Outcome assessment of patients undergoing maxillofacial procedures for the treatment of sleep apnea: comparison of subjective and objective results

Dattilo, David J.; Drooger, Scott A

doi:10.1016/j.joms.2003.03.002

Cited by 93 publications

(47 citation statements)

References 9 publications

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“…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. It is considered when phase1 surgery fails, or facial deformities or retrognathia, moving upper and lower jaw to increase size of airway.…”

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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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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“…In case of maxillomandibular abnormality the advancement must be more pronounced. The classical procedure consists in bilateral sagittal split ramus osteotomies with rigid internal fixation and Le Fort I osteotomy with rigid internal fixation [305][306][307][308][309][310][311][312][313][314][315][316]. The Stanford group [305] performs pharyngoplasty with or without hyoid myotomy suspension (phase I).…”

Section: Maxillomandibular Advancement Rationalementioning

confidence: 99%

Non-CPAP therapies in obstructive sleep apnoea

Randerath

Verbraecken²,

Andreas³

et al. 2011

Eur Respir J

309

179

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In view of the high prevalence and the relevant impairment of patients with obstructive sleep apnoea syndrome (OSAS) lots of methods are offered which promise definitive cures for or relevant improvement of OSAS.This report summarises the efficacy of alternative treatment options in OSAS.An interdisciplinary European Respiratory Society task force evaluated the scientific literature according to the standards of evidence-based medicine.Evidence supports the use of mandibular advancement devices in mild to moderate OSAS. Maxillomandibular osteotomy seems to be as efficient as continuous positive airway pressure (CPAP) in patients who refuse conservative treatment. Distraction osteogenesis is usefully applied in congenital micrognathia or midface hypoplasia. There is a trend towards improvment after weight reduction. Positional therapy is clearly inferior to CPAP and long-term compliance is poor. Drugs, nasal dilators and apnoea triggered muscle stimulation cannot be recommended as effective treatments of OSAS at the moment. Nasal surgery, radiofrequency tonsil reduction, tongue base surgery, uvulopalatal flap, laser midline glossectomy, tongue suspension and genioglossus advancement cannot be recommended as single interventions. Uvulopalatopharyngoplasty, pillar implants and hyoid suspension should only be considered in selected patients and potential benefits should be weighed against the risk of long-term side-effects. Multilevel surgery is only a salvage procedure for OSA patients.

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“…Although the level of evidence is low, substantial and consistent short-term reductions in the apnea-hypopnea index (AHI) are observed following MMA. 25,26 Preliminary short-term reports also indicate that MMA may result in improvement in subjective sleepiness, 27,28 health-related QOL, 29 and BP. 22 Limited data evaluate the long-term efficacy of MMA other than reporting the AHI.…”

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confidence: 96%