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Sleep Breath 2000; 04(3): 137-140
DOI: 10.1055/s-2000-11564
Copyright © 2000 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Long-Term Results of Maxillomandibular Advancement Surgery

Kasey K. Li, Nelson B. Powell, Robert W. Riley, Robert J. Troell, Christian Guilleminault
  • Stanford University Sleep Disorders and Research Center, Stanford, California [RR]
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Publication History

Publication Date:
31 December 2000 (online)

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ABSTRACT

Surgery is a major modality in the treatment of obstructive sleep apnea syndrome (OSAS), and maxillomandibular advancement (MMA) has been shown to be the most effective surgical option. However, despite the successful short-term (6-9 months) results reported by various investigators, little is known of the long-term clinical outcomes. A review of our long-term clinical results demonstrated that MMA achieves long-term cure in most patients. Aging and minor weight gain did not appear to have a significant adverse effect on the long-term results; however, major weight gain did seem to have a significant negative impact on the long-term outcomes. Therefore, long-term follow-up with proper counseling on weight maintenance or reduction is essential in improving long-term results.

KEYWORD

obstructive sleep apnea syndrome - sleep apnea surgery - sleep-disordered breathing - maxillomandibular advancement

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