The korean journal of orthodontics (대한치과교정학회지)

The Korean Association Of Orthodontists (대한치과교정학회)
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Maxillomandibular advancement surgery after long-term use of a mandibular advancement device in a post-adolescent patient with obstructive sleep apnea

  • Lee, Keun-Ha (Department of Orthodontics, Kyung Hee University Graduate School) ;
  • Kim, Kyung-A (Department of Orthodontics, Kyung Hee University School of Dentistry) ;
  • Kwon, Yong-Dae (Department of Oral and Maxillofacial Surgery, Kyung Hee University School of Dentistry) ;
  • Kim, Sung-Wan (Department of Otorhinolaryngology Head and Neck Surgery, School of Medicine, Kyung Hee University) ;
  • Kim, Su-Jung (Department of Orthodontics, Kyung Hee University School of Dentistry)
  • Received : 2018.07.12
  • Accepted : 2018.12.03
  • Published : 2019.07.25
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Abstract

Patients with obstructive sleep apnea (OSA) whose phenotype belongs to a craniofacial vulnerability are referred from sleep doctors to orthodontists. In adults, for osseo-pharyngeal reconstruction (OPR) treatment, permanent maxillomandibular advancement (MMA) surgery and use of a temporary mandibular advancement device (MAD) are applied. This case report demonstrates successful treatment of OSA through application of phased MAD and MMA in a 16-year-old male with craniofacial deformity and residual growth potential. This patient showed skeletal and dentoalveolar changes after 7-year MAD use throughout post-adolescence, which affected the design and timing of subsequent MMA surgery, as well as post-surgical orthodontic strategy. This case report suggests that OPR treatment can be useful for treatment of OSA in post-adolescent patients, from an orthodontic point of view, in close collaboration with sleep doctors for interdisciplinary diagnosis and treatment.

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References

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