Combined Orthodontic and Surgical Treatment in a 8-Years-Old Patient Affected By Severe Obstructive Sleep Apnea: A Case-Report

2018 ◽  
Vol 42 (1) ◽  
pp. 79-84 ◽  
Author(s):  
Antonio Gracco ◽  
Giovanni Bruno ◽  
Alberto de Stefani ◽  
Rosario Marchese Ragona ◽  
Sergio Mazzoleni ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Case Report ◽  
Open Bite ◽  
Apnea Hypopnea Index ◽  
Severe Obstructive Sleep Apnea ◽  
Anterior Open Bite ◽  
Palatal Expansion ◽  
Rapid Palatal Expansion ◽  
Obstructive Sleep ◽  
Mandibular Retrognathia

An eight-years-old girl showed a restless sleep with snoring and severe apnea episodes, a mandibular retrognathia, mouth breathing, maxillary transverse discrepancy, mandibular transverse discrepancy, moderate crowding and anterior open-bite. The CBCT showed an anterior collapse of the epiglottis. The treatment consisted in a rapid palatal expansion, an epiglottoplasty and a reduction of the tongue base. Polysomnography revealed that apnea-hypopnea index improved from 21,8 episodes/hr at the baseline to 0,6 episodes/hr, average oxygen saturation from 96,5% to 98,1%, oxygen desaturation events from 23,4 episodes/hr to 1/hr.

scholarly journals Management of a case of severe obstructive sleep apnea with acrylic herbst splint appliance: A case report

2006 ◽  
Vol 1 (3) ◽  
pp. 157-160 ◽  
Author(s):  
BNBM Prasad ◽  
B Jayan ◽  
D Bhattacharyya ◽  
AK Rajput ◽  
RK Dhiman
Keyword(s):  
Obstructive Sleep Apnea ◽  
Case Report ◽  
Sleep Apnea ◽  
Severe Obstructive Sleep Apnea ◽  
Obstructive Sleep

MAXILLOMANDIBULAR ADVANCEMENT IN THE TREATMENT OF SEVERE OBSTRUCTIVE SLEEP APNEA HYPOPNEA SYNDROME: A CASE REPORT

2020 ◽  
Vol 130 (3) ◽  
pp. e167
Author(s):  
MARK JON SANTANA SABEY ◽  
FÁBIO RICARDO LOUREIRO SATO ◽  
DANILO DE PAULA RIBEIRO BORGES ◽  
MARCOS ANTÔNIO LIMA DOS SANTOS ◽  
LUCAS CELESTINO GUERZET AYRES ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Case Report ◽  
Sleep Apnea ◽  
Severe Obstructive Sleep Apnea ◽  
Maxillomandibular Advancement ◽  
Obstructive Sleep ◽  
Hypopnea Syndrome

scholarly journals Multilevel Surgery in Moderate to Severe Obstructive Sleep Apnea Patients

2014 ◽  
Vol 6 (3) ◽  
pp. 87-91
Author(s):  
Jumroon Tungkeeratichai ◽  
Navarat Apirakkittikul ◽  
Somyos Kunachak
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Wound Dehiscence ◽  
Velopharyngeal Insufficiency ◽  
Apnea Hypopnea Index ◽  
Severe Obstructive Sleep Apnea ◽  
Multilevel Surgery ◽  
Obstructive Sleep ◽  
Lateral Pharyngoplasty ◽  
Results Of Surgery

