{"id":413,"date":"2024-12-30T11:20:34","date_gmt":"2024-12-30T03:20:34","guid":{"rendered":"https:\/\/www.mch-osa.com\/?post_type=case&#038;p=413"},"modified":"2026-08-31T18:46:07","modified_gmt":"2026-08-31T10:46:07","slug":"case10","status":"publish","type":"case","link":"https:\/\/www.mch-osa.com\/en\/case\/case10\/","title":{"rendered":"Headache and irritability turned out to be caused by severe obstructive sleep apnea"},"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>Severe sleep apnea, chin and mandibular retraction<\/td><td>3D customized orthognathic surgery chin advancement surgery<\/td><\/tr><\/tbody><\/table><\/figure>\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=\"Dr. Xie Mingji | # orthognathic surgery # upper and lower jaw advancement surgery # chin advancement surgery\" width=\"1290\" height=\"726\" src=\"https:\/\/www.youtube.com\/embed\/9IXZBovVFlI?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\">This young man was diagnosed with severe obstructive sleep apnea (OSA), with an Obstructive Sleep Apnea Index AHI of 55.8. He exhibited nearly all of the associated symptoms, including loud snoring, excessive daytime sleepiness, morning headaches, difficulty concentrating, irritability, and anxiety.<\/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_4nXcbNwx3B43iloG6tYFb8TFskwrq8bVRO-BoQHxB4_pTTK25WV-ZeCaGgclxR53j4e3ubqEe-RpQ-ayKCK7U4FQHcnyhgjmyh7NS5cEZ9TXBx5g86L-nO4uAt94cqFu2CztX4JDK2ubtXDYAeXC6pliFlx4keyFSt2j50EIHTFEMQAwiwqU95T.jpg\" alt=\"The preoperative sleep study report showed an AHI of 55.8, indicating severe sleep apnea.\" title=\"\"><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Like many other OSA patients, he refused to use a positive pressure respirator (CPAP) and instead sought other effective treatments. We performed counterclockwise rotational mandibular advancement surgery (MMA) combined with chin advancement surgery. We repositioned the upper and lower jaw bones to the front while tightening the airway muscles (including the soft palate, lateral walls, and tongue base, etc.) to prevent It collapses and relieves the blockage.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">MMA has proven to be one of the most effective surgical methods for treating multiple levels of obstruction (including nasopharynx, soft palate, lateral pharyngeal walls, and tongue base) in a single surgery.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Many studies support that MMA is as effective as CPAP in treating severe OSA. Six months after surgery, the patient&#039;s AHI dropped to 3.9, and almost all related symptoms improved significantly.<\/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_4nXdGZdGuTWhIclKEUW4zIQC8RfBF8HrH9h0eU2vsAOnrc25X3EmHZRK9rM1OedWmHvIKOzbJbaS3RcUGJIQ89_cfiVP2VUESL02plqWD_QWpa3vOgMQ5gYk1_Ar7__W07wc7rabz99OqrRIkgoqLtNjCRmqjkeyFSt2j50EIHTFEMQAwiwqU95T.jpg\" alt=\"Postoperative sleep monitoring report showed that the AHI (Acute Hypoxic Acid Scale) dropped to 3.9.\" title=\"\"><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Preoperative and postoperative photographs and computed tomography scans demonstrated improved facial aesthetics and enlarged airway space.