{"id":391,"date":"2024-11-28T16:53:12","date_gmt":"2024-11-28T08:53:12","guid":{"rendered":"https:\/\/www.mch-osa.com\/?post_type=case&#038;p=391"},"modified":"2026-08-31T18:46:03","modified_gmt":"2026-08-31T10:46:03","slug":"case08","status":"publish","type":"case","link":"https:\/\/www.mch-osa.com\/en\/case\/case08\/","title":{"rendered":"Treatment of bucket apnea in women"},"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 palate compresses the airway causing sleep apnea<\/td><td>Airway Lift Surgery 3D Customized Orthognathic Surgery<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">I always wake up in the middle of my 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 always wake up in the middle of my sleep and almost can\u2019t breathe! # Orthognathic Surgery # Sleep Apnea\" width=\"1290\" height=\"726\" src=\"https:\/\/www.youtube.com\/embed\/PnKfSye7Uh4?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\">There is a common myth about orthognathic surgery to treat sleep apnea, which is that only people with retrognathic jaws have sleep apnea.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The case shared today is a patient with a long jaw (too long chin) and sleep apnea. Most patients with retrognathic mandibles - small chins - tend to collapse the base of their tongue during sleep and compress the airway, causing sleep apnea.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">However, we found that the obstruction point of this patient&#039;s airway was different from other patients with retrusion. It was located in the retropalatal space and nasal cavity. Computed tomography confirmed that the cause was caused by the retraction and stenosis of the maxillary bone. We also found that her lower jaw was Excessive turbinate hypertrophy can also aggravate the symptoms of sleep apnea.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Through clockwise rotation of the two-jaw orthognathic surgery, we move the maxilla forward, clear the obstruction near the suspensory-oropharynx, and allow the midface depression to be properly supported. And because of the rotation, the originally protruding mandible can return to its proper position.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">At the same time as the orthognathic surgery, we also reduced the thick and obstructed inferior turbinate to increase the patency of the nasal cavity. Although the patient did not have braces after surgery, he still had a good bite.<img decoding=\"async\" alt=\"Close-up comparison of chin and profile lines before and after orthognathic surgery in patients with prognathism\" src=\"https:\/\/www.mch-osa.com\/wp-content\/uploads\/2024\/11\/AD_4nXdoRc8_uXDRJqSwVwxpvgZdD4Qxvz9PWpR5G13ye4XyPgHYISKHARcrkiGWAJ2yAY9XJAQ9ZhlMdOeCSMKHxLD5dLr9oMA-QUBPAEScgUVvzJZbxa5yG5SvDMAWWjeI6iJvUoXzrSLIw9QPiv-AOJAhfNVokeydDB_GMr4HY4aXL_JtFqGqvTx.jpg\" width=\"296\" height=\"167\" title=\"\"><\/p>\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_4nXcOhjvr5BzRqa1lXlPKF0qjpbjKaADfl6humRjREFT_kbwqqmx5gcf2r6ViJHzFuGUZb2CPaZX28tO5Uk-fHWrmzOxUVLPRpNNTx6iVRibe4HurMfCvySgyhhbAnT0POWann9N9MgTH56UXByA5LX-OjI3VkeydDB_GMr4HY4aXL_JtFqGqvTx.jpg\" alt=\"Frontal appearance comparison of patients with bimaxillary prolapse 