Mandibular setback for surgical correction of mandibular hyperplasia--does it provoke sleep-related breathing disorders?

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.

authors

Hochban W,Schürmann R,Brandenburg U,Conradt R

doi

10.1016/s0901-5027(06)80024-x

subject

Has Abstract

pub_date

1996-10-01 00:00:00

pages

333-8

issue

5

eissn

0901-5027

issn

1399-0020

journal_volume

25

pub_type

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