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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
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Česky / Czech version | Čes. a slov. Neurol. Neurochir., 68/101, 2005, No. 6, p. 412–418. |
Maxillo-Mandibular Advancement in the Therapy for
Obstructive Sleep Apnoea Syndrome Foltán R.1, Pretl M.2, Donev F.1, Hoffmannová J.1, Vlk M.1, Šonka K.2 1Stomatologická klinika 1. LF UK a VFN, Praha 2Neurologická klinika 1. LF UK a VFN, Praha |
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Summary: Obstructive sleep apnoea syndrome (OSAS) is potentially a lifethreatening
disorder. It is characterized by at least five episodes of
apnoea or hypopnoea during sleep lasting for more than 10 seconds.
Apnoea or hypopnoea are accompanied by increased respiratory efforts.
Maxillo-mandibular advancement belongs to the surgical techniques by
which severe OSAS may be influenced. It is a surgical procedure when
the upper and lower jaws are moved forward by at least 10 mm. Thus, the
muscles fixed to the facial skeleton and upper airway dilatators are
moved forwards. The case-report shows a 50-year-old man with the
diagnosis of a very severe obstructive sleep apnoea syndrome
(Respiratory Disturbances Index 70 and Oxygen Desaturation Index 59).
The patient underwent a maxillo-mandibular advancement therapy. Six
months after the surgery the patient was without OSAS symptoms, and
the x-ray check showed a stable result in terms of both skeletal stability
as well as stability of upper airway dilatation. Possible complications and
limitations of this surgical technique are also discussed.
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