Maxillomandibular advancement in edentulous patients as a treatment option for obstructive sleep apnea: report of two cases and a proposed treatment protocol
Pascal Houppermans,
Jop Verweij,
Peter Gooris,
Jerryll Asin,
Eelco Bergsma,
Richard van Merkesteyn,
Gertjan Mensink
Affiliations
Pascal Houppermans
Department of Oral and Maxillofacial Surgery, Leiden University Medical Center, Leiden, the Netherlands; Department of Oral and Maxillofacial Surgery, Haga Hospital, The Hague, the Netherlands
Jop Verweij
Department of Oral and Maxillofacial Surgery, Leiden University Medical Center, Leiden, the Netherlands
Peter Gooris
Department of Oral and Maxillofacial Surgery, Amphia Hospital, Breda, the Netherlands
Jerryll Asin
Department of Pulmonology, Center for Sleep Medicine, Amphia Hospital, Breda, the Netherlands
Eelco Bergsma
Department of Oral and Maxillofacial Surgery, Amphia Hospital, Breda, the Netherlands
Richard van Merkesteyn
Department of Oral and Maxillofacial Surgery, Leiden University Medical Center, Leiden, the Netherlands
Gertjan Mensink
Department of Oral and Maxillofacial Surgery, Leiden University Medical Center, Leiden, the Netherlands; Department of Oral and Maxillofacial Surgery, Amphia Hospital, Breda, the Netherlands; Corresponding author.
Obstructive sleep apnea (OSA) is a common disease that often causes debilitating symptoms. In its most severe form, OSA increases the risk of cardiovascular disease and mortality. OSA is characterized by repeated episodes of pharyngeal collapse leading to airway obstruction. The treatment options available in severe cases are limited to continuous positive airway pressure ventilation and maxillomandibular advancement (MMA). OSA is particularly difficult to treat successfully in edentulous patients. Two cases are presented here to illustrate use of MMA in edentulous patients with OSA. Our learning points based on these cases are shared, and a treatment and follow-up protocol is proposed for this specific patient group.
