{"id":361,"date":"2024-11-28T16:29:44","date_gmt":"2024-11-28T08:29:44","guid":{"rendered":"https:\/\/www.mch-osa.com\/?post_type=case&#038;p=361"},"modified":"2026-08-31T18:45:58","modified_gmt":"2026-08-31T10:45:58","slug":"case05","status":"publish","type":"case","link":"https:\/\/www.mch-osa.com\/en\/case\/case05\/","title":{"rendered":"Treatment of sleep apnea in a 28-year-old man"},"content":{"rendered":"<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td>Preoperative symptoms<\/td><td>surgical plan<\/td><\/tr><tr><td>Retruded jaw, no chin affecting airway space, sleep apnea<\/td><td>3D customized orthognathic surgery<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Diagnosis and treatment plan and postoperative changes<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">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.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/www.mch-osa.com\/wp-content\/uploads\/2024\/11\/AD_4nXc0CSaazzBOx810iFc5xIehYH_DNJBzBfNnsfm3RSuthUwXiAYzWD_ufIq-1HrNsvQzrlG2FpT5jycS2oF63CcbLMMudXCYIoLjRWfDDGZJJlk3usybBb8UI9Y6xuYVAK0LoEMB7rffAy661xJ-Zv4XrKIkeyI-rP2qtKugwyjyp1o3XXfOw5.jpg\" alt=\"Sleep monitoring reports comparing before and after the procedure showed that the AHI (Awake Hypoesitivity Index) decreased from 45 to 0.4.\" title=\"\"><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">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.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">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.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/www.mch-osa.com\/wp-content\/uploads\/2024\/11\/AD_4nXe8u8dI-J4QFH9M4idCglhfzEgZYER1Vm3G9mcyHeuCj49Kwbybjp8fsevJgtxx15oWVQl5tu2FnBnn1WHzLvgwGGOb7-w8upVAl32erIAUgzOm-Zj76VJS5eNmLvyfWtS6B8S-9KEF-kmILxNpyFyHFeddkeyI-rP2qtKugwyjyp1o3XXfOw5.jpg\" alt=\"The lowest blood oxygen level in the sleep monitoring report was 761 TP3T before surgery, which increased to 921 TP3T after surgery.\" title=\"\"><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Comparison of tomography before and after surgery<\/h2>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/www.mch-osa.com\/wp-content\/uploads\/2024\/11\/AD_4nXeb3F0wITgXe9Sjc8odam8lCZKa2dScrXy-pcVj4SShnROzc1yup_0l2FaX2HLs468CXCpnGn-xev939SDrFHLYLyWYJP7lqUg3CGNFimpI1EhGHsczBZxTgCQUtlrzulDAI6EpHGzL1gORWUmxUrwTUDInkeyI-rP2qtKugwyjyp1o3XXfOw5.jpg\" alt=\"3D tomographic comparison of the airway before and after MMA jaw reduction surgery; the airway is significantly widened postoperatively.\" title=\"\"><\/figure>","protected":false},"excerpt":{"rendered":"<p>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&#039;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.<\/p>","protected":false},"author":20,"featured_media":364,"template":"","class_list":["post-361","case","type-case","status-publish","has-post-thumbnail","hentry"],"blocksy_meta":{"styles_descriptor":{"styles":{"desktop":"","tablet":"","mobile":""},"google_fonts":[],"version":8}},"acf":[],"_links":{"self":[{"href":"https:\/\/www.mch-osa.com\/en\/wp-json\/wp\/v2\/case\/361","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mch-osa.com\/en\/wp-json\/wp\/v2\/case"}],"about":[{"href":"https:\/\/www.mch-osa.com\/en\/wp-json\/wp\/v2\/types\/case"}],"author":[{"embeddable":true,"href":"https:\/\/www.mch-osa.com\/en\/wp-json\/wp\/v2\/users\/20"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.mch-osa.com\/en\/wp-json\/wp\/v2\/media\/364"}],"wp:attachment":[{"href":"https:\/\/www.mch-osa.com\/en\/wp-json\/wp\/v2\/media?parent=361"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}