A protocol for uvulopalatopharyngoplasty, mortised genioplasty, and maxillomandibular advancement in patients with obstructive sleep apnea: An analysis of 40 cases

Hendler, Barry H.; Costello, Bernard J.; Silverstein, Keith; Yen, David M.; Goldberg, Andrew N.

doi:10.1053/joms.2001.25275

Cited by 125 publications

(55 citation statements)

References 11 publications

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“…The machine can switch automatically in terms of kV and mA, allowing a decrease of exposure of up to 40%, and yields 12-bit gray scale images with a voxel size of 0.4 mm 3 . In order to standardize the scans, patients were positioned at the same axial view level based on their bilateral zygomatic sutures.…”

Section: Methodsmentioning

confidence: 99%

“…OSA is a common respiratory sleep disorder characterized by snoring and episodes of breathing cessation or absence of respiratory airflow during sleep, and despite respiratory effort (1,2). Patients with OSA can be defined as having daytime sleepiness, which may be associated with hypertension, nocturnal hypoxemia, cerebrovascular pathology, and cardiac problems, especially arrhythmia (3). The pathophysiological factors associated with OSA are very complex, ranging from those pertaining to ventilatory control or sensory function to anatomical abnormalities that may promote upper airway collapse, including skeletal, soft tissue and pharyngeal muscle factors (4,5).…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of genial tubercle anatomy using cone beam computed tomography

et al. 2015

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The purpose of this study was to characterize the anatomy of the genial tubercle using cone beam computed tomography (CBCT). The morphology and detailed anatomy of the genial tubercle were assessed retrospectively in 201 patients (101 females, 100 males) using CBCT images. The parameters examined were the height (GH) and width (GW) of the genial tubercle, the distance from the lower incisors to the superior border of the tubercle (I-SGT), the distance from the inferior margin of the tubercle to the inferior margin of the mandible (IGM-IBM), and the anterior mandible thickness (AMT). Statistical analysis was performed to assess relationships among these parameters, gender, and orthodontic malocclusion (P < 0.05). The values obtained were GH 7.3-8.7 mm, GW 7.9-9.2 mm, I-SGT 7.1-9.1 mm, IGM-IBM 8.3-10.1 mm, and AMT 14.0-16.2 mm. GH, GW, and I-SGT showed no significant differences between genders (P > 0.05). However, IGM-IBM was larger for class III than for class I and class II male patients, and larger than for class I female patients. AMT in class III patients was greater than in class I and II patients (P < 0.05). The use of CBCT, which employs less radiation, is important for dental professionals,

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Evaluation of genial tubercle anatomy using cone beam computed tomography

et al. 2015

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“…Kezirian & Goldberg (Kezirian et al, 2006) demonstrated success rate of more than 60%, with AHI decreasing from 60-29/h. A combination of genioadvancement, UPPP, maxillomandibular advancement can be done to avoid multiple procedures (Hendler et al, 2001).  Maxillomandibular advancement MMA-David J Dattilo noted that comparing Phase 1 surgery (hyoid suspension, palatalsurgery, genioglossus advancement) with Phase2 (maxillomandibular advancement) the latter is more effective (Dattilo et al, 2004, Wagner et al, 2000.…”

Section: Conservatively It Include-mentioning

confidence: 99%

Modalities of treatment for sleep disordered breathing

Tin¹,

Ohn²

2016

Asian J. Med. Biol. Res

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Abstract:Sleep disordered breathing is a spectrum of diseases that includes snoring, upperairway resistance syndrome and obstructive sleep apnea. It occurs more in obese males, resulting in hypertension and cardiac complications if untreated. There are various treatments, conservatively and surgically, starting from simple tonsillectomy to multi-level surgeries and multi discipline. Literature review was carried out on the pathophysiology, clinical presentation, complications, diagnosis and various treatments, using internet Google, search PubMed. Additional information was obtained by cross referencing, using text and journals in the medical libraries.

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“…The effect of genioplasty on OSA has been studied [9], but no study has investigated the mandibular wing osteotomy in OSA patients. Generally, genioplasty was done in conjunction with other treatment options such as a maxillomandibular advancement [10,11]. It is believed that the advancement of the mandibular base can pull geniohyoied muscles in a forward position and improve airway patency in patients with retrognathia.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Mandibular Wing Osteotomy in Obstructive Sleep Apnea Cases with Retrognathia

Pourdanesh¹,

Soleimanpour

Shafie

2013

J. Maxillofac. Oral Surg.

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Objective The aim of this study is to evaluate the efficacy of wing osteotomy for treating obstructive sleep apnea (OSA). Materials and MethodsWe performed mandibular wing osteotomy in subjects who had an apnea-hypopnea index (AHI) of more than 15, a previous unresponsive conservative treatment for the OSA, moderate to severe retrognathia and no suggested conventional orthognathic surgery because of dentition or lack of willingness. The subjects were evaluated using the Epworth Sleepiness Scale (ESS), AHI and posterior airway space (PAS) before and 1 year after surgery. Results We evaluated 10 subjects (4 males, 6 females) who underwent wing mandibular osteotomy. The mean age of the subjects was 37.8 ± 7.26 years. Analysis of the data demonstrated a significant change in ESS and AHI 1 year after operation. However, PAS was not changed 1 year after surgery. Results did not show any correlation between age, ESS and AHI before and 1 year after surgery.Conclusion Mandibular wing osteotomy is a novel procedure that improves signs of OSA. It may be a surgical option in retrognathic patients with OSA who are not candidates for conventional maxillomandibular advancement.

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A protocol for uvulopalatopharyngoplasty, mortised genioplasty, and maxillomandibular advancement in patients with obstructive sleep apnea: An analysis of 40 cases

Cited by 125 publications

References 11 publications

Evaluation of genial tubercle anatomy using cone beam computed tomography

Evaluation of genial tubercle anatomy using cone beam computed tomography

Modalities of treatment for sleep disordered breathing

Evaluation of Mandibular Wing Osteotomy in Obstructive Sleep Apnea Cases with Retrognathia

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