Case sharing
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 patient with severe sleep apnea (AHI=69.8) decided to seek treatment because of severe snoring that affected his family's quality of life, especially after the birth of his child, and daytime sleepiness. After trying non-surgical methods such as side sleeping, positive pressure respirators, and anti-snoring braces with limited results, I finally chose to undergo MMA orthognathic surgery. After the operation, the AHI dropped from 69.8 to 13, and the minimum blood oxygen concentration during sleep increased from 53% to 83%. This not only improved the mental and physical strength, but also made the family no longer need to wear earplugs to sleep.
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.
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.
Discuss the case of sleep apnea treatment in a female patient with long chin. Unlike other patients with mandibular retrusion, her airway obstruction point was located in the retropalatal space and nasal cavity. It was diagnosed that it was caused by maxillary retrusion and stenosis. Through clockwise rotation of both jaws, orthognathic surgery moves the upper jaw forward and simultaneously reduces the thickness of the inferior turbinate, successfully improving respiratory problems. This case shows that sleep apnea has multiple causes and requires accurate diagnosis and customized treatment plans.
Effectively treat sleep apnea through airway lift and jaw surgery! In this case, the patient's initial treatment with a positive pressure respirator was not effective and affected his quality of life. After counterclockwise rotation of the upper and lower jaw, combined with chin osteotomy, it not only improves the airway compression problem, but also balances the side lines of the face. Sleep breathing testing showed that the AHI index dropped significantly from 50.1 to 13.4, and the snoring situation was significantly improved, bringing patients better sleep quality.
Let me share the case of a 39-year-old male patient. Due to insufficient development of the upper and lower jaw bones, they were compressed backwards, resulting in airway stenosis, sleep apnea (AHI 22.5), and daytime sleepiness. The patient's airway space was successfully improved through orthognathic surgery on both jaws, nasal septum correction and lower nose clip plasty surgery. Three months after the operation, the AHI dropped to 5.1, the lowest blood oxygen concentration increased to 93%, and the patient's mental state and quality of life were significantly improved.
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.
A 29-year-old male patient was troubled by severe sleep apnea (AHI=39.6) and was unable to adapt to positive pressure respirator treatment. Through 3D customized orthognathic surgery, counterclockwise rotation technology is used to rotate the upper and lower jaw bones forward and perform bilateral turbinoplasty. The postoperative results were significant: AHI dropped to 4.7 (improved by 88.13%), minimum blood oxygenation increased from 79% to 94%, and respiratory tract volume increased by 76.6%. This case demonstrates the effectiveness of orthognathic surgery in the treatment of sleep apnea.
A patient with moderate to severe sleep apnea suffers from severe drowsiness during the day and difficulty staying awake at work due to narrowing of the airway due to retraction of the mandible. After orthognathic surgery to move the mandibular forward, not only did the AHI index drop from moderate to severe to 3.7, the respiratory tract was also significantly improved, the quality of sleep was improved, and the overall mental state was completely renewed. The surgery also improved the appearance of the retracted chin and allowed the patient to regain a healthy quality of life. It was a successful sleep apnea treatment case.
