; D056948:Orthognathic Surgical Procedures / Q000379:methods; D019857:Osteogenesis, Distraction / Q000379:methods*; D010347:Patient Care Planning; D020181:Sleep Apnea, Obstructive / Q000601:surgery*