Outpatient Notice | Fenghua Joint Clinic Qingming Holiday Closure Dates

A sleep apnea patient had to sleep in a separate room with his girlfriend due to severe snoring. After undergoing 3D customized orthognathic surgery and chin advancement surgery, I was most happy when I returned for a follow-up visit six months after the operation. The happiest thing was that my snoring had improved, my girlfriend no longer complained, and I could finally sleep in separate rooms. This case not only improved the patient's sleep quality, but also restored the couple's relationship, demonstrating the importance of sleep apnea treatment in improving the quality of life.

Orthognathic surgery was originally designed to improve the bite and appearance of the patient. However, in the field of treating obstructive sleep apnea, orthognathic surgery (maxillo-mandibular advancement/MMA) has become a means to tighten the collapsed (relaxed) muscles rather than an end. Improvement in appearance and bite has become an added value of maxillo-mandibular advancement.

Discuss the treatment case of a patient with severe sleep apnea. The patient's AHI index is as high as 84.5, and he has a typical face with a receding mandible. After airway lifting treatment through orthognathic surgery, the AHI index was significantly reduced to 5.6, and the minimum blood oxygen concentration was increased from 50% to 90%. The surgery not only effectively improves the airway space, but also makes the patient's jaw proportions more harmonious. The case details the surgical plan, postoperative changes and recovery progress, providing treatment reference for patients with similar problems.

A young man was troubled by severe obstructive sleep apnea (OSA), with an AHI index as high as 55.8, and symptoms such as loud snoring, daytime sleepiness, headaches, and difficulty concentrating. Because he was unwilling to use a positive-pressure respirator, he underwent mandibular advancement surgery (MMA) combined with chin advancement surgery to successfully expand the airway space. The AHI dropped to 3.9 6 months after the operation, and his symptoms were significantly improved. This case demonstrates the therapeutic effect of MMA surgery on patients with severe OSA, providing patients with a treatment option that does not require respirators.

A 28-year-old man sought treatment for severe sleep apnea. The preoperative AHI index was 45 and the lowest blood oxygen concentration was 76%. After diagnosis, it was found that the upper and lower jaw bones were underdeveloped, resulting in airway compression. Through 3D customized orthognathic surgery, counterclockwise rotation and forward movement of both jaws were performed. After the operation, the AHI index dropped significantly to 0.4, and the lowest blood oxygen concentration increased to 92%. The patient's symptoms such as snoring, light sleep and daytime sleepiness have been significantly improved, the respiratory space has been effectively improved, and the treatment effect is excellent.

This case shares the treatment experience of a patient with moderate sleep apnea (AHI 22.9). The patient had sleep problems due to mandibular and chin retraction, and was unable to adapt to CPAP treatment. Through 3D customized orthognathic surgery, using the treatment method of counterclockwise rotation and forward movement of the upper and lower jaw bones (CCW-MMA), the 6-month follow-up showed that the AHI dropped to 2.7, successfully improving the symptoms of sleep apnea, while improving the Appearance, the patient was quite satisfied with the surgical results.