| Preoperative symptoms | surgical plan |
| Retrusion of the mandible compresses the airway causing sleep apnea | Airway lift surgery 3D customized orthognathic surgery Chin plastic surgery |
I just want to have a good sleep...
Diagnosis and treatment plan and postoperative changes
Positive pressure respirators are often used as the first line of treatment for sleep apnea. However, many patients say that using a positive pressure respirator makes their mouth dry when they wake up, which greatly affects the sleep quality of the person next to them.
The case shared this time knew that he had a sleep apnea problem and was actively seeking ways to improve it. After learning about the principle of a positive pressure respirator, he flatly refused because he did not want to rely on machine oxygen delivery for the rest of his life.
After undergoing septoplasty, although his sleep apnea improved somewhat, it recurred soon after. This is a problem that is easily encountered in soft tissue surgery. Therefore, he approached Dr. Xie, hoping to achieve long-term and effective treatment through hard tissue adjustments during orthognathic surgery.
The orthognathic surgery we designed for him involves counterclockwise rotation of the upper and lower jaws, and forward rotation through the mandible, which supports and pulls apart the muscles that compress the respiratory tract from the lower jaw. Combined with chin osteotomy, it not only improves the compression of the respiratory tract, but also balances the profile of the face. line.
Sleep breathing tests before and after surgery showed that his snoring improved significantly from AHI50.1 to AHI13.4 three months after surgery.
Appearance changes
Comparison of tomography before and after surgery
Bite comparison before and after surgery
