Segmental Maxillomandibular Rotational Advancement to Correct Obstructive Sleep Apnea in a Patient Skeletal Class II malocclusion - A Case Report

Authors

Yea-Ling Yang, Department of Dentistry, Chang Gung Memorial Hospital, Keelung, TaiwanFollow
Sam Sheng-Pin Hsu, Craniofacial Research Center, Department of Medical Research, Chang Gung Memorial Hospital, Linkou, Taiwan
Clement Cheng-Hui Lin, Craniofacial Research Center, Department of Medical Research, Chang Gung Memorial Hospital, Linkou, Taiwan; Craniofacial Center, Department of Plastic Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan; Sleep Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan; Chang Gung University, Taoyuan, Taiwan

Abstract

The first priority to solve the sleep-disordered breathing could be soft-tissue surgery or non-surgical therapy such as continuous positive airway pressure (CPAP). However, in patients with incomplete remission or relapse, the sleep quality and day time symptoms may persist. The case report presented a young man with main problems of obstructive sleep apnea (OSA) and Skeletal Class II maxillary protrusion. We proposed a segmental maxillomandibular rotational advancement (SMMRA) with surgery-first procedure at the end of his puberty. The surgical orthodontic treatment achieved good outcome of function and esthetics at the same time. The polysomnogrphic data and airway dimension were dramatically improved without jeopardize the facial profile of the patient.

Recommended Citation

Yang, Yea-Ling; Hsu, Sam Sheng-Pin; and Lin, Clement Cheng-Hui (2017) "Segmental Maxillomandibular Rotational Advancement to Correct Obstructive Sleep Apnea in a Patient Skeletal Class II malocclusion - A Case Report," Taiwanese Journal of Orthodontics: Vol. 29: Iss. 1, Article 6.
https://doi.org/10.30036/TJO.201703_29(1).0006
Available at: https://www.tjo.org.tw/tjo/vol29/iss1/6

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