{"id":378,"date":"2024-11-28T16:52:10","date_gmt":"2024-11-28T08:52:10","guid":{"rendered":"https:\/\/www.mch-osa.com\/?post_type=case&#038;p=378"},"modified":"2026-08-31T18:46:01","modified_gmt":"2026-08-31T10:46:01","slug":"case07","status":"publish","type":"case","link":"https:\/\/www.mch-osa.com\/en\/case\/case07\/","title":{"rendered":"Sleep apnea treatment: airway lift and jaw lift"},"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>Retrusion of the mandible compresses the airway causing sleep apnea<\/td><td>Airway lift surgery 3D customized orthognathic surgery Chin plastic surgery<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">I just want to have a good sleep...<\/h2>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"I just want to have a good sleep | The dangers of sleep apnea! Must-know # Orthognathic Surgery # Dr. Xie Mingji of Fenghua Clinic\" width=\"1290\" height=\"726\" src=\"https:\/\/www.youtube.com\/embed\/iam_ADIfLZc?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/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\">Positive pressure respirators are often used as the first line of treatment for sleep apnea. However, many patients say that using a positive pressure respirator makes their mouth dry when they wake up, which greatly affects the sleep quality of the person next to them.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The case shared this time knew that he had a sleep apnea problem and was actively seeking ways to improve it. After learning about the principle of a positive pressure respirator, he flatly refused because he did not want to rely on machine oxygen delivery for the rest of his life.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">After undergoing septoplasty, although his sleep apnea improved somewhat, it recurred soon after. This is a problem that is easily encountered in soft tissue surgery. Therefore, he approached Dr. Xie, hoping to achieve long-term and effective treatment through hard tissue adjustments during orthognathic surgery.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The orthognathic surgery we designed for him involves counterclockwise rotation of the upper and lower jaws, and forward rotation through the mandible, which supports and pulls apart the muscles that compress the respiratory tract from the lower jaw. Combined with chin osteotomy, it not only improves the compression of the respiratory tract, but also balances the profile of the face. line.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sleep breathing tests before and after surgery showed that his snoring improved significantly from AHI50.1 to AHI13.4 three months after surgery.<\/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_4nXej7jQ1HW51t8siss74se6CTOPkwi6z2wCzjQGE7IiIR2fYALxrVcGHc9MOcvOFig2y8vkm-Xe9jhsSwFSvXLAHSwou5yvWnEPVLyZSfRMwP9S6PVH4CZUSGCjwWC1ZaQHHY30NWSQCjcoS98jTNBWW8ujvkeyemdhuJKqQkQqOdVUY2oRQyNS.jpg\" alt=\"Sleep monitoring reports comparing before and after the procedure showed that the AHI (Awake Hypoesitivity Index) decreased from 50.1 to 13.4.\" title=\"\"><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Appearance changes<\/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_4nXcHGYjjPHr3ywLecoZaoiyb_P4GRtP38tSpyHWGLprLrGsiS6efJ1upphkuYc3r__R0da6CvVHsM19HejkEsvo9vBZJo9r_ddGMmuePVDvIrofyrVYYF9a8cvBM8wYZNjKrnCrYmy2syXptBfDqFBFyy8aUkeyemdhuJKqQkQqOdVUY2oRQyNS.jpg\" alt=\"Before and after orthognathic surgery, frontal closed-lip appearance comparison\" title=\"\"><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/www.mch-osa.com\/wp-content\/uploads\/2024\/11\/AD_4nXfv_9-91kmAnF8P8gKKAYaqT3XEYrlCnZcIM3eP6_yZ6TvvNXbCOCCrFxpU9TXkI4vK7mYZ4En5scDrQB9wWkdwd9O6ewJl9Dob3vMC_8S5XLun41kV9lgX83-C5I8U-GZFCAH9rsm3zEI4lzWtW6pla7MDkeyemdhuJKqQkQqOdVUY2oRQyNS.jpg\" alt=\"Comparison