Maxillomandibular advancement surgery after long-term use of a mandibular advancement device in a post-adolescent patient with obstructive sleep apnea
10.4041/kjod.2019.49.4.265
- Author:
Keun Ha LEE
1
;
Kyung A KIM
;
Yong Dae KWON
;
Sung Wan KIM
;
Su Jung KIM
Author Information
1. Department of Orthodontics, Kyung Hee University Graduate School, Seoul, Korea.
- Publication Type:Case Report
- From:The Korean Journal of Orthodontics
2019;49(4):265-276
- CountryRepublic of Korea
- Language:English
-
Abstract:
Patients with obstructive sleep apnea (OSA) whose phenotype belongs to a craniofacial vulnerability are referred from sleep doctors to orthodontists. In adults, for osseo-pharyngeal reconstruction (OPR) treatment, permanent maxillomandibular advancement (MMA) surgery and use of a temporary mandibular advancement device (MAD) are applied. This case report demonstrates successful treatment of OSA through application of phased MAD and MMA in a 16-year-old male with craniofacial deformity and residual growth potential. This patient showed skeletal and dentoalveolar changes after 7-year MAD use throughout post-adolescence, which affected the design and timing of subsequent MMA surgery, as well as post-surgical orthodontic strategy. This case report suggests that OPR treatment can be useful for treatment of OSA in post-adolescent patients, from an orthodontic point of view, in close collaboration with sleep doctors for interdisciplinary diagnosis and treatment.
