Maxillomandibular advancement surgery after long-term use of a mandibular advancement device in a post-adolescent patient with obstructive sleep apnea
이근하, 김경아, 권용대, 김성완, 김수정,
소속 상세정보
이근하 ( Lee Keun-Ha ) - Kyung Hee University Graduate School Department of Orthodontics
김경아 ( Kim Kyung-A ) - Kyung Hee University School of Dentistry Department of Orthodontics
권용대 ( Kwon Yong-Dae ) - Kyung Hee University School of Dentistry Department of Oral and Maxillofacial Surgery
김성완 ( Kim Sung-Wan ) - Kyung Hee University School of Medicine Department of Otorhinolaryngology-Head and Neck Surgery
김수정 ( Kim Su-Jung ) - Kyung Hee University School of Dentistry Department of Orthodontics
Abstract
Patients with obstructive sleep apnea (OSA) whose phenotype belongs to a craniofacial vulnerability are referred from sleep doctors to orthodontists. In adults, for osseo-pharyngeal reconstruction (OPR) treatment, permanent maxillomandibular advancement (MMA) surgery and use of a temporary mandibular advancement device (MAD) are applied. This case report demonstrates successful treatment of OSA through application of phased MAD and MMA in a 16-year-old male with craniofacial deformity and residual growth potential. This patient showed skeletal and dentoalveolar changes after 7-year MAD use throughout post-adolescence, which affected the design and timing of subsequent MMA surgery, as well as post-surgical orthodontic strategy. This case report suggests that OPR treatment can be useful for treatment of OSA in post-adolescent patients, from an orthodontic point of view, in close collaboration with sleep doctors for interdisciplinary diagnosis and treatment.
키워드
Obstructive sleep apnea; Maxillomandibular advancement surgery; Mandibular advancement device; Surgery-firtst approach
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