of frontal smile and dental appearance before and after orthognathic surgery\" title=\"\"><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/www.mch-osa.com\/wp-content\/uploads\/2024\/11\/AD_4nXcdF1kYeLIrEQjDuUeNrdxFPafHJXJvgPQ1G3DuQiWscvZZWKfjkd80VxMdDt5gBlvIZWpEbH4TI84wlfHJ5ECsuHk0W1JF0wb_VSo6UAvhAT8DqZPXMESl0Q57-7mU-l5sboaUhJK_mhdiIBb6_iCLWkkeyemdhuJKqQkQqOdVUY2oRQyNS.jpg\" alt=\"Comparison of 45-degree beveled closed lips before and after orthognathic surgery\" title=\"\"><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/www.mch-osa.com\/wp-content\/uploads\/2024\/11\/AD_4nXe-XGb2-GIK4jwSZOjHJnAg1SoHY3ZZDlZjclmMlOc_KmNaXOVcM-hOMb94ox7MuzpSZm7i_xqcFabDFwTA_-fk0IiY6epw0_ksb_GrVkBgA3zI0brxauL05XYgbXVPVNRT0zWdUAbjnfVonnLY87tBmDF8keyemdhuJKqQkQqOdVUY2oRQyNS.jpg\" alt=\"Comparison of 45-degree angled smile appearance before and after orthognathic surgery\" title=\"\"><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/www.mch-osa.com\/wp-content\/uploads\/2024\/11\/AD_4nXcuwnSoxYyZ0hi9KEyMfs5wTv6i84F6CiL24A65USZF2LhMbeZVbguNFPEirYysh1p9a7Z1JFYY6ot42Bhzvuur8Oi1rNSjcj-aohL6HL9mCXJr91C-pDyDTTYLwY6dURth5T3qcTkuXxpj1MMN_lWlJYgkeyemdhuJKqQkQqOdVUY2oRQyNS.jpg\" alt=\"Comparison of lateral lip contour before and after orthognathic surgery\" title=\"\"><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/www.mch-osa.com\/wp-content\/uploads\/2024\/11\/AD_4nXfm-Td74GtDMGIgAXxZBqiGZGPjvgwI9ZVjipMcsSD22QBWR0u3pWwYd39-9r0l-Ktpkp_hRW2w-OBeeyvmDQ1OLTyMmyRViU861dl-uPi4KmHYk4mWk85FEC2yW5WUMt3tRZw1NU-AhziaN0gjw63TPhMkeyemdhuJKqQkQqOdVUY2oRQyNS.jpg\" alt=\"Comparison of facial smile contours before and after orthognathic surgery\" title=\"\"><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/www.mch-osa.com\/wp-content\/uploads\/2024\/11\/AD_4nXf5E33ChQJjIkMaC3hDCd_w0031h2ruTjf5IECd2OAHMGhfBu3c8oamDm96N_07MCR4LRrHDtHf2BaSuxcLcCxHkc1dTY6NBGwMvdH0xOsbNFNcgmzzegSM9tqxRU5J6xJpQz-yfCl-mokr3iMlVZNXotrqkeyemdhuJKqQkQqOdVUY2oRQyNS.jpg\" alt=\"Close-up comparison of chin and neck lines before and after orthognathic 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_4nXdslowI5rJPGdLWZ3Akp6xvS6pPGMbidXNOpjWjiQ4nGtWtv3fOeoC4lroSt5DsOB-CqHJspwWSZKSkYDDORVKKYVbyUv_hKsZcg9SpLVrePgRs1Agd1dgM55Na-HPSw_nvxUUM-8Ylnj9ucG0d35gCc9okeyemdhuJKqQkQqOdVUY2oRQyNS.jpg\" alt=\"Comparison of transverse CT scans of the airway before and after orthognathic surgery\" title=\"\"><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/www.mch-osa.com\/wp-content\/uploads\/2024\/11\/AD_4nXcOIlvjEbu2jj_vWP-1kCU2_yogfBHpQSZzBurHvNsKeBEtKQ7xP0R6AGoUPrHMbA5Jrv_dlUQngUj5QETjHjy4a4QMLZiKwg7cwu80HcI-x0IzPWBMzlCLJ9E7grZkjiGBkDZuOM30kPmocCDVgROQcVT4keyemdhuJKqQkQqOdVUY2oRQyNS.jpg\" alt=\"Charts showing sleep apnea treatment cases, including airway cross-sections and an AHI (Area Height Index) decreasing from 50.1 to 13.4.\" title=\"\"><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Bite comparison 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_4nXeS6SxvfnXXs2AQfAK3__HSC1x_2iwU3oeNUN5_1zEnC64q0jbKh6wRmnqiwQFjX9YjT6DzzICsQiV6NERKOI0rtlUgW-He8z7Elc864PC3p47ajrXbWeDEvNquBvyu_oO5PqKDVp2GdR_YJkQOwo1nORe1keyemdhuJKqQkQqOdVUY2oRQyNS.jpg\" alt=\"Comparison of intraoral occlusion and dentition before and after orthognathic surgery\" title=\"\"><\/figure>","protected":false},"excerpt":{"rendered":"<p>Effectively treat sleep apnea through airway lift and jaw surgery! In this case, the patient&#039;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.<\/p>","protected":false},"author":20,"featured_media":379,"template":"","class_list":["post-378","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\/378","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\/379"}],"wp:attachment":[{"href":"https:\/\/www.mch-osa.com\/en\/wp-json\/wp\/v2\/media?parent=378"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}