Journal of Oral and Maxillofacial Surgery
Volume 64, Issue 6 , Pages 886-891 , June 2006

Oral Appliances and Maxillomandibular Advancement Surgery: An Alternative Treatment Protocol for the Obstructive Sleep Apnea-Hypopnea Syndrome

  • Aarnoud Hoekema, DMD

      Affiliations

    • Research Associate and Resident, Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Hoekema: Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, Hanzeplein 1, P.O. Box 30.001, 9700 RB Groningen, The Netherlands
    • ,
  • Jan de Lange, MD, DMD

      Affiliations

    • Private Practice, Department of Oral and Maxillofacial Surgery, Isala Clinics, Zwolle, The Netherlands
    • ,
  • Boudewijn Stegenga, DMD, PhD

      Affiliations

    • Professor, Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
    • ,
  • Lambert G.M. de Bont, DMD, PhD

      Affiliations

    • Professor and Chairman, Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands

References 

  1. Malhotra A , White DP . Obstructive sleep apnoea . Lancet . 2002;360:237
  2. The Report of an American Academy of Sleep Medicine Task Force. Sleep-related breathing disorders in adults: Recommendations for syndrome definition and measurement techniques in clinical research . Sleep . 1999;22:667
  3. White J , Cates C , Wright J . Continuous positive airways pressure for obstructive sleep apnoea (Cochrane Review) . The Cochrane Library, Issue 2 . Chichester, UK: John Wiley & Sons; 2004;
  4. Hoekema A , Stegenga B , De Bont LGM . Efficacy and co-morbidity of oral appliances in the treatment of obstructive sleep apnea-hypopnea (A systematic review) . Crit Rev Oral Biol Med . 2004;15:137
  5. Sher AE , Schechtman KB , Piccirillo JF . The efficacy of surgical modifications of the upper airway in adults with obstructive sleep apnea syndrome . Sleep . 1996;19:156
  6. Prinsell JR . Maxillomandibular advancement surgery for obstructive sleep apnea syndrome . J Am Dent Assoc . 2002;133:1489
  7. Conradt R , Hochban W , Brandenburg U , et al.   Long-term follow-up after surgical treatment of obstructive sleep apnoea by maxillomandibular advancement . Eur Respir J . 1997;10:123
  8. Riley RW , Powell NB , Li KK , et al.   Surgery and obstructive sleep apnea (Long-term clinical outcomes) . Otolaryngol Head Neck Surg . 2000;122:415
  9. Bettega G , Pepin JL , Veale D , et al.   Obstructive sleep apnea syndrome. Fifty-one consecutive patients treated by maxillofacial surgery . Am J Respir Crit Care Med . 2000;162:641
  10. Bridgman SA , Dunn KM , Ducharme F . Surgery for obstructive sleep apnoea (Cochrane Review) . The Cochrane Library, Issue 2 . Chichester, UK: John Wiley & Sons; 2004;
  11. Louis PJ , Waite PD , Austin RB . Long-term skeletal stability after rigid fixation of Le Fort I osteotomies with advancements . Int J Oral Maxillofac Surg . 1993;22:82
  12. Miles PG , Nimkarn Y . Maxillomandibular advancement surgery in patients with obstructive sleep apnea (Mandibular morphology and stability) . Int J Adult Orthod Orthognath Surg . 1995;10:193
  13. Nimkarn Y , Miles PG , Waite PD . Maxillomandibular advancement surgery in obstructive sleep apnea syndrome patients (Long-term surgical stability) . J Oral Maxillofac Surg . 1995;53:1414
  14. Riley RW , Powell NB , Guilleminault C . Obstructive sleep apnea syndrome (A surgical protocol for dynamic upper airway reconstruction) . J Oral Maxillofac Surg . 1993;51:742
  15. Hendler BH , Costello BJ , Silverstein K , et al.   A protocol for uvulopalatopharyngoplasty, mortised genioplasty, and maxillomandibular advancement in patients with obstructive sleep apnea (An analysis of 40 cases) . J Oral Maxillofac Surg . 2001;59:892
  16. Prinsell JR . Maxillomandibular advancement surgery in a site-specific treatment approach for obstructive sleep apnea in 50 consecutive patients . Chest . 1999;116:1519
  17. Hochban W , Conradt R , Brandenburg U , et al.   Surgical maxillofacial treatment of obstructive sleep apnea . Plast Reconstr Surg . 1997;99:619
  18. Waite PD , Wooten V , Lachner J , et al.   Maxillomandibular advancement surgery in 23 patients with obstructive sleep apnea syndrome . J Oral Maxillofac Surg . 1989;47:1256
  19. Hessel NS , de Vries N . Diagnostic work-up of socially unacceptable snoring. II. Sleep endoscopy . Eur Arch Otorhinolaryngol . 2002;259:158
  20. Bloch KE , Iseli A , Zhang JN , et al.   A randomized, controlled crossover trial of two oral appliances for sleep apnea treatment . Am J Respir Crit Care Med . 2000;162:246
  21. Johns MW . Daytime sleepiness, snoring, and obstructive sleep apnea. The Epworth sleepiness scale . Chest . 1993;103:30
  22. Riley R , Guilleminault C , Herran J , et al.   Cephalometric analyses and flow-volume loops in obstructive sleep apnea patients . Sleep . 1983;6:303
  23. Yao M , Utley DS , Terris DJ . Cephalometric parameters after multilevel pharyngeal surgery for patients with obstructive sleep apnea . Laryngoscope . 1998;108:789
  24. Goh YH , Lim KA . Modified maxillomandibular advancement for the treatment of obstructive sleep apnea (A preliminary report) . Laryngoscope . 2003;113:1577
  25. Schwab RJ . Imaging for the snoring and sleep apnea patient . Dent Clin North Am . 2001;45:759
  26. Patel D , Ash S , Evans J . The role of orthodontics and oral and maxillofacial surgery in the management of obstructive sleep apnoea - A single case report . Br Dent J . 2004;196:264

 This article was written in partial fulfillment of the requirements for a PhD degree. Financial support for this MD-clinical research traineeship was granted by the Netherlands Organisation for Health Research and Development.

PII: S0278-2391(05)01847-1

doi: 10.1016/j.joms.2005.11.041

Journal of Oral and Maxillofacial Surgery
Volume 64, Issue 6 , Pages 886-891 , June 2006

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