Treatment of sleep apnea in a 28-year-old man

release date : 2024-11-28
Updated: August 31, 2026
Author: Fenghua United Clinic

Preoperative symptoms	surgical plan
Retruded jaw, no chin affecting airway space, sleep apnea	3D customized orthognathic surgery

Diagnosis and treatment plan and postoperative changes

The 28-year-old man had a history of severe snoring, light sleep, and daytime sleepiness. After sleep testing, it was found that his AHI index was 45 and the lowest blood oxygen concentration dropped to 76%. These data showed that he had severe sleep apnea.

Sleep monitoring reports comparing before and after the procedure showed that the AHI (Awake Hypoesitivity Index) decreased from 45 to 0.4.

Through his CT scan, it was found that his upper and lower jaw bones were underdeveloped, which compressed the airway. We performed mandibular advancement (MMA) with both jaws rotating counterclockwise.

After airway lifting (orthognathic surgery), his sleep apnea symptoms were relieved, his AHI index dropped to 0.4, and his lowest blood oxygen concentration increased to 92%. He no longer has problems with snoring, restless sleep, or daytime sleepiness.

The lowest blood oxygen level in the sleep monitoring report was 761 TP3T before surgery, which increased to 921 TP3T after surgery.

Comparison of tomography before and after surgery

3D tomographic comparison of the airway before and after MMA jaw reduction surgery; the airway is significantly widened postoperatively.

Warm reminder

Please follow the instructions of the doctor and nursing staff, take medicine regularly, pay attention to dietary taboos and keep the wound clean.
There may be complications such as bleeding, infection, inflammation, etc. after surgery. The degree will vary according to individual physical differences, so careful care is required. If the above situations occur, please contact us as soon as possible.
It is normal for 3 to 6 months after surgery to experience temporary slow sensation and unnatural expressions at the surgical site. Through independent massage and facial expression exercises, most patients will gradually improve within 6 to 12 months after surgery.
Anesthesia has certain risks, which are related to the patient's own physical condition. Patients must honestly and clearly report their health status and treatment history to the treating physician and anesthesiologist, and do not hide anything.
It is recommended to communicate with the doctor before surgery and clearly express treatment needs. However, the aesthetic appearance after surgery is subjective and should not be used as a basis for judgment of surgical results.
The results of surgery vary from person to person and need to be evaluated by a professional physician. Case pictures are publicly used with the authorization of the parties involved as auxiliary explanations of diagnosis and treatment, health education and medical knowledge sharing, and are for reference only.