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_4nXdfBffEZXYaJEqHPd47yBDR5XemqoPmUkL1-z279XgGlYmr6i_lPq0BynGBwWDPXzwdS16Mae15-yRrLlk-koUWVcZikIY6bgsHVdevMVIndavzIUcC6oj_Z9fTH-Oi_K4yilGIxvm6qA9BKKTogMPjKVuykeydDB_GMr4HY4aXL_JtFqGqvTx.jpg\" alt=\"Comparison of frontal smile and tooth alignment before and after bimaxillary 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_4nXenzNDHBCgF2TiN6VJadcKrkh2hLt1vchiGkELrOoLhVyrBA9qBCWTHt1Tq37Fo2rNiAZv7lkh8sz58ycs8PpdTk2CLSBhOJmigUCU1aLcJwsTi9KIflpVbwVA_brUwxTM7oqVHc-s7MWBCtG4X5ZMFYhd4keydDB_GMr4HY4aXL_JtFqGqvTx.jpg\" alt=\"Comparison of 45-degree bevel appearance before and after bimaxillary 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_4nXevgwVv1S-5toILQ4AV2TYyAm6t6ASVXmhlXVdKqrjaOzBCliEIhYza3FVWZAl1Iks3W9j9INpsfgt3l-m7rSeuI806tguXc861jNc_rCfLMA86TcyvnvOj_j1NDIf8Umpuoofae3BVPo61KFdReuhX3-bnkeydDB_GMr4HY4aXL_JtFqGqvTx.jpg\" alt=\"Comparison of 45-degree angled smile appearance before and after bimaxillary 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_4nXe0oMy1Px5UvrNGreTtw2DVWGUl0tpJDjImZz2zgz978rX9SufRpdMVyM173NeM1IkFzjrZ77o9F-zR_mRuPee6hAVaGWVdm5nJs33okyUFQ4kWTBGI0NBTJgxeOuL9eGvHcXf2HchbF0xUCqNecfs2Vh3MkeydDB_GMr4HY4aXL_JtFqGqvTx.jpg\" alt=\"Comparison of facial contours before and after double jaw orthognathic surgery from a posterior and lateral perspective.\" 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_4nXfFgodH5mak6ayQWqSq7G3DlSaeSvD8ki_I8M95K6SzcH8Sgxrjg4HeVbV607eHmAEbdcev3VExGZpUHBPXMiXvM9j6oJMwtSzi7xghVdqLcxcYFZpRWdXhq7ZuMlPowAhLHD7GpomC4wqLxLWTyxW8uCCQkeydDB_GMr4HY4aXL_JtFqGqvTx.jpg\" alt=\"Comparison of smile appearance before and after bimaxillary orthognathic surgery from posterolateral perspective\" 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_4nXfl_JBsG9iO_WearHaxMw8_ckb14CzhpRBDRTr-NqjSnnZynZhlVXdo3eCWa6pV1e8plSbvVT-RQCak_mpROfdJHXl2JJbCUgGVEqMDkUOVZrPmpnQvF5R2yTP5GHuQ-0_R49bj0yevxeVFYloVvHaxPArhkeydDB_GMr4HY4aXL_JtFqGqvTx.jpg\" alt=\"Comparison of lateral profile before and after bimaxillary 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_4nXcXQk2_UbD17-hlyk_A7112UjcQOUzTBHH30xJXnVCRlcJ9UfQKOgrEJq_8XTBD79o2qcVwQ1VUzrA0kY2XLScWmywokwngIYj-n4ADmwP7tobTV-v94uIfE0l7Jr755FE7W3WxyjaUWapxZFW3Q1uNO2TrkeydDB_GMr4HY4aXL_JtFqGqvTx.jpg\" alt=\"Comparison of smile contours before and after double jaw orthognathic surgery\" title=\"\"><\/figure>","protected":false},"excerpt":{"rendered":"<p>Discuss the case of sleep apnea treatment in a female patient with long chin. Unlike other patients with mandibular retrusion, her airway obstruction point was located in the retropalatal space and nasal cavity. It was diagnosed that it was caused by maxillary retrusion and stenosis. Through clockwise rotation of both jaws, orthognathic surgery moves the upper jaw forward and simultaneously reduces the thickness of the inferior turbinate, successfully improving respiratory problems. This case shows that sleep apnea has multiple causes and requires accurate diagnosis and customized treatment plans.<\/p>","protected":false},"author":20,"featured_media":392,"template":"","class_list":["post-391","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\/391","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\/392"}],"wp:attachment":[{"href":"https:\/\/www.mch-osa.com\/en\/wp-json\/wp\/v2\/media?parent=391"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}