Journal of Oral and Sleep Medicine
Online ISSN : 2433-8524
Print ISSN : 2188-6695
Changes in the upper airway associated with orthognathic surgery: Clinical significance of maxillo-mandibular advancement and suprahyoid muscle group traction as sleep surgery
Morio TONOGI
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2023 Volume 10 Issue 1 Pages 3-15

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Abstract
Obstructive sleep apnea (OSA) is a disorder of breathing during sleep that disturbs sleep, resulting in daytime sleepiness and work errors. It is also known as a disease that develops various complications including cardiovascular disease if left untreated for a long period of time. What kind of characters are likely to develop OSA? Why does moving the jawbone forward improve OSA? I have done a lot of research on this question: risk of airway reduction due to differences in maxillofacial structure; pattern of airway expansion according to maxillo-mandibular advancement (MMA); appropriate movement direction and distance of MMA; prediction of hydrodynamic airflow improvement before and after MMA surgery; and improvement of post-treatment sleep quality and changes in airway resistance using the cuff leak test. In this article, I summarize these studies in the hope that it may help researchers involved in sleep medicine in the future.
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© 2023 The Japanese Academy of Dental Sleep Medicine
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