Abstract:
:The question has arisen as to whether mandibular setback may possibly cause sleep-related breathing disorders (SRBD). To evaluate the possible effects of mandibular setback on posterior airway space (PAS), 16 consecutive patients were examined prospectively. All patients underwent surgical mandibular setback using bilateral sagittal split osteotomy. Polysomnographic evaluation for SRBD was performed according to the Marburg graded diagnostic protocol before and after surgery. Cephalometric analysis was performed preoperatively, and 1 week, 3 months, and 1 year postoperatively, with particular attention to pharyngeal changes. PAS decreased considerably in all patients. Nevertheless, the preoperative PAS was enlarged in all patients with mandibular hyperplasia compared to normal subjects. Despite the pharyngeal narrowing, there was no evidence of postoperative SRBD in any of these patients. SRBD as a consequence of mandibular setback may be rare; nevertheless, the pharyngeal airway does decrease.
journal_name
Int J Oral Maxillofac Surgjournal_title
International journal of oral and maxillofacial surgeryauthors
Hochban W,Schürmann R,Brandenburg U,Conradt Rdoi
10.1016/s0901-5027(06)80024-xsubject
Has Abstractpub_date
1996-10-01 00:00:00pages
333-8issue
5eissn
0901-5027issn
1399-0020journal_volume
25pub_type
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