| Modified maxillomandibular advancement for the treatment of obstructive sleep apnea: a preliminary report. | |
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MedLine Citation:
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PMID: 12972937 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: A prospective study to evaluate the modified maxillomandibular advancement (MMA) technique for the treatment of obstructive sleep apnea (OSA). METHODS: Eleven patients underwent modified MMA for the treatment of OSA. All the patients underwent presurgical and postsurgical polysomnography, nasolaryngoscopy, and clinical facial photographic assessment. The results were analyzed after a minimum of 6 months postsurgery (mean, 7.7 months). RESULTS: The preoperative polysomnography results were as follows: apnea index, 55.7 +/- 19.8; apnea-hypopnea index, 70.7 +/- 15.9; lowest oxygen saturation, 58.6 +/- 12.3%; longest apnea/hypopnea, 67.9 +/- 23.7 seconds; and arousal index, 47.1 +/- 18.2. The postoperative polysomnography results were as follows: apnea index, 3.4 +/- 3.4; apnea/hypopnea index, 11.4 +/- 7.4; lowest oxygen saturation, 83.9 +/- 8.8%; longest apnea/hypopnea, 38.2 +/- 24.6 seconds; and arousal index, 15.1 +/- 7.3. The mean postoperative body mass index (BMI) was 27.2 +/- 3.3. The mean BMI change after surgery was 6.5%. CONCLUSION: The preliminary review has demonstrated that the modified MMA technique for the treatment of OSA is highly effective in the treatment of severe OSA without the significant facial profile change commonly associated with the traditional MMA technique. |
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Authors:
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Yau Hong Goh; Kheng Ann Lim |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Laryngoscope Volume: 113 ISSN: 0023-852X ISO Abbreviation: Laryngoscope Publication Date: 2003 Sep |
Date Detail:
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Created Date: 2003-09-15 Completed Date: 2003-10-14 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8607378 Medline TA: Laryngoscope Country: United States |
Other Details:
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Languages: eng Pagination: 1577-82 Citation Subset: IM |
Affiliation:
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Department of Otolaryngology, Singapore General Hospital. gohyauhong@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Body Mass Index Cephalometry Esthetics Follow-Up Studies Humans Male Mandibular Advancement / methods* Maxilla / surgery* Middle Aged Osteotomy / methods* Polysomnography Postoperative Complications / diagnosis, etiology Sleep Apnea, Obstructive / diagnosis, etiology, surgery* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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