What kind of jaw chirurgical procedure would you recommend to treat Severe Sleep Apnea Syndrome? (Photos)
Doctor Answers 5
OSA and jaw surgery
If you notice your lower jaw is moderately small. You should have orthodontic treatment to create an overbite and then bring the lower jaw forward about 8-10mm forward. At the same time, chin should move forward as well. The surgeon should keep in mind the aesthetics and sleep apnea correction at the same time.
Small chin with OSA
Thanks for your question-
The problem with a small jaw is that your tongue is attached to your jaw bone. So if the chin portion is set back- the tongue will also be set back and can block the airway... especially when you sleep.
I would highly recommend an oral appliance to begin with. This is a mouthpiece that will gently position your jaw bone anteriorly and thus draw your tongue base anteriorly as well. If that doesn't work- I'd recommend other procedures such as tongue base suspension or hyoid bone repositioning before you undergo a maxillomandibular advancement which is a very large surgery that carries a relatively high risk rate... If all else fails the MMA procedure is very beneficial and OSA is a very dangerous condition.
It's great that your taking your care seriously, lastly, you'll aways want to have sleep studies and ask your MD to interpret the results to you so that you can fully understand what's going on.
Thanks for your question!
Severe Sleep Apnea
In more complex cases, the bones of the upper
and lower jaw may be repositioned to increase the size of the airway
(orthographic surgery). This procedure is done in the hospital under general
anesthesia and requires a one to two day overnight stay in the hospital.
OSA is a very serious condition that needs
careful attention and treatment. Most major medical plans offer coverage for
diagnosis and treatment.
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Jaw surgery and sleep apnea
From your profile picture, it does look like your lower jaw is recessed and this may be contributing to your sleep apnea. Before you commit to jaw surgery, I would recommend an oral appliance. These are small devices that can hold your lower jaw into a more anterior position and opening your airway. If this is successful, you may avoid another surgery all together.Best of LuckDr Rodman