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- Title
Maxillomandibular Advancement in the Management of Obstructive Sleep Apnea.
- Authors
Varghese, Ranji; Adams, Nathan G.; Slocumb, Nancy L.; Viozzi, Christopher F.; Ramar, Kannan; Olson, Eric J.
- Abstract
Maxillomandibular advancement (MMA) is a surgical option for obstructive sleep apnea (OSA).MMA involves forward-fixing the maxilla and mandible approximately 10 mm via Le Fort I maxillary and sagittal split mandibular osteotomies. We retrospectively reviewed outcomes from 24 consecutive OSA patients who underwent MMA at our institution. MMA resulted in an 83% reduction in the group mean apnea-hypopnea index (AHI) per polysomnography an average of 6.7 months after surgery. Forty-two percent of patients achieved a post-MMA AHI of less than 5 events/hour sleep and 71% achieved an AHI less than or equal to 10 events/hour sleep. The Epworth Sleepiness Scale score decreased by an average of 5 post-surgery. No parameters predictive of cure for OSA by MMA were identified.
- Subjects
SLEEP apnea syndrome treatment; SLEEP apnea syndromes; OSTEOTOMY; MANDIBLE surgery; POLYSOMNOGRAPHY; DROWSINESS; RETROSPECTIVE studies; HEALTH outcome assessment; DIAGNOSIS
- Publication
International Journal of Otolaryngology, 2012, p1
- ISSN
1687-9201
- Publication type
Article
- DOI
10.1155/2012/373025