Document Detail


Three-dimensional changes in upper airways of patients with obstructive sleep apnea following maxillomandibular advancement.
MedLine Citation:
PMID:  17174756     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The purpose of this study was to analyze the morphologic changes of the airway in obstructive sleep apnea (OSA) patients by helical computed tomography (CT) scanning following maxillomandibular advancement (MMA) surgery. MATERIALS AND METHODS: Twenty consecutive OSA patients treated with MMA from 2000 to 2003 at the University of Alabama at Birmingham Hospital and diagnosed by polysomnography (PSG) were included in this study. The criteria for this study were MMA surgery, pre- and postoperative helical CT scan, and PSG. Lateral (LAT) and anterioposterior (AP) airway dimensions were measured from the level of the hard palate to the hyoid using helical CT scans. RESULTS: There was enlargement of LAT and AP diameters for all patients at all levels. LAT dimensions were enhanced greater than AP in the retroglossal region. CONCLUSION: MMA results in significant increase in both AP and LAT airway dimensions.
Authors:
S Craig Fairburn; Peter D Waite; George Vilos; Susan M Harding; Wanda Bernreuter; Joel Cure; Sai Cherala
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons     Volume:  65     ISSN:  0278-2391     ISO Abbreviation:  J. Oral Maxillofac. Surg.     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2006-12-18     Completed Date:  2007-02-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8206428     Medline TA:  J Oral Maxillofac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  6-12     Citation Subset:  AIM; D; IM    
Affiliation:
Department of Oral and Maxillofacial Surgery, University of Alabama at Birmingham, Birmingham, AL, USA. drf@uofsdocs.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Follow-Up Studies
Humans
Hyoid Bone / radiography
Image Processing, Computer-Assisted
Imaging, Three-Dimensional
Male
Mandibular Advancement / methods*
Maxilla / surgery*
Middle Aged
Osteotomy / methods
Osteotomy, Le Fort
Oxygen / blood
Palate, Hard / radiography
Palate, Soft / radiography
Pharynx / radiography*
Polysomnography
Sleep Apnea, Obstructive / blood,  classification,  surgery*
Tomography, Spiral Computed
Chemical
Reg. No./Substance:
7782-44-7/Oxygen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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