title: [Surgical treatment of Obstructive Sleep Apnea Syndrome. Functional assessment].
abstract: BACKGROUND
  Obstructive Sleep Apnea Syndrome (OSAS), when associated with adverse skeletal dysmorphia, can be managed by curative surgery i.e. advanced maxillomandibular associated with genioplasty and uvulopalatoglossoplasty ("6 in 1"). The purpose of this study was to assess the functional impact of this procedure.
  
  
  METHODS
  This retrospective study was made on 27 patients with OSAS surgically treated between 1998 and 2009. The functional results were considered satisfactory when postoperative apnea/hypopnea index (AHI) was <15/h and/or at least decreased by 50%.
  
  
  RESULTS
  After surgical treatment, the AHI dropped below 15/h for 70.4%, and for 92.6% it was at least decreased by 50%, one year after surgery. A significant concomitant decrease of the body mass index (BMI) was also observed.
  
  
  CONCLUSIONS
  This "6 in 1" surgical management seemed to effectively treat OSAS in the selected cases.
authors.affiliation: Service de stomatologie et de chirurgie maxillofaciale, CHRU de Lille, avenue du Professeur-Émile-Laine, 59037 Lille cedex, France. Electronic address: abdel.zakhar@gmail.com.
authors.forename: A
authors.initials: A
authors.lastname: Zakhar
authors.affiliation: Service de chirurgie maxillofaciale et stomatologie, CHR d'Orléans, 1, rue Porte-Madeleine, 45000 Orléans, France.
authors.forename: C
authors.initials: C
authors.lastname: Wirth
authors.affiliation: Service de stomatologie et de chirurgie maxillofaciale, CHRU de Lille, avenue du Professeur-Émile-Laine, 59037 Lille cedex, France.
authors.forename: E
authors.initials: E
authors.lastname: Farrow
authors.affiliation: Service de stomatologie et de chirurgie maxillofaciale, CHRU de Lille, avenue du Professeur-Émile-Laine, 59037 Lille cedex, France.
authors.forename: C
authors.initials: C
authors.lastname: Tison
authors.affiliation: Service de stomatologie et de chirurgie maxillofaciale, CHRU de Lille, avenue du Professeur-Émile-Laine, 59037 Lille cedex, France.
authors.forename: J
authors.initials: J
authors.lastname: Ferri
authors.affiliation: Service de stomatologie et de chirurgie maxillofaciale, CHRU de Lille, avenue du Professeur-Émile-Laine, 59037 Lille cedex, France.
authors.forename: G
authors.initials: G
authors.lastname: Raoul
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D063172:Genioplasty; D005927:Glossectomy; D006801:Humans; D008297:Male; D019186:Mandibular Advancement; D008875:Middle Aged; D019647:Oral Surgical Procedures / Q000379:methods*; D010159:Palate / Q000601:surgery; D017286:Polysomnography; D012189:Retrospective Studies; D012890:Sleep / Q000502:physiology; D020181:Sleep Apnea, Obstructive / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome; D014609:Uvula / Q000601:surgery
keywords: Angle class II; Chirurgie orthognathique; Malocclusion; Malocclusion en classe 2; Obstructive sleep apnea; Orthognathic surgery; Syndrome d’apnées obstructives du sommeil