Long-Term Management of a Patient With Obstructive Sleep Apnea Using Multimodal Combination Treatment

Akio Himejima; Kentaro Okuno; Hayato Ikeda; Maho Kono; Hiroaki Yoshida; Yuji Nakayama; Hideo Shimizu; Morio Tonogi

doi:10.1002/ccr3.70316

Long-Term Management of a Patient With Obstructive Sleep Apnea Using Multimodal Combination Treatment

Clin Case Rep. 2025 Mar 23;13(4):e70316. doi: 10.1002/ccr3.70316. eCollection 2025 Apr.

Authors

Akio Himejima¹, Kentaro Okuno^{2

3}, Hayato Ikeda¹, Maho Kono¹, Hiroaki Yoshida¹, Yuji Nakayama⁴, Hideo Shimizu⁵, Morio Tonogi⁶

Affiliations

¹ First Department of Oral and Maxillofacial Surgery Osaka Dental University Osaka Japan.
² Department of Geriatric Dentistry Osaka Dental University Osaka Japan.
³ Center for Dental Sleep Medicine Osaka Dental University Hospital Osaka Japan.
⁴ Department of Orthodontics Osaka Dental University Osaka Japan.
⁵ Department of Internal Medicine Osaka Dental University Osaka Japan.
⁶ First Department of Oral and Maxillofacial Surgery Nihon University School of Dentistry Tokyo Japan.

Abstract

In this case, we combined oral appliance, continuous positive airway pressure, and sleep surgery for the management of obstructive sleep apnea. It will require a combination of therapies according to the patient's chief complaint and symptoms and not just one therapy for the long-term management of obstructive sleep apnea.

Keywords: continuous positive airway pressure; mandibular advancement; obstructive sleep apnea; orthognathic surgery; treatment.