1. Maxillomandibular advancement as the initial treatment of obstructive sleep apnoea: Is the mandibular occlusal plane the key?
- Author
-
Pedro Landete, Enrique Zamora, B. Ardanza, Joan B. Soriano, A. Capote, Luis Naval-Gías, L. Vázquez, R. Wix, Julio Ancochea, and P. Rubio-Bueno
- Subjects
Adult ,Male ,Cephalometry ,Polysomnography ,medicine.medical_treatment ,Orthognathic surgery ,Dentistry ,03 medical and health sciences ,Imaging, Three-Dimensional ,0302 clinical medicine ,stomatognathic system ,Occlusal plane ,Occlusion ,Maxilla ,medicine ,Humans ,Initial treatment ,Prospective Studies ,Radiation treatment planning ,Aged ,Orthodontics ,Sleep Apnea, Obstructive ,Electromyography ,business.industry ,Epworth Sleepiness Scale ,Electroencephalography ,Maxillomandibular advancement ,030206 dentistry ,Middle Aged ,respiratory tract diseases ,Electrooculography ,Treatment Outcome ,Surgery, Computer-Assisted ,Otorhinolaryngology ,Female ,Surgery ,Oral Surgery ,Tomography, X-Ray Computed ,business ,Mandibular Advancement ,030217 neurology & neurosurgery - Abstract
Maxillomandibular advancement (MMA) can be effective for managing obstructive sleep apnoea (OSA); however, limited information is available on the predictor surgical variables. This study investigated whether normalization of the mandibular occlusal plane (MOP) was a determinant factor in curing OSA. Patients with moderate or severe OSA who underwent MMA were evaluated by preoperative and postoperative three-dimensional (3D) scans and polysomnograms. The postoperative value of MOP and the magnitude of skeletal advancement were the predictor variables; change in the apnoea-hypopnoea index (AHI) was the main outcome variable. Thirty-four subjects with a mean age of 41±14years and 58,8% female were analysed. The Epworth Sleepiness Scale (ESS) was 17.4±5.4 and AHI was 38.3±10.7 per hour before surgery. Postoperative AHI was 6.5±4.3 per hour (P
- Published
- 2017
- Full Text
- View/download PDF