| JaLCDOI |
10.18926/AMO/53525
|
| FullText URL |
69_3_177.pdf
|
| Author |
Hoshijima, Mitsuhiro|
Honjo, Tadashi|
Moritani, Norifumi|
Iida, Seiji|
Yamashiro, Takashi|
Kamioka, Hiroshi|
|
| Abstract |
This article reports the case of a 44-year-old male with skeletal Class III, Angle Class III malocclusion and unilateral crossbite with concerns about obstructive sleep apnea syndrome (OSAS), esthetics and functional problems. To correct the skeletal deformities, the maxilla was anteriorly repositioned by employing LeFort I osteotomy following pre-surgical orthodontic treatment, because a mandibular setback might induce disordered breathing and cause OSAS. After active treatment for 13 months, satisfactory occlusion was achieved and an acceptable facial and oral profile was obtained. In addition, the apnea hypopnea index (AHI) decreased from 18.8 preoperatively to 10.6 postoperatively. Furthermore, after a follow-up period of 7 months, the AHI again significantly decreased from 10.6 to 6.2. In conclusion, surgical advancement of the maxilla using LeFort I osteotomy has proven to be useful in patients with this kind of skeletal malocclusion, while preventing a worsening of the OSAS.
|
| Keywords |
LeFort I osteotomy
maxillary advancement
unilateral crossbite
obstructive sleep apnea syndrome
|
| Amo Type |
Case Report
|
| Publication Title |
Acta Medica Okayama
|
| Published Date |
2015-06
|
| Volume |
volume69
|
| Issue |
issue3
|
| Publisher |
Okayama University Medical School
|
| Start Page |
177
|
| End Page |
182
|
| ISSN |
0386-300X
|
| NCID |
AA00508441
|
| Content Type |
Journal Article
|
| language |
English
|
| Copyright Holders |
CopyrightⒸ 2015 by Okayama University Medical School
|
| File Version |
publisher
|
| Refereed |
True
|
| PubMed ID |
26101194
|
| Web of Science KeyUT |
000356903000007
|
