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ID 53525
JaLCDOI
フルテキストURL
Thumnail 69_3_177.pdf 1.36 MB
著者
Hoshijima, Mitsuhiro Departments of Orthodontics, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Honjo, Tadashi Department of Oral and Maxillofacial Surgery, Tottori University Faculty of Medicine
Moritani, Norifumi Departments of Oral and Maxillofacial Reconstructive Surgery, Okayama University Graduate School of Medicine
Iida, Seiji Departments of Oral and Maxillofacial Reconstructive Surgery, Okayama University Graduate School of Medicine
Yamashiro, Takashi Department of Orthodontics and Dentofacial Orthopedics, Graduate School of Dentistry, Osaka University
Kamioka, Hiroshi Departments of Orthodontics, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
抄録
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.
キーワード
LeFort I osteotomy
maxillary advancement
unilateral crossbite
obstructive sleep apnea syndrome
Amo Type
Case Report
発行日
2015-06
出版物タイトル
Acta Medica Okayama
69巻
3号
出版者
Okayama University Medical School
開始ページ
177
終了ページ
182
ISSN
0386-300X
NCID
AA00508441
資料タイプ
学術雑誌論文
言語
English
著作権者
CopyrightⒸ 2015 by Okayama University Medical School
論文のバージョン
publisher
査読
有り
PubMed ID
Web of Sience KeyUT