Obstructive Sleep Apnea Before and After Case Studies

Obstructive Sleep Apnea #1

This patient had severe Obstructive Sleep Apnea (OSA) causing excessive daytime sleepiness and decreased quality of life.  He underwent Maxillomandibular Advancement (MMA) to treat his OSA.  

3D skull model with jaw highlighted in red and purple, blue background 3D skull model with jaw highlighted in red and purple, blue background
3D skull model with jaw highlighted in red and purple, blue background 3D skull model with jaw highlighted in red and purple, blue background
Grayscale lateral skull X-ray showing jaw, teeth, and cervical spine Grayscale lateral skull X-ray showing jaw, teeth, and cervical spine
Grayscale lateral skull X-ray showing jaw, teeth, and cervical spine Grayscale lateral skull X-ray showing jaw, teeth, and cervical spine
3D skull model in golden-brown tones with orthodontic wires on teeth, blue background 3D skull model in golden-brown tones with orthodontic wires on teeth, blue background

Obstructive Sleep Apnea #2

This patient had Obstructive Sleep Apnea (OSA) causing excessive daytime sleepiness and decreased quality of life.  He underwent Maxillomandibular Advancement (MMA) with simultaneous maxillary and mandibular expansion to treat his OSA.  

3D skull model with jaw highlighted in red and purple, blue background 3D skull model with jaw highlighted in red and purple, blue background
3D skull model with jaw highlighted in red and purple, blue background 3D skull model with jaw highlighted in red and purple, blue background
Grayscale lateral skull X-ray showing jaw, teeth, and cervical spine Grayscale lateral skull X-ray showing jaw, teeth, and cervical spine
Grayscale lateral skull X-ray showing jaw, teeth, and cervical spine Grayscale lateral skull X-ray showing jaw, teeth, and cervical spine

Obstructive Sleep Apnea #3

This patient had severe Obstructive Sleep Apnea (OSA) causing excessive daytime sleepiness and decreased quality of life. 

She was unable to tolerate CPAP or oral appliance treatment and thus underwent Maxillomandibular Advancement (MMA) with maxillary and mandibular expansion to treat her OSA.

3D skull model with jaw highlighted in red/purple, blue background 3D skull model with jaw highlighted in red/purple, blue background
3D skull model with jaw highlighted in red/purple, blue background 3D skull model with jaw highlighted in red/purple, blue background
Grayscale lateral skull X-ray showing jaw, teeth, and cervical spine Grayscale lateral skull X-ray showing jaw, teeth, and cervical spine
Lateral skull X-ray with visible dental structures and cervical spine Lateral skull X-ray with visible dental structures and cervical spine

Obstructive Sleep Apnea #4

This patient had severe Obstructive Sleep Apnea (OSA) causing excessive daytime sleepiness and decreased quality of life.  He underwent Maxillomandibular Advancement (MMA) to treat his OSA.  

Profile view: male patient with short hair, eyes obscured Profile view: male patient with short hair, eyes obscured
Profile view: male patient with neutral expression, eyes obscured Profile view: male patient with neutral expression, eyes obscured
Frontal view: male patient with neutral expression, eyes obscured Frontal view: male patient with neutral expression, eyes obscured
Frontal view: male patient with neutral expression, eyes obscured Frontal view: male patient with neutral expression, eyes obscured
Frontal view: male patient with neutral expression, eyes obscured Frontal view: male patient with neutral expression, eyes obscured
Frontal view: male patient with neutral expression, eyes obscured Frontal view: male patient with neutral expression, eyes obscured
3D skull model with jaw highlighted in red and purple, blue background 3D skull model with jaw highlighted in red and purple, blue background
3D skull model with jaw highlighted in red and purple, blue background 3D skull model with jaw highlighted in red and purple, blue background
Lateral skull X-ray showing dental work, cervical spine, and intact maxillary sinus Lateral skull X-ray showing dental work, cervical spine, and intact maxillary sinus
Lateral skull X-ray showing dental work, cervical spine, and intact maxillary sinus Lateral skull X-ray showing dental work, cervical spine, and intact maxillary sinus

Obstructive Sleep Apnea #5

This 16 year-old patient had a recessed mandible and chin with airway restriction and retained wisdom teeth.  Due to the young age of the patient there was only mild snoring but no obstructive sleep apnea, we treated her as if she would develop it as she aged (typical presentation). This involved a Bilateral Sagittal Split Osteotomy (BSSO) advancement with advancement genioplasty performed with genioglossus advancement to further open the airway.  We also removed her wisdom teeth at the same time.  Note the drastic improvement in the airway despite only modest advancement of the mandible to balance esthetics with airway improvement.