Management of obstructive sleep apnea syndrome secondary to temporomandibular joint ankylosis by mandibular elongation using distraction osteogenesis

Obstructive sleep apnea syndrome (OSAS) is associated with repetitive nocturnal upper airway obstruction leading to daytime sleepiness, cardiovascular derangements, and can be a debilitating, even life-threatening condition. The most favorable treatment for patients with OSAS is multidisciplinary ca...

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Main Authors: Yadavalli Guruprasad, O R Hemavathy
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2012-01-01
Series:Contemporary Clinical Dentistry
Subjects:
Online Access:http://www.contempclindent.org/article.asp?issn=0976-237X;year=2012;volume=3;issue=1;spage=69;epage=73;aulast=Guruprasad
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author Yadavalli Guruprasad
O R Hemavathy
author_facet Yadavalli Guruprasad
O R Hemavathy
author_sort Yadavalli Guruprasad
collection DOAJ
description Obstructive sleep apnea syndrome (OSAS) is associated with repetitive nocturnal upper airway obstruction leading to daytime sleepiness, cardiovascular derangements, and can be a debilitating, even life-threatening condition. The most favorable treatment for patients with OSAS is multidisciplinary care by a team that represents various dental and medical disciplines. Prescribed therapies might include weight loss, behavior modification, oral appliances, soft tissue surgery, skeletal surgery, or some combination of approaches. Osteogenesis by mandibular distraction has proved effective in children in the treatment of obstructive apnea syndrome associated with congenital malformations. In the adult, the possibility of using distraction osteogenesis in the management of OSAS remains to be defined. We report a case of an adult patient treated for OSAS secondary to temporomandibular joint ankylosis by mandibular distraction followed by interpositional arthroplasty.
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spelling doaj.art-aaf5eb22544946d0aece706b0e2d4dd12022-12-22T00:42:56ZengWolters Kluwer Medknow PublicationsContemporary Clinical Dentistry0976-237X0976-23612012-01-0131697310.4103/0976-237X.94550Management of obstructive sleep apnea syndrome secondary to temporomandibular joint ankylosis by mandibular elongation using distraction osteogenesisYadavalli GuruprasadO R HemavathyObstructive sleep apnea syndrome (OSAS) is associated with repetitive nocturnal upper airway obstruction leading to daytime sleepiness, cardiovascular derangements, and can be a debilitating, even life-threatening condition. The most favorable treatment for patients with OSAS is multidisciplinary care by a team that represents various dental and medical disciplines. Prescribed therapies might include weight loss, behavior modification, oral appliances, soft tissue surgery, skeletal surgery, or some combination of approaches. Osteogenesis by mandibular distraction has proved effective in children in the treatment of obstructive apnea syndrome associated with congenital malformations. In the adult, the possibility of using distraction osteogenesis in the management of OSAS remains to be defined. We report a case of an adult patient treated for OSAS secondary to temporomandibular joint ankylosis by mandibular distraction followed by interpositional arthroplasty.http://www.contempclindent.org/article.asp?issn=0976-237X;year=2012;volume=3;issue=1;spage=69;epage=73;aulast=GuruprasadDistraction osteogenesisobstructive sleep apnea syndrometemporomandibular joint ankylosis
spellingShingle Yadavalli Guruprasad
O R Hemavathy
Management of obstructive sleep apnea syndrome secondary to temporomandibular joint ankylosis by mandibular elongation using distraction osteogenesis
Contemporary Clinical Dentistry
Distraction osteogenesis
obstructive sleep apnea syndrome
temporomandibular joint ankylosis
title Management of obstructive sleep apnea syndrome secondary to temporomandibular joint ankylosis by mandibular elongation using distraction osteogenesis
title_full Management of obstructive sleep apnea syndrome secondary to temporomandibular joint ankylosis by mandibular elongation using distraction osteogenesis
title_fullStr Management of obstructive sleep apnea syndrome secondary to temporomandibular joint ankylosis by mandibular elongation using distraction osteogenesis
title_full_unstemmed Management of obstructive sleep apnea syndrome secondary to temporomandibular joint ankylosis by mandibular elongation using distraction osteogenesis
title_short Management of obstructive sleep apnea syndrome secondary to temporomandibular joint ankylosis by mandibular elongation using distraction osteogenesis
title_sort management of obstructive sleep apnea syndrome secondary to temporomandibular joint ankylosis by mandibular elongation using distraction osteogenesis
topic Distraction osteogenesis
obstructive sleep apnea syndrome
temporomandibular joint ankylosis
url http://www.contempclindent.org/article.asp?issn=0976-237X;year=2012;volume=3;issue=1;spage=69;epage=73;aulast=Guruprasad
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AT orhemavathy managementofobstructivesleepapneasyndromesecondarytotemporomandibularjointankylosisbymandibularelongationusingdistractionosteogenesis