*Corresponding Author: Nicolás Ibáñez-Ballesteros, Dental Surgeon, Private Practice, Universidad Diego Portales, Santiago, Chile.

Received: July 15, 2024; Published: July 31, 2024

Abstract

Apnea is a medical condition characterized by temporary pauses in breathing during sleep. Apneas are mainly classified into 2 types: Central sleep apnea (ACS): it is caused by a temporary failure of the ponto-spinal center that is responsible for generating rhythmic breathing. Obstructive sleep apnea syndrome (OSAS): It is characterized by involuntary collapse of the upper airways while the patient sleeps. The Gold standard for diagnosis is polysomnography. Untreated OSAS can have several negative health consequences, including excessive daytime sleepiness, concentration problems, irritability and mood swings, increased risk of cardiovascular diseases, among others. Skeletal malocclusions can contribute to obstructive sleep apnea by altering the position of the maxillomandibular complex and upper airway, which can cause partial or complete obstruction during sleep. Conservative treatment corresponds to CPAP (Continuous Positive Airway Pressure), which is very effective; however, it is frequently rejected due to the discomfort associated with using a mask while sleeping. As an alternative, there is the MAD (Mandibular Advancement Device). The different surgical options are based on the Stanford protocol, which divides the surgery into two phases. Phase I includes uvulo-palato-pharyngoplasty and/or genioplasty. Phase II consists of the advancement of the mandible or the maxilla and mandible together. The purpose of this study is to report the contributions of orthognathic surgery in the treatment of Obstructive Sleep Apnea Syndrome (OSAS), focusing on the aesthetic, functional and stabilization benefits of the upper airway.

Keywords: Obstructive Apnea; Central Apnea; Orthognathic Surgery; Apnea Treatments

References

1. Alvarado MJ., et al. “Apnea Obstructiva del Sueño y el Rol del Ortodoncista”. Revisión bibliográfica. International Journal of Interdisciplinary Dentistry3 (2021): 242-245.
2. Butterfield KJ., et al. “Linear and volumetric airway changes after maxillomandibular advancement for obstructive sleep apnea”. Journal of Oral and Maxillofacial Surgery6 (2015): 1133-42.
3. Chang MK., et al. “Correlation of Airway Volume With Orthognathic Surgical Movement Using Cone-Beam Computed Tomography”. Journal of Oral and Maxillofacial Surgery12 (2015): S67-76.
4. Chinski DL. “Tratamiento quirúrgico de la apnea obstructiva del sueño: cirugía maxillofacial”. Revista (2021).
5. Chinski DL., et al. “Avance geniogloso y suspensión hioidea simultánea en el tratamiento del SAOS”. Técnica Quirúrgica Y Resultados (2014).
6. Cifuentes J., et al. “Facial soft tissue response to maxillo-mandibular advancement in obstructive sleep apnea syndrome patients”. Head and Face Medicine 1 (2015): 15.
7. Duque Serna FL., et al. “Cambios en la vía aérea después de cirugía ortognática bimaxilar en pacientes con maloclusión clase III esquelética”. Revista Facultad de Odontología Universidad de Antioquia 1 (2008): 14-30.
8. Eguía VM and Cascante JA. “Síndrome de apnea-hipopnea del sueño: Concepto, diagnóstico y tratamiento medico”. Anales del Sistema Sanitario de Navarra 30 (2007): 53-74.
9. García Menéndez M., et al. “La cirugía ortognática en el tratamiento del síndrome de apnea obstructiva del sueño”. Revista cubana de estomatología1 (2020).
10. Hernández-Alfaro F., et al. “Effect of Mono- and Bimaxillary Advancement on Pharyngeal Airway Volume: Cone-Beam Computed Tomography Evaluation”. Journal of Oral and Maxillofacial Surgery 11 (2011): e395-400.
11. Mareque Bueno J., et al. “Avance geniogloso en el tratamiento del síndrome de apnea obstructiva del sueño”. Revista Española de Cirugía Oral y Maxilofacial3 (2005): 161-166.
12. Ortiz Naretto AE and Borsini E. “Apnea central del sueño y respiración periódica”. Revista Americana De Medicina Respiratoria2 (2020): 150-161.
13. Rodríguez Amaro JM and Ramos OE. “Dispositivos Dentales para el Tratamiento de la Apnea Obstructiva de Sueño: Revisión de la Literatura y Protocolo de Tratamiento”. Acta Odontológica Venez3 (2001): 94-97.
14. Saldías P F., et al. “Estudios de prevalencia del síndrome de apneas obstructivas del sueño en la población adulta”. Revista médica de Chile4 (2021): 303-316.
15. Valls-Ontañón A., et al. “Does Aesthetic Osseous Genioplasty Impact Upper Airway Volume?” Aesthetic Surgery Journal4 (2024): 354-362.

Citation

Citation: Nicolás Ibáñez-Ballesteros., et al. “Contributions of Orthognathic Surgery in the Treatment of Obstructive Sleep Apnea Syndrome (OSAS), Literature Review".Acta Scientific Dental Sciences 8.8 (2024): 66-69.

Copyright

Copyright: Nicolás Ibáñez-Ballesteros., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.