Osteotomytechniques a key in OSAS treatment: a five years experience

Abstract

Introduction The multidisciplinary approach to the obstructive sleep apnea syndrome among the adults is strongly linked to the awareness of therapies opportunities offered by facial osteotomy techniques, which are normally used by the maxillofacial surgeon in the maxillary bones deformation domain. We are going to present the results of our experience that show and confirm the therapeutic potentials of the maxillomandibular advancement. Materials and methods We have evaluated, in terms of polyisomnographic and cephalometric data and reaction tests, the results of 40 surgery operations of maxillomandibular advancement, with a follow up of at least 12 months, held in the last 5 years in our center. Results The results are encouraging: average of AHI 6.3 ± 3.6 and average of Epworth sleepness scale 1.8 ± 1.8 confirm the healing (AHI Conclusion The osteotomic facial technique brings to a considerable increase of the rear volume and to a tension of the suprahyoid muscles and palate and pharynx. This surgery is particularly effective in several categories of people affected by the OSAS. Nowadays the maxillomandibular advancement represents the first therapeutic choice among the surgery opportunities, thanks to the 90% of success. Acknowledgements All our patients.