| Preoperative symptoms | surgical plan |
| Severe sleep apnea, chin and mandibular retraction | 3D customized orthognathic surgery Chin advancement surgery Multi-level airway widening |
Diagnosis and treatment plan and postoperative changes
This is a patient diagnosed with severe sleep apnea (severe obstructive sleep apnea/OSA) (AHI=69.8). The experience is similar to that of many patients. First, the snoring is so loud that his partner has to wear earplugs every day when sleeping. situation.
After the birth of a child, one cannot always ask the child to wear earplugs obediently. In addition to causing trouble to his family, long-term sleep deprivation at night also causes severe daytime somnolence. For himself and his family, he is determined to take good care of it.
He tried almost every non-surgical method that would be recommended: side sleeping, CPAP, and mandibular advancement device (MAD), but the results were very limited because his AHI value was too high.
Therefore, he decided to undergo the surgery with the highest success rate currently: MMA (maxillo-mandibular advancement) (a type of orthognathic surgery). After surgery, the AHI value dropped from 69.8 to 13, and the minimum blood oxygen concentration during sleep also increased from the dangerous 53% to 83%.
But, the most important thing is that he feels very energetic during the day, he does not feel drowsy when driving, his physical strength has improved, his weight and blood pressure have gradually dropped, and his wife no longer needs to use earplugs.
Appearance changes
Comparison of tomography before and after surgery
