| JaLCDOI |
10.18926/AMO/53525
|
| フルテキストURL |
69_3_177.pdf
|
| 著者 |
Hoshijima, Mitsuhiro|
Honjo, Tadashi|
Moritani, Norifumi|
Iida, Seiji|
Yamashiro, Takashi|
Kamioka, Hiroshi|
|
| 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
|
| 出版物タイトル |
Acta Medica Okayama
|
| 発行日 |
2015-06
|
| 巻 |
69巻
|
| 号 |
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 |
英語
|
| 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 |
26101194
|
| Web of Science KeyUT |
000356903000007
|
