J Dentofacial Anom Orthod
Volume 12, Number 3, September 2009Sleep apnea and D.F.O.
|Page(s)||121 - 134|
|Published online||03 November 2010|
Surgical treatment of the sleep apnea Syndrome
Address for correspondence: B. PÉTELLE, Hôpital Saint-Antoine, 184, rue du Faubourg, Saint-Antoine, 75012 Paris. firstname.lastname@example.org
Treatment of severe cases of adult obstructive sleep apnea Syndrome is a life-long process. Consisting of every-night wear of a continuous pressure ventilation mask or the use of an oral appliance, side effects can appear a constraint and lead to progressive abandon of treatment.
Maxillo-mandibular advancement surgery allows a global and stable treatment of pharyngeal collapsus. Patient selection for this surgical procedure is difficult; a multidisciplinary team approach is mandatory, gathering a sleep physician, an orthodontist and surgeon. Occlusal analysis is associated with a cephalometric study, to look for skeletal abnormalities that could favour obstruction of the pharynx; the chosen protocol then aims at simultaneous treatment of apneic events and orthognathic abnormalities.
Key words: Obstructive sleep apnea syndrome / Maxillo-facial surgery / Facial aesthetic
© RODF / EDP Sciences
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