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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.

This case shares the treatment experience of a patient with moderate sleep apnea (AHI 22.9). The patient had sleep problems due to mandibular and chin retraction, and was unable to adapt to CPAP treatment. Through 3D customized orthognathic surgery, using the treatment method of counterclockwise rotation and forward movement of the upper and lower jaw bones (CCW-MMA), the 6-month follow-up showed that the AHI dropped to 2.7, successfully improving the symptoms of sleep apnea, while improving the Appearance, the patient was quite satisfied with the surgical results.

This patient, suffering from severe sleep apnea and persistent snoring and daytime sleepiness, was found to have a receding jaw and airway narrowing upon examination. This article documents the changes in his CT scans, airway space, and sleep monitoring before and after orthognathic surgery…

This is a patient with extreme sleepiness. His Epworth Sleepiness Scale score is 17. If the score is over 10, it is considered to have reached the level of sleepiness that requires medical intervention. The sleep report he brought from the hospital showed that his AHI was as high as 64.5 (AHI>30 is severe sleep apnea) and his lowest blood oxygen level reached 60%. For patients with retruded mandible and severe sleep apnea, orthognathic surgery (Maxillo-Mandibular Advancement, MMA) should be one of the priority treatment options, especially since this patient is completely unable to accept having to wear a positive pressure ventilator for a long time. The CT scan after the operation showed that the narrow and blocked airway had been widened and supported through the reorganization of the upper and lower jaws. At the same time, the face shape, jaw line, tooth angle and bite state also benefited from the orthognathic surgery. Most importantly, the postoperative sleep report showed that the AHI had dropped to 4.3, which is the same as the normal standard, and the minimum blood oxygen level had increased to 83%. Subjectively, in addition to greatly reducing snoring, he felt much more energetic during the day and was not sleepy.

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.

Let me share the case of a 39-year-old male patient. Due to insufficient development of the upper and lower jaw bones, they were compressed backwards, resulting in airway stenosis, sleep apnea (AHI 22.5), and daytime sleepiness. The patient's airway space was successfully improved through orthognathic surgery on both jaws, nasal septum correction and lower nose clip plasty surgery. Three months after the operation, the AHI dropped to 5.1, the lowest blood oxygen concentration increased to 93%, and the patient's mental state and quality of life were significantly improved.