Maxillomandibular advancement and contrarotation for the treatment of severe complicated multilevel ob-structive sleep apnea/hypopnoea syndrome

VernacularTitle:双颌前徙逆时针旋转治疗重度复杂多水平睡眠呼吸暂停低通气综合征
Author: Bo YU ; Zhongping SU ; Lei TIAN ; Qin MA
Publication Type:Journal Article
Keywords: Orthognathic surgery; Obstructive sleep apnea /hypopnoea syndrome; Maxillomandibular
From: Journal of Practical Stomatology 2015;(5):644-647
CountryChina
Language:Chinese
Abstract: Objective:To evaluate the effects of maxillomandibular advancement and contrarotation in the treatment of severe com-plicated multilevel obstructive sleep apnea/hypopnea syndrome (OSAHS).Methods:1 2 patients (all males,aged 26 to 56 years) with severe complicated multilevel OSAHS were treated by orthognathic surgery methods of maxillomandibular advancement and cont-rarotation and followed up for 6 -1 2 months.Results:After surgery the symptoms of all patients,such as snoring,waking up be-cause of stoke and streaming with sweat,disappeared or were ameliorated remarkably.The AHI index declined from 51 -70 before operation to 0 -3 after operation.While sleeping,their blood oxygen saturation augmented from 30% -70.1 % presurgically to 93%-99% postsurgically,and their average blood oxygen saturation increased from 60% -72% presurgically to 95% -99% postsurgi-cally in all 1 2 patients.Conclusion:Orthognathic surgery method of maxillomandibular advancement and contrarotation is effective in the treatment of severe complicated multilevel OSAHS.