<\/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_4nXfKArrZnZTuGfM-mkdR1oSEtYGwCLipSnvqKk9dyFC2OuuBqQJ_2Y_iw4rhQuaVz9kQwWW2L7gD3a691GecvLcce3qSsoBZA-_nRIWPLoovx8YLj3n6IZbxL8fjy-hxQreNPFGrp1XURn5vjLnjpN7wPrYvkeyFSt2j50EIHTFEMQAwiwqU95T.jpg\" alt=\"Comparison of CT scans of the airway space before and after orthognathic surgery\" 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_4nXeHvpc5bhKusgG6Kus1Hv8yzTIaDP4PjvfQ9-8jJjIIpiFM8e81xSOwkb-QFKb_lSV4VX4SmMdCg9NCTcJyijdR6WKRF1SoELidRtWclIlmkHc4WP85uGf87PLewVkEYA9FBUVDBBu2HKOv6jhubolgvdFDkeyFSt2j50EIHTFEMQAwiwqU95T.jpg\" alt=\"Frontal appearance comparison before and after MMA surgery in patients with severe sleep apnea\" 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_4nXchBLAHSrsFUbsrRD9afhLQG3p7GDTsp7MEsy2ciVQk3mKRW6wNBeonzkFEhuMys_n2m8kkxaazkMJp08aEZW0AuP9G35PXcVJNyV76PyP_mspi-Eil3Dhc17P-I7emHtDJzFoPZf31rUvDaWigtvt0F2EAkeyFSt2j50EIHTFEMQAwiwqU95T.jpg\" alt=\"Comparison of 45-degree angled appearance before and after MMA jaw advancement 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_4nXfxe777rVxxIrI7buVyKhPQBFGYMxbe0i5GB8AYeua-H-j-1gTeeTiLSqNcu-AlCDn916W7HmwUVmPNIK2v2pau29WJvUx99DFmyZ5Q3dp7MeB8xXTtCH7JxBE_Y7gFpTQiolgSHs6tPKr-FTtOHXZ68zXokeyFSt2j50EIHTFEMQAwiwqU95T.jpg\" alt=\"\" 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_4nXdArCQfe55lCBWrjd4fHogcR2-le6JUzeKR986iEVj9WQXtJdKC1kAR6fO7HfL_XIOJXMbgiySuy4bn2GPw7FKSiVi7RqK3FwuYhs3aCRto-uzXQOa_mzBNgi1X79o4yNZCym51jhG8wwblgfIukJdxiAkkeyFSt2j50EIHTFEMQAwiwqU95T.jpg\" alt=\"Comparison of jawline and chin contours before and after MMA 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_4nXdQKXE4tsGbTnicyyHBKJ0v3VvsPtg_AaKV6M_4N_oPZA3sSAm8OyHsRC3eHb4_4iWTLxvlShcQv6NJ7LnSXmbr_PyC1xa0-YW1WUzFhupkdkbTEp8ONK63lJ08n0MJ5NIyw6OGdjmTipNXTOW-ym0Rx323keyFSt2j50EIHTFEMQAwiwqU95T.jpg\" alt=\"Tomographic comparison of craniofacial bones and soft tissues of the side of the face before and after maxillary and mandibular advancement 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_4nXfjBVYx9FFWvqUanSu0ncDPXFMpzzGxhtDAditACMLC0Ii425PvZIfbCm3VG2kDrHLNA4kgP5bZ5nnm_8UH2BmX3MYYSaaPO1mtvWzJyRNPiwMom9knEinTBm6_3PxN9TdTqCCh-mDYp_dMvmskFo0jQ9Z4keyFSt2j50EIHTFEMQAwiwqU95T.jpg\" alt=\"Comparison of 3D tomographic images of the airway before and after orthognathic surgery; increased airway space postoperatively.\" title=\"\"><\/figure>","protected":false},"excerpt":{"rendered":"<p>A young man was troubled by severe obstructive sleep apnea (OSA), with an AHI index as high as 55.8, and symptoms such as loud snoring, daytime sleepiness, headaches, and difficulty concentrating. Because he was unwilling to use a positive-pressure respirator, he underwent mandibular advancement surgery (MMA) combined with chin advancement surgery to successfully expand the airway space. The AHI dropped to 3.9 6 months after the operation, and his symptoms were significantly improved. This case demonstrates the therapeutic effect of MMA surgery on patients with severe OSA, providing patients with a treatment option that does not require respirators.<\/p>","protected":false},"author":20,"featured_media":414,"template":"","class_list":["post-413","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\/413","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\/414"}],"wp:attachment":[{"href":"https:\/\/www.mch-osa.com\/en\/wp-json\/wp\/v2\/media?parent=413"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}