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J Coll Physicians Surg Pak ; 28(9): S184-S186, 2018 Sep.
Article in English | MEDLINE | ID: mdl-30173692

ABSTRACT

Obstructive sleep apnea syndrome (OSAS), commonly associated with mandibular micrognathia, is a serious condition that can lead to various devastating cardiovascular and neurocognitive consequences. Patients of OSAS with micrognathia present with many functional and esthetic problems. Therefore, comprehensive management of these patients requires multiple surgeries and frequent follow-up. Several surgical and non-surgical treatment options have been proposed for the treatment of OSAS. Distraction osteogenesis (DO) in maxillofacial region, although a newer treatment modality, is being increasingly favoured by many surgeons because of its many advantages over other treatment methods. We present comprehensive management of a case of OSAS associated with post temporomandibular joint ankylosis severe micrognathia. Various surgical treatment methods including DO and conventional orthognathic surgical procedures were employed in management of this patient of obstructive sleep apnea. Both functional and esthetic complaints of the patient were addressed, and we achieved exceptional results at the end of treatment.


Subject(s)
Ankylosis/surgery , Mandible/surgery , Micrognathism/surgery , Osteogenesis, Distraction/methods , Plastic Surgery Procedures/methods , Sleep Apnea, Obstructive/complications , Temporomandibular Joint Disorders/surgery , Ankylosis/complications , Female , Humans , Micrognathism/complications , Sleep Apnea, Obstructive/therapy , Temporomandibular Joint Disorders/complications , Treatment Outcome , Young Adult
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