Khan Muhammad Nazir, Asim Muhamamd Adil, Shah Irfan
Department of Oral and Maxillofacial Surgery, Combined Military Hospital (CMH), Peshawar, Pakistan.
Department of Oral and Maxillofacial Surgery, Rawal Institute of Health Sciences, Islamabad, Pakistan.
J Coll Physicians Surg Pak. 2018 Sep;28(9):S184-S186. doi: 10.29271/jcpsp.2018.09.S184.
Obstructive sleep apnea syndrome (OSAS), commonly associated with mandibular micrognathia, is a serious condition that can lead to various devastating cardiovascular and neurocognitive consequences. Patients of OSAS with micrognathia present with many functional and esthetic problems. Therefore, comprehensive management of these patients requires multiple surgeries and frequent follow-up. Several surgical and non-surgical treatment options have been proposed for the treatment of OSAS. Distraction osteogenesis (DO) in maxillofacial region, although a newer treatment modality, is being increasingly favoured by many surgeons because of its many advantages over other treatment methods. We present comprehensive management of a case of OSAS associated with post temporomandibular joint ankylosis severe micrognathia. Various surgical treatment methods including DO and conventional orthognathic surgical procedures were employed in management of this patient of obstructive sleep apnea. Both functional and esthetic complaints of the patient were addressed, and we achieved exceptional results at the end of treatment.
阻塞性睡眠呼吸暂停综合征（OSAS）通常与下颌后缩有关，是一种严重的病症，可导致各种毁灭性的心血管和神经认知后果。患有小颌畸形的OSAS患者存在许多功能和美学问题。因此，对这些患者进行综合管理需要多次手术和频繁随访。已经提出了几种手术和非手术治疗方案来治疗OSAS。颌面区域的牵张成骨术（DO）虽然是一种较新的治疗方式，但由于其相对于其他治疗方法具有许多优势，正越来越受到许多外科医生的青睐。我们展示了一例与颞下颌关节强直后严重小颌畸形相关的OSAS病例的综合管理。包括DO和传统正颌外科手术在内的各种手术治疗方法被用于治疗该阻塞性睡眠呼吸暂停患者。患者的功能和美学诉求均得到解决，并且在治疗结束时我们取得了优异的效果。
