Journal of Oral and Maxillofacial Surgery
Volume 65, Issue 1 , Pages 6-12 , January 2007

Three-Dimensional Changes in Upper Airways of Patients With Obstructive Sleep Apnea Following Maxillomandibular Advancement

  • S. Craig Fairburn, DMD, MD

      Affiliations

    • Formerly, Chief Resident, Department of Oral and Maxillofacial Surgery, University of Alabama at Birmingham, Birmingham, AL; Currently, Private Practice, University Oral and Facial Surgery, Tuscaloosa, AL.
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Fairburn: University Oral and Facial Surgery, 651 Helen Keller Blvd, Tuscaloosa, AL 35404
    • ,
  • Peter D. Waite, MPH, DDS, MD

      Affiliations

    • Professor and Chairman, Department of Oral and Maxillofacial Surgery, University of Alabama at Birmingham, Birmingham, AL.
    • ,
  • George Vilos, DDS, MS

      Affiliations

    • Fellow, Maxillofacial Surgical Oncology, Department of Maxillofacial Surgery, Greek Anticancer Intitute, St Savvas Hospital, Athens, Greece.
    • ,
  • Susan M. Harding, MD

      Affiliations

    • Associate Professor of Medicine, Division of Pulmonary, Allergy, and Critical Care Medicine, University of Alabama at Birmingham, Birmingham, AL.
    • ,
  • Wanda Bernreuter, MD

      Affiliations

    • Associate Professor, Department of Radiology, University of Alabama at Birmingham, Birmingham, AL.
    • ,
  • Joel Cure, MD

      Affiliations

    • Associate Professor, Section of Neuroradiology, Department of Radiology, University of Alabama at Birmingham, Birmingham, AL.
    • ,
  • Sai Cherala, MD

      Affiliations

    • Graduate Student, School of Public Health, University of Alabama at Birmingham, Birmingham, AL.

References 

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  2. American Sleep Disorders Association. International classification of sleep disorders, revised: Diagnostic and coding manual. Rochester, MN: American Sleep Disorders Association; 1997;
  3. Fogel RB, Malhotra A, White DP. Sleep 2: Pathophysiology of obstructive sleep apnea/hypopnea syndrome. Thorax. 2004;159:63
  4. Remmers J, deGroot WJ, Saureland EK. Pathogenesis of upper airway occlusion during sleep. J Appl Physiol. 1978;91:931
  5. Prinsell JR. Maxillomandibular advancement surgery in a site-specific treatment approach for obstructive sleep apnea in 50 consecutive patients. Chest. 1999;116:1519
  6. Rama AN, Tekwani SH, Kushida CA. Sites of obstruction in obstructive sleep apnea. Chest. 2002;122:1139
  7. Fogel RB, Malhotra A, Dalagiorgou G, et al. Anatomic and physiologic predictors and apnea severity in morbidly obese subjects. Sleep. 2003;26:150
  8. Schwab RJ, Gupta KB, Gefter WB, et al. Upper airway and soft tissue anatomy in normal subjects and in patients with sleep-disordered breathing; Significance of lateral pharyngeal walls. Am J Respir Crit Care Med. 1995;152:1673
  9. Leiter JC. Upper airway shape: Is it important in the pathogenesis of obstructive sleep apnea?. Am J Respir Crit Care Med. 1996;153:894
  10. Li S, Shi H, Qu S, et al. The lingual region upper airway CT scan of obstructive sleep apnea patients. Zhonghua Kou Qiang Yi Xue Za Zhi. 2002;37:415
  11. Abbey NC, Block AJ, Green D, et al. Measurement of pharyngeal volume by digitized magnetic resonance imaging. Am Rev Respir Dis. 1998;140:717
  12. American Academy of Sleep Medicine. Sleep related breathing disorders in adults: Recommendation for syndrome definition and measurement techniques in clinical research. Sleep. 1999;22:667
  13. Rechtschaffen A, Kales A. A Manual of Standardized Terminology, Techniques, and Scoring System for Sleep Stages of Human Subjects. Los Angeles, CA: Brain Information Service/Brain Research Institute, UCLA; 1968;
  14. Schwab RJ, Gefter WB, Hoffman EA, et al. Dynamic upper airway imaging during awake respiration in normal subjects and patients with sleep disordered breathing. Am Rev Respir Dis. 1993;148:1385
  15. Li KK, Riley RW, Powell NB, et al. Overview of Phase II surgery for obstructive sleep apnea syndrome. Ear Nose Throat J. 1999;78:851
  16. Li KK, Guilleminault C, Riley RW, et al. Obstructive sleep apnea and maxillomandibular advancement: An assessment of airway changes using radiographic and nasopharyngoscopic examination. J Oral Maxillofac Surg. 2002;60:526
  17. Chadhary B, Dasti S, Park Y, et al. Hour-to-hour variability of oxygen saturation in sleep apnea. Chest. 1998;113:719

PII: S0278-2391(06)01756-3

doi: 10.1016/j.joms.2005.11.119

Journal of Oral and Maxillofacial Surgery
Volume 65, Issue 1 , Pages 6-12 , January 2007

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