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Type: Journal article
Title: Maxillary, mandibular and chin advancement surgery for the treatment of obstructive sleep apnoea
Author: Jones, Robert Hillary Boucaut
Badlani, James
Jones, C.
Citation: Australian Dental Journal, 2010; 55(3):314-321
Publisher: Australian Dental Assn Inc
Issue Date: 2010
ISSN: 0045-0421
School/Discipline: School of Dentistry
Statement of
R Jones, J Badlani, C Jones
Abstract: The aim of this retrospective study was to determine the effectiveness of maxillary, mandibular and chin advancement (MMCA) surgery as a treatment for obstructive sleep apnoea and to determine the cephalometric parameters of this surgery. Twenty consecutive adult patients with obstructive sleep apnoea for whom other treatments (constant positive airway pressure, mandibular advancement splint and soft tissue surgery) had failed underwent MMCA surgery. Pre- and postsurgical polysomnography studies measuring the Respiratory Disturbance Index (RDI), minimum blood oxygen saturation (MinSaO2) and Epworth Sleepiness Scale (ESS) were compared. Lateral cephalometric radiographs measuring the pre- and post-surgical posterior airway space (PAS) were also analysed. Regression analysis indicated that the change in PAS at the level of B point largely accounted for the change in the RDI, although it was not significantly related with the postoperative oxygen saturation. MMCA surgery was found to be effective as a treatment for obstructive sleep apnoea, and improved all postoperative measures in this study. There was a significant relationship between B point, the PAS and a reduction in RDI.
Keywords: Obstructive sleep apnoea; maxillary; mandibular and chin advancement surgery; cephalometric analysis.
Rights: © 2010 Australian Dental Association
RMID: 0020100779
DOI: 10.1111/j.1834-7819.2010.01241.x
Appears in Collections:Dentistry publications

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