title: Management of obstructive sleep apnea by maxillomandibular advancement surgery in an edentulous patient.
abstract: BACKGROUND
  Maxillomandibular advancement (MMA) surgery is a surgical treatment option for treating the patients with obstructive sleep apnea (OSA). Surgical treatment of OSA by MMA surgery is a problem when it is encountered with an edentulous patient because of the intermaxillary fixation problem of the jaws. A paucity of information is available concerning MMA surgery for edentulous patients.
  
  
  METHODS
  In this case report, we present the preoperative planning, orthognathic surgery, and postoperative phases of a 49-year-old edentulous severe OSA (apnea hypopnea index, 81.9 event/hr) patient who underwent MMA surgery.
  
  
  RESULTS
  Polysomnographic examination 9 months after surgery revealed normalization of the somnographic evaluations (apnea hypopnea index, 1.3).
  
  
  CONCLUSIONS
  The results reported in the present case showed that the surgical treatment of OSA by MMA surgery in edentulous patients could be successfully done. Further critical evaluations of this approach for the surgical treatment of edentulous OSA patients are needed.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Gulhane Military Medical Academy, Ankara, Turkey. gurkanbayar@yahoo.com
authors.forename: Metin
authors.initials: M
authors.lastname: Sencimen
authors.forename: Gurkan Rasit
authors.initials: GR
authors.lastname: Bayar
authors.forename: Timur
authors.initials: T
authors.lastname: Akcam
authors.forename: Hasan Ayberk
authors.initials: HA
authors.lastname: Altug
authors.forename: Handan
authors.initials: H
authors.lastname: Altug
authors.forename: Aydin
authors.initials: A
authors.lastname: Gulses
authors.forename: Aydin
authors.initials: A
authors.lastname: Ozkan
mesh_terms: D003824:Denture, Complete; D006801:Humans; D008297:Male; D019186:Mandibular Advancement / Q000379:methods*; D008437:Maxilla / Q000601:surgery*; D008875:Middle Aged; D009066:Mouth, Edentulous / Q000534:rehabilitation; D017286:Polysomnography; D020181:Sleep Apnea, Obstructive / Q000601:surgery*