Residual POSA after maxillomandibular advancement in patients with severe OSA

L.B.L. Benoist; M.H.T. de Ruiter; J. de Lange; N. de Vries

doi:10.1007/978-3-319-09626-1_29

Residual POSA after maxillomandibular advancement in patients with severe OSA

L.B.L. Benoist, M.H.T. de Ruiter, J. de Lange, N. de Vries

Maxillofacial Surgery (AMC)

Research output: Chapter in Book / Report / Conference proceeding › Chapter › Academic

Abstract

In patients with severe or extreme OSA and CPAP failure, maxillomandibular advancement (MMA) can be considered. Because of its considerable morbidity, MMA is mostly reserved for severe to extreme cases, often after less aggressive surgeries have failed. The success rates of MMA are very high: between 80 and 90 %. A new finding is that MMA failure can be due to the fact that after surgery the AHI in supine sleep position remains much higher as compared to the non-supine AHI: in other words, non-positional OSA has reversed into less severe POSA. Postoperative residual POSA can be in theory a good indication for additional positional therapy. In this chapter we will discuss our theoretical considerations on this phenomenon of residual POSA after MMA surgery.

Original language	English
Title of host publication	Positional therapy in obstructive sleep apnea
Editors	N. de Vries, M. Ravesloot, J.P. van Maanen
Place of Publication	Cham
Publisher	Springer
Pages	321-329
ISBN (Electronic)	9783319096261
ISBN (Print)	9783319096254
DOIs	https://doi.org/10.1007/978-3-319-09626-1_29
Publication status	Published - 2015

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title = "Residual POSA after maxillomandibular advancement in patients with severe OSA",

abstract = "In patients with severe or extreme OSA and CPAP failure, maxillomandibular advancement (MMA) can be considered. Because of its considerable morbidity, MMA is mostly reserved for severe to extreme cases, often after less aggressive surgeries have failed. The success rates of MMA are very high: between 80 and 90 %. A new finding is that MMA failure can be due to the fact that after surgery the AHI in supine sleep position remains much higher as compared to the non-supine AHI: in other words, non-positional OSA has reversed into less severe POSA. Postoperative residual POSA can be in theory a good indication for additional positional therapy. In this chapter we will discuss our theoretical considerations on this phenomenon of residual POSA after MMA surgery.",

author = "L.B.L. Benoist and {de Ruiter}, M.H.T. and {de Lange}, J. and {de Vries}, N.",

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AU - Benoist, L.B.L.

AU - de Ruiter, M.H.T.

AU - de Lange, J.

AU - de Vries, N.

PY - 2015

Y1 - 2015

N2 - In patients with severe or extreme OSA and CPAP failure, maxillomandibular advancement (MMA) can be considered. Because of its considerable morbidity, MMA is mostly reserved for severe to extreme cases, often after less aggressive surgeries have failed. The success rates of MMA are very high: between 80 and 90 %. A new finding is that MMA failure can be due to the fact that after surgery the AHI in supine sleep position remains much higher as compared to the non-supine AHI: in other words, non-positional OSA has reversed into less severe POSA. Postoperative residual POSA can be in theory a good indication for additional positional therapy. In this chapter we will discuss our theoretical considerations on this phenomenon of residual POSA after MMA surgery.

AB - In patients with severe or extreme OSA and CPAP failure, maxillomandibular advancement (MMA) can be considered. Because of its considerable morbidity, MMA is mostly reserved for severe to extreme cases, often after less aggressive surgeries have failed. The success rates of MMA are very high: between 80 and 90 %. A new finding is that MMA failure can be due to the fact that after surgery the AHI in supine sleep position remains much higher as compared to the non-supine AHI: in other words, non-positional OSA has reversed into less severe POSA. Postoperative residual POSA can be in theory a good indication for additional positional therapy. In this chapter we will discuss our theoretical considerations on this phenomenon of residual POSA after MMA surgery.

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EP - 329

BT - Positional therapy in obstructive sleep apnea

A2 - de Vries, N.

A2 - Ravesloot, M.

A2 - van Maanen, J.P.

PB - Springer

CY - Cham

ER -

Residual POSA after maxillomandibular advancement in patients with severe OSA

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