ABSTRACT Objective The aim of this study was to investigate the objective and subjective effectiveness of multilevel surgery, i.e. combined lingualplasty with new technique of partial posterior glossectomy (PPG) and uvulopalatopharyngoplasty in moderate to severe obstructive sleep apnea (OSA) patients. Study design and setting Retrospective study of 60 OSA patients undergoing multilevel surgery for the treatment of moderate to severe OSA. Results Preoperative mean apnea hypopnea index (AHI) was 57.5 events/h and preoperative mean lowest SpO2 was 79.1%. After multilevel surgery, postoperative mean AHI significantly decreased to 29.7 events/h (p < 0.001) and postoperative mean lowest SpO2 increased to 84.4% (p < 0.001). Patients had postoperative followup assessments for 1 to 3 years. Results of surgery was classified as curative in 35/60 (58.3%) of patients, and as effective, i.e. postoperative AHI less than preoperative AHI in 52/60 patients (86.7 %). Surgery was ineffective in 8/60 (13.3%) patients. Early postoperative complications comprised early velopharyngeal insufficiency (VPI) 20% (12/60), dysarthria 20% (12/60) and wound dehiscence 3.33% (2/60) but without serious complications after 1 year. Conclusion Combined lingualplasty (with new PPG) and uvulopalatopharyngoplasty (UPPP) as multilevel surgery can be an effective treatment of choice for patients with moderate to severe OSA. No mediumterm serious complication was found. Keywords Apnea hypopnea index, Glossectomy, Lateral pharyngoplasty, Multilevel surgery in obstructive sleep apnea, Obstructive sleep apnea, Uvulopalatoplasty. How to cite this article Tungkeeratichai J, Apirakkittikul N, Kunachak S. Multilevel Surgery in Moderate to Severe Obstructive Sleep Apnea Patients. Int J Otorhinolaryngol Clin 2014;6(3):8791.

scholarly journals Oral findings and craniofacial morphology in a patient with Schwartz‐Jampel syndrome and severe obstructive sleep apnea: A case report

2020 ◽  
Vol 8 (12) ◽  
pp. 2550-2553
Author(s):  
Mevadee Pibulniyom ◽  
Patimaporn Pungchanchaikul ◽  
Thanate Assawakawintip ◽  
Supakit Peanchitlertkajorn
Keyword(s):  
Obstructive Sleep Apnea ◽  
Case Report ◽  
Sleep Apnea ◽  
Craniofacial Morphology ◽  
Severe Obstructive Sleep Apnea ◽  
Obstructive Sleep

scholarly journals Shifting and reducing breathing disturbance in patients with very severe obstructive sleep apnea by modified Z-palatoplasty with one-layer closure in one-stage multilevel surgery

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Ethan I. Huang ◽  
Yu-Ching Lin ◽  
Shu-Yi Huang ◽  
Chin-Kuo Lin ◽  
Chieh-Mo Lin
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Positive Airway Pressure ◽  
Poor Response ◽  
Apnea Hypopnea Index ◽  
Severe Obstructive Sleep Apnea ◽  
One Stage ◽  
Multilevel Surgery ◽  
Obstructive Sleep ◽  
Multi Level

AbstractVery severe obstructive sleep apnea (OSA) with apnea–hypopnea index (AHI) ≥ 60 events/h differs in several areas from OSA with other severities, including having a low-level daytime partial pressure of oxygen and residual on-CPAP (continuous positive airway pressure) AHIs greater than 20/h. Patients with very severe OSA show narrow retroglossal space and confined framework, which is difficult to be enlarged via conventional Uvulopalatopharyngoplasty (UPPP) surgery, resulting in poor response to non-framework surgeries. Our latest report showed efficacy and efficiency for subjects undergoing modified Z-palatoplasty (ZPP) with one-layer closure in a one-stage multilevel surgery. It is unclear whether and how this procedure could help patients with very severe OSA characterized with confined framework. From Mar. 2015 to May 2018, we enrolled 12 patients with very severe OSA receiving one-stage multi-level surgery with modified ZPP with one-layer closure, CO2 laser partial tongue-base glossectomy, and bilateral septomeatoplasty. Our results show that the surgery reduced AHI from 73.8 ± 10.7 to 30.8 ± 23.2 events/h and achieved a mean AHI reduction of 58.3% (p < 0.001 against 0 reduction or no surgery). The surgery shifted components of the breathing disturbances. It reduced more apnea than hypopnea and might convert some apnea to hypopnea.

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