Indian Journal of Sleep Medicine

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VOLUME 17 , ISSUE 2 ( April-June, 2022 ) > List of Articles


Management of a Case of Obstructive Sleep Apnea with Mandibular Advancement Surgery

Gaurav Pratap Singh, Jayan Balakrishnan, Abhijeet Kadu

Keywords : Apnea–hypopnea index, Obstructive sleep apnea, Metabolic syndrome, Syndrome Z

Citation Information : Singh GP, Balakrishnan J, Kadu A. Management of a Case of Obstructive Sleep Apnea with Mandibular Advancement Surgery. Indian Sleep Med 2022; 17 (2):56-66.

DOI: 10.5005/jp-journals-10069-0101

License: CC BY-NC 4.0

Published Online: 27-07-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Aim: The aim of this case report is to highlight the use of maxillomandibular surgical advancement procedures to treat the symptoms of obstructive sleep apnea (OSA) in addition to improving esthetics, function, and stability in patients with skeletal jaw discrepancies. Background: Obstructive sleep apnea is a condition which is frequently encountered by the orthodontist both in children and adults due to the strong correlation with various craniofacial risk factors. Although “continuous positive airway pressure (CPAP) therapy” is the gold standard for management of symptoms of OSA, patients with underlying skeletal discrepancies of the jaws can benefit from maxillomandibular surgical advancement procedures which can provide long-term benefits. Case description: This case describes the interdisciplinary management of a 28-year-old man suffering from moderate OSA. The cause of OSA was determined to be multifactorial including lifestyle choices in addition to craniofacial risk factors of a skeletal class II jaw bases, retrognathic mandible, horizontal growth pattern, and increased submental fat deposition. The case was managed by orthosurgical line of treatment with mandibular advancement surgery to correct the underlying skeletal deformity. Post-orthognathic surgery, occlusion was settled and case was finished with class I skeletal and dental relationship with optimal functional occlusion and good esthetics. Posttreatment evaluation also revealed a marked improvement in sleep parameters with a downgrade from moderate-to-mild OSA. Conclusion: The result highlights how suitable and timely intervention in cases of OSA can have favorable outcomes and the value of maxillomandibular advancement techniques in amelioration of OSA. Clinical significance: Maxillomandibular surgical advancement procedures can be of great benefit to patients who suffer from symptoms of OSA owing to the underlying skeletal jaw discrepancies.

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