Maxillomandibular advancement for obstructive sleep apnea

Niger J Clin Pract. 2018 Jun;21(6):716-720. doi: 10.4103/njcp.njcp_176_17.

Abstract

Objective: : We aimed to present our clinical experience with maxillomandibular advancement (MMA) for the treatment of obstructive sleep apnea (OSA) syndrome and to compare our results with literature data.

Materials and methods: : The patients who were operated for OSA in the last 10 years were included in the study. A detailed patient's charts review was retrospectively performed. Inclusion criteria were to be available with preoperative and postoperative polysomnography data.

Results: : There were totally 7 cases who underwent MMA procedure for OSA in our clinic. The mean age was 38.6 ± 8.1 years. Surgical success was achieved in all cases (100%). The mean preoperative and postoperative apnea-hypopnea indexes were 63.3 ± 35.2 and 7.5 ± 3.4, respectively (P < 0.05). The most common complication was inferior alveolar nerve deficit following bilateral sagittal split osteotomy. The facial numbness was temporary in 4 (57.1%), and permanent in one case (14.3%).

Conclusion: Our surgical results in MMA is compatible with literature data. MMA is the choice of treatment in severe OSA in case of positive airway pressure therapy intolerance.

Keywords: Apnea–hypopnea index; maxillomandibular advancement; obstructive sleep apnea; polysomnography; positive airway pressure.

MeSH terms

  • Adult
  • Ambulatory Care Facilities
  • Female
  • Humans
  • Male
  • Mandibular Advancement / methods*
  • Maxilla / surgery
  • Middle Aged
  • Osteotomy / methods
  • Polysomnography*
  • Postoperative Period
  • Retrospective Studies
  • Sleep Apnea, Obstructive / surgery*
  • Sleep Apnea, Obstructive / therapy*