TITLE:
Mandibular Distraction Osteogenesis for the Treatment of an Obstructive Sleep Apnea Patient with Orthognathic Anomaly: A Case Report and Literature Review
AUTHORS:
Metin Şençimen, Hasan Ayberk Altuğ, Timur Akçam, Fevzi Erdemci, Gürkan Raşit Bayar, Handan Altuğ, Gamze Arıcı
KEYWORDS:
Obstructive Sleep Apnea, Distraction Osteogenesis, Custom-Made Distraction Device
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.3 No.11,
November
28,
2014
ABSTRACT: Objective: skeletal advancement in order to improve the airway dimensions is known as one of the most effective surgical theraphy for treating obstructive sleep apnea (OSA). Distraction osteogenesis (DO) can be a better treatment alternative in some selected cases similar to our patient. Using custom made distractors can make this technique more safe and successful. Study Design: Surgically assisted rapid palatal expansion (SARPE), bilateral intraoral mandibular distraction osteogenesis (MDO) and orthodontic treatment were tried to a 20-year-old OSA patient with orthognathic anomaly. For mandibular distraction, custom made distractors were used. Results: The initial AHI of the patient was 23.3. At the end of the treatment it decreased to 8.7. Conclusions: Distraction osteogenesis could be a better alternative than the conventional orthognathic surgery in this kind of selected patients. Customization of the distraction devices can contribute to making this procedure safer and more successful.