Mandibular Distraction Osteogenesis for the Treatment of an Obstructive Sleep Apnea Patient with Orthognathic Anomaly: A Case Report and Literature Review

• 作者: Fevzi Erdemci Gamze Ar?c? Gürkan Ra?it Bayar Handan Altu? Hasan Ayberk Altu? Metin ?en?imen Timur Ak?am
• 来源期刊: 临床医学病理报告(英文)
• 学科: 医学
• 关键词: OBSTRUCTIVE Sleep APNEA DISTRACTION OSTEOGENESIS Custom-Made DISTRACTION Device
• 年，卷（期）: 2014,（11）
• 页码范围: 621-630
• 页数: 10页
• 分类号: R73

摘要

Objective: skeletal advancement in order to improve the airway dimensions is known as one of the most effective surgical theraphy for treating obstructive sleep apnea (OSA). Distraction osteogenesis (DO) can be a better treatment alternative in some selected cases similar to our patient. Using custom made distractors can make this technique more safe and successful. Study Design: Surgically assisted rapid palatal expansion (SARPE), bilateral intraoral mandibular distraction osteogenesis (MDO) and orthodontic treatment were tried to a 20-year-old OSA patient with orthognathic anomaly. For mandibular distraction, custom made distractors were used. Results: The initial AHI of the patient was 23.3. At the end of the treatment it decreased to 8.7. Conclusions: Distraction osteogenesis could be a better alternative than the conventional orthognathic surgery in this kind of selected patients. Customization of the distraction devices can contribute to making this procedure safer and more successful.