Treatment of sleeping apnea syndrome with bimaxillary orthognatic surgery: A case report

Authors

DOI:

https://doi.org/10.33448/rsd-v10i5.15453

Keywords:

Sleep apnea obstructive; Retrognathia; Orthognathic surgery.

Abstract

To demonstrate the efficiency of Bimaxillary Orthognathic Surgery in patients with Obstructive Sleep Apnea Syndrome. To this end, we proceed to the clinical case of a patient with retrognathism, with complaints about difficulties to sleep, night snoring, difficulty breathing and little disposition throughout the day. She also complained about her facial appearance. Through intra-oral, extra-oral clinical examinations and confirmed by imaging exams, it is thus diagnosed as Angle class II. The treatment with orthognathic surgery is pertinent to patients who exhibit facial imperfections, including the teeth and the skeleton of the face. being remedied only with orthodontic treatment. Because the deficiency to be solved is in the jaw and / or maxilla and not only in the dental positioning. Thus, it is observed that the results obtained through surgery with osteotomies and traction myorhaphy of the suprahyoid muscles become efficient. It is concluded that when well planned and indicated, orthognathic surgery does not become an invasive procedure, but effective in the treatment.

References

Alencar, H. B. B. (2016). Tratamento da Síndrome da Apneia Obstrutiva do Sono com o Uso Supervisionado de Aparelhos Intraorais: Relato de Caso. Ensaios e Ciência: Ciências Biológicas, Agrárias e da Saúde, 20(2), 59-64.

Almuzian, M., Almukhtar, A., Ju, X., Al-hiyali, A., Benington, P., & Ayoub, A. (2016). Effects of Le Fort I Osteotomy on the Nasopharyngeal Airway-6-Month Follow-Up. J Oral Maxillofac Surg, 74(2), 380-91.

Campostrini, D. D. A., Prado, L. D. F., & Prado, G. F. (2014). Síndrome da apneia obstrutiva do sono e doenças cardiovasculares. Rev. Neurocienc, 22(1), 102-112.

Carrillo, J. L. A. F. (2010). Síndrome de apnea obstructiva del sueño em población adulta. Neumol Cir Torax, 69(2), 103-15.

Godolfim, L. R. (2010). Distúrbios do sono e a odontologia: tratamento do ronco e a apneia do sono. São Paulo.

Godt, A., Koos, B., Hagen, H.,& Göz G. (2011). Changes in upper airway width associated with Class II treatments (headgear vs activator) and different growth patterns. Angle Orthod, 81(3), 440-6.

Mamani, M, H. (2013). Preparo ortodôntico em casos de cirurgia ortognática. Faculdade de Odontologia de Piracicaba da Universidade Estadual de Campinas, (Monografia de para Título em Especialista em Ortodontia).

Martins, G. (2014). Padrão Facial e Indicação de Cirurgia Ortognática. Rev Cir e Traumatol Buco-maxilo-facial, 14(1), 75–82.

Ogawa, T., Ito, T., Cardoso, M. V., Kawata, T., & Sasaki, K. (2011). Oral appliance treatment for obstructive sleep apnoea patients with severe dental condition. J Oral Rehabil, 38(3), 202-7.

Panissa, C. (2017). Cirurgia ortognática para tratamento da síndrome de apneia obstrutiva do sono: relato de caso. RFO, 34(2), 20-4.

Pereira, A.S., Shitsuka, D. M., Parreira, F. J. & Shitsuka, R. (2018). Metodologia da pesquisa científica. [e-book].Santa Maria. Ed.UAB/NTE/UFSM.https://repositorio.ufsm.br/bitstream/handle/1/15824/LicComputacao_Metodologia-Pesquisa Cientifica.pdf?sequence=1.

Puricelli, E., Ponzoni, D., Artuzi, F. E., Martins, G. L., & Calcagnotto T. (2011). Clinical management of angioneurotic oedema patient post-orthognathic surgery. Int J Oral Maxillofac Surg, 40(1), 106-9.

Reis, A. N., Oliveira, J. C. S., Gabrielli, M. A. C., & Bassi, A. P. F. (2021). A cirurgia ortognática no tratamento da SAHOS: uma revisão de literature, Research, Society And Development, 10(1), 1-8.

Rodrigues, M. M., Dibbern, R. S., Santos, V. J. B., & Passeri, L. A. (2014). Influence of obesity on the correlation between laryngopharyngeal reflux and obstructive sleep apnea. Braz J Otorhinolaryngol, 80(1), 5-10.

Santos, M. R. M. (2012). Percepção dos pacientes submetidos à cirurgia ortognática sobre o cuidado pós-operatório. Rev da Esc Enferm da USP, 46(3), 78–85.

Schendel, S., Powell, N., & Jacobson, R. (2011). Maxillary, mandibular, and chin advancement: treatment planning based on airway anatomy in obstructive sleep apnea. J Oral Maxillofac Surg, 69(8), 40.

Stefanovic, N. L. J. (2015). Pharyngeal Airway Changes after Bimaxillary Orthognathic Surgery - Preliminary Results. Srp Arh Celok Lek, 143(5), 267-73.

Thiesen, G., Vendramin, A. P. F., & Khoury, A. B. S. (2020). Tratamento ortodôntico-cirúrgico da Classe III em paciente com crescimento: acompanhamento de 5 anos pós-tratamento. Orthod. Sci. Pract, 13(51), 41-53.

Vallejo, P. M. J., & Ospina, O. B. S. (2020). Evaluación radiográfica de la estabilidad en medidas cefalométricas de pacientes Clase III sometidos a cirugía ortognática bimaxilar. Acta Odontológica Colombiana, 10(1), 9-23.

Vaz, A. P., Drummond, M., & Mota, P. C. (2011). Tradução do Questionário de Berlim para língua Portuguesa e sua aplicação na identificação da SAOS numa consulta de patologia respiratória do sono. Rev Port Pneumol, 17(2), 59-65.

Whitla, L., & Lennon, P. (2016). Non-surgical management of obstructive sleep apnoea: a review. Paediatr Int Child Health, 37(1), 1-5.

Zinser, M. J. (2013). Bimaxillary rotation advancement’ procedures in patients with obstructive sleep apnea: a 3-dimensional airway analysis of morphological changes. Int J Oral Maxillofac Surg, 42(5), 569-78.

Published

07/05/2021

How to Cite

FURSEL, K. de A. .; CUSTÓDIO, G. P. .; OLIVEIRA NETO, J. L. de .; SOUSA, M. J. de .; PAIVA, L. G. J. . Treatment of sleeping apnea syndrome with bimaxillary orthognatic surgery: A case report . Research, Society and Development, [S. l.], v. 10, n. 5, p. e59810515453, 2021. DOI: 10.33448/rsd-v10i5.15453. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/15453. Acesso em: 25 apr. 2024.

Issue

Section

Health Sciences