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Evaluation of Mandibular Wing Osteotomy in Obstructive Sleep Apnea Cases with Retrognathia

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Abstract

Objective

The aim of this study is to evaluate the efficacy of wing osteotomy for treating obstructive sleep apnea (OSA).

Materials and Methods

We performed mandibular wing osteotomy in subjects who had an apnea-hypopnea index (AHI) of more than 15, a previous unresponsive conservative treatment for the OSA, moderate to severe retrognathia and no suggested conventional orthognathic surgery because of dentition or lack of willingness. The subjects were evaluated using the Epworth Sleepiness Scale (ESS), AHI and posterior airway space (PAS) before and 1 year after surgery.

Results

We evaluated 10 subjects (4 males, 6 females) who underwent wing mandibular osteotomy. The mean age of the subjects was 37.8 ± 7.26 years. Analysis of the data demonstrated a significant change in ESS and AHI 1 year after operation. However, PAS was not changed 1 year after surgery. Results did not show any correlation between age, ESS and AHI before and 1 year after surgery.

Conclusion

Mandibular wing osteotomy is a novel procedure that improves signs of OSA. It may be a surgical option in retrognathic patients with OSA who are not candidates for conventional maxillomandibular advancement.

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Authors and Affiliations

  1. Department of Maxillofacial Surgery, Shiraz University of Medical Science, Shiraz, Iran

    Reza Tabrizi & Ehsan Shafie

  2. Department of Maxillofacial Surgery, Shahibeheshti University of Medical Science, Tehran, Iran

    Fereydoun Pourdanesh

  3. Department of Maxillofacial Surgery, Azad University, Tehran, Iran

    Mohamadreza Soleimanpour

  4. CMF Ward, Chamran Hospital, Chamran Avenue, Shiraz, Iran

    Reza Tabrizi

Authors
  1. Reza Tabrizi
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  2. Fereydoun Pourdanesh
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  3. Mohamadreza Soleimanpour
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  4. Ehsan Shafie
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Correspondence to Reza Tabrizi.

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Tabrizi, R., Pourdanesh, F., Soleimanpour, M. et al. Evaluation of Mandibular Wing Osteotomy in Obstructive Sleep Apnea Cases with Retrognathia. J. Maxillofac. Oral Surg. 14, 46–50 (2015). https://doi.org/10.1007/s12663-013-0588-2

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  • DOI: https://doi.org/10.1007/s12663-013-0588-2

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