Announcement of the time schedule for Dr. Jiang Houren's Kaohsiung Special Clinic from August to December 2025

A young man was troubled by severe obstructive sleep apnea (OSA), with an AHI index as high as 55.8, and symptoms such as loud snoring, daytime sleepiness, headaches, and difficulty concentrating. Because he was unwilling to use a positive-pressure respirator, he underwent mandibular advancement surgery (MMA) combined with chin advancement surgery to successfully expand the airway space. The AHI dropped to 3.9 6 months after the operation, and his symptoms were significantly improved. This case demonstrates the therapeutic effect of MMA surgery on patients with severe OSA, providing patients with a treatment option that does not require respirators.

A 28-year-old man sought treatment for severe sleep apnea. The preoperative AHI index was 45 and the lowest blood oxygen concentration was 76%. After diagnosis, it was found that the upper and lower jaw bones were underdeveloped, resulting in airway compression. Through 3D customized orthognathic surgery, counterclockwise rotation and forward movement of both jaws were performed. After the operation, the AHI index dropped significantly to 0.4, and the lowest blood oxygen concentration increased to 92%. The patient's symptoms such as snoring, light sleep and daytime sleepiness have been significantly improved, the respiratory space has been effectively improved, and the treatment effect is excellent.

Effectively treat sleep apnea through airway lift and jaw surgery! In this case, the patient's initial treatment with a positive pressure respirator was not effective and affected his quality of life. After counterclockwise rotation of the upper and lower jaw, combined with chin osteotomy, it not only improves the airway compression problem, but also balances the side lines of the face. Sleep breathing testing showed that the AHI index dropped significantly from 50.1 to 13.4, and the snoring situation was significantly improved, bringing patients better sleep quality.

A patient with moderate to severe sleep apnea had a minimum blood oxygen concentration of only 44% during sleep. Not only did he suffer from severe snoring, but he also experienced dangerous breathing difficulties at night. Through the 3D customized orthognathic surgery performed by Dr. Jiang Houren of Fenghua United Clinic, the maxillary bone was moved forward by 6mm and the mandibular bone was moved forward by 12mm. This not only improved the problem of respiratory tract stenosis, but also solved the problem of facial distortion. After the operation, the patient's sleep quality has been significantly improved, snoring is no longer a problem, and the airway expansion has brought unprecedented smoothness.

A 29-year-old male patient was troubled by severe sleep apnea (AHI=39.6) and was unable to adapt to positive pressure respirator treatment. Through 3D customized orthognathic surgery, counterclockwise rotation technology is used to rotate the upper and lower jaw bones forward and perform bilateral turbinoplasty. The postoperative results were significant: AHI dropped to 4.7 (improved by 88.13%), minimum blood oxygenation increased from 79% to 94%, and respiratory tract volume increased by 76.6%. This case demonstrates the effectiveness of orthognathic surgery in the treatment of sleep apnea.

Discuss the treatment case of a patient with severe sleep apnea. The patient's AHI index is as high as 84.5, and he has a typical face with a receding mandible. After airway lifting treatment through orthognathic surgery, the AHI index was significantly reduced to 5.6, and the minimum blood oxygen concentration was increased from 50% to 90%. The surgery not only effectively improves the airway space, but also makes the patient's jaw proportions more harmonious. The case details the surgical plan, postoperative changes and recovery progress, providing treatment reference for patients with similar problems.