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Maxillomandibular Advancement Using Total Joint Replacement for the Treatment of Obstructive Sleep Apnea

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Management of Obstructive Sleep Apnea

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Abstract

Obstructive sleep apnea (OSA) is the most common sleep-related breathing disorder in the USA that predisposes patients to multisystemic health complications. Typically, patients have nocturnal airway collapse and disruption of sleep due to redundant tissue or a retrognathic mandible; however, some patients develop OSA due to severe, destructive end-stage temporomandibular joint (TMJ) disease. The subsequent loss of vertical height and mandibular projection results in posterior oropharyngeal airway collapse that can cause or exacerbate OSA. This chapter discusses the preoperative evaluation, treatment planning, indications, as well as the surgical technique used to treat a patient undergoing MMA using a TJP, and a maxillary osteotomy as the treatment for OSA.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA

    Daniel E. Perez, Zachary Brown & Edward Ellis III

Authors
  1. Daniel E. Perez
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  2. Zachary Brown
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  3. Edward Ellis III
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Correspondence to Daniel E. Perez .

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Editors and Affiliations

  1. Orthodontics, Saint Louis University Orthodontics, Saint Louis, MO, USA

    Ki Beom Kim

  2. Orthodontics, Saint Louis University Orthodontics, Saint Louis, MO, USA

    Reza Movahed

  3. Washington University in St. Louis School of Medicine, Saint Louis, MO, USA

    Raman K. Malhotra

  4. Otolaryngology-Head and Neck Surgery, University of Michigan–Ann Arbor, Ann Arbor, MI, USA

    Jeffrey J. Stanley

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Perez, D.E., Brown, Z., Ellis, E. (2021). Maxillomandibular Advancement Using Total Joint Replacement for the Treatment of Obstructive Sleep Apnea. In: Kim, K.B., Movahed, R., Malhotra, R.K., Stanley, J.J. (eds) Management of Obstructive Sleep Apnea. Springer, Cham. https://doi.org/10.1007/978-3-030-54146-0_35

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