Linear and volumetric airway changes after maxillomandibular advancement for obstructive sleep apnea

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
Kevin J ButterfieldJack Newton

Abstract

Maxillomandibular advancement (MMA) surgery is a well-established treatment of obstructive sleep apnea (OSA). Although many studies have assessed the efficacy of MMA in treating OSA, very few studies have quantified the magnitude of its changes to airway morphology. Therefore, the present study investigated the linear and volumetric morphologic changes that occur in the pharyngeal airway after treatment of OSA using MMA. A retrospective cohort study of patients with OSA treated from May 2010 to February 2014 was performed. Each patient underwent preoperative clinical and fiberoptic nasopharyngoscopic examinations. Pre- and postoperative polysomnograms, lateral cephalograms, and cone-beam computed tomography scans were acquired. The radiographic images were used to determine the linear and volumetric airway measurements. The time and magnitude of skeletal movement were used as the independent variables. The dependent variables included assessment of success or cure, apnea hypopnea index (AHI), cephalometric changes, Epworth score, rapid eye movement sleep, body mass index, and various airway morphologic parameters. A total of 15 patients (13 men and 2 women) participated in the present study. The surgical success and cure rate w...Continue Reading

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Citations

Feb 27, 2016·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Kevin J ButterfieldJack Newton
Oct 7, 2015·Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology·Lucas Castro-SilvaValfrido Antonio Pereira-Filho
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Jan 8, 2020·Annals of Maxillofacial Surgery·Zoe Nicolaou
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Nov 27, 2016·Oral and Maxillofacial Surgery·Milena CabralAdelmir Souza-Machado
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Aug 6, 2018·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Christopher VanderbeekJared C Inman

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