{"id":433,"date":"2024-11-28T16:56:58","date_gmt":"2024-11-28T08:56:58","guid":{"rendered":"https:\/\/www.mch-osa.com\/?post_type=case&#038;p=433"},"modified":"2026-08-31T18:46:10","modified_gmt":"2026-08-31T10:46:10","slug":"case12","status":"publish","type":"case","link":"https:\/\/www.mch-osa.com\/en\/case\/case12\/","title":{"rendered":"Severe sleep apnea: Decided to undergo MMA orthognathic surgery for the sake of the child"},"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 Multi-level airway widening<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">postoperative changes<\/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=\"My wife finally doesn\u2019t have to wear earplugs anymore! A patient&#039;s orthognathic surgery journey | Orthognathic surgery case testimony | Fenghua Joint Clinic\" width=\"1290\" height=\"726\" src=\"https:\/\/www.youtube.com\/embed\/5xsZY3mAhEQ?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 is a patient diagnosed with severe sleep apnea (severe obstructive sleep apnea\/OSA) (AHI=69.8). The experience is similar to that of many patients. First, the snoring is so loud that his partner has to wear earplugs every day when sleeping. situation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">After the birth of a child, one cannot always ask the child to wear earplugs obediently. In addition to causing trouble to his family, long-term sleep deprivation at night also causes severe daytime somnolence. For himself and his family, he is determined to take good care of it.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">He tried almost every non-surgical method that would be recommended: side sleeping, CPAP, and mandibular advancement device (MAD), but the results were very limited because his AHI value was too high.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Therefore, he decided to undergo the surgery with the highest success rate currently: MMA (maxillo-mandibular advancement) (a type of orthognathic surgery). After surgery, the AHI value dropped from 69.8 to 13, and the minimum blood oxygen concentration during sleep also increased from the dangerous 53% to 83%.<\/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_4nXeUvExuu95V3P7QOa4Q9fIJ39nrH4lelKhMsoUnidNqxJc7gIF1pPv1HqtjtrzcYkonqPlw-sX0C06NZG_xuRiRkIXhOuPwER2Epf2K-f5hcH9DHNJ3Mc6QTVQl6CYHLzVghUV7O4oogrP2D_xpvomqCZYtkeyxrXfV-YzRzbXuzZOhlDbZ1Vu.jpg\" alt=\"A comparison of sleep monitoring reports before and after surgery showed that the AHI decreased from 69.8 to 13, and the lowest blood oxygen level increased from 531 TP3T to 831 TP3T.\" title=\"\"><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">But, the most important thing is that he feels very energetic during the day, he does not feel drowsy when driving, his physical strength has improved, his weight and blood pressure have gradually dropped, and his wife no longer needs to use earplugs.<\/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_4nXf8e-YXnlQ1FgCeaIUuDgq-QDYtzcnMW7LyEcKS5oj8VtRq1oJPiKI6ERq-7bpGqhp6uUMYROgefb5gbARDsE0Axsh3dHNgqce3udxgCX1e3GJ7weGXpB5zCxc1m1D8nLLI3YLh-ddROdYzx0msETQ67n4keyxrXfV-YzRzbXuzZOhlDbZ1Vu.jpg\" alt=\"Frontal appearance comparison of patients with severe sleep apnea 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_4nXdvHOH7II0mb7hcrwMzxcY7tWLbE7lrMNeg0UC0xRze1cqHeYiTgyO6-sd2LE3q5EvpkV430Uk-d9wRrvysG8bYsBm9ZP4uanx1NYBUZUP73JIfD3_3mmUJNpKBUIc1chb-_AGBiN1sOrUtA80dV_BenOMkeyxrXfV-YzRzbXuzZOhlDbZ1Vu.jpg\" alt=\"Comparison of 45-degree bevel 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_4nXfLhalUEWhYHnvZY4lnCbBg0oG1M-IrUPHHVzjQ_bcfBBoUs-2wM5jEd-jrsGkDYJyuPVZwaUbmxdLRS_y-RleBsz4I1FNDZ15VswLgqzFhcbpGvhjFLYzngHYolhSpUhoAbT9qDNX15_0eMjEdp0UyWkkeyxrXfV-YzRzbXuzZOhlDbZ1Vu.jpg\" alt=\"Comparison of facial and jawline lines from the side and back view 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_4nXdGrAelXQf04e7JhT9qC4mByG5Q8wc0XGeX57MnCVlD9wGVtD9dGOpvMtS7mCdhONH3M-BopGctDIE8JeAoiLhDHuBumi6RkCemKWK1ytsfIPZ1oUsbqYs-I4lVtV9Ok594MWCxwuX2ip7PUDLl7pIhnZgkeyxrXfV-YzRzbXuzZOhlDbZ1Vu.jpg\" alt=\"Computed tomography (CT) images of the airway before and after MMA orthognathic surgery: red indicates narrowing, and blue indicates widening.\" 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_4nXevhGlp95P_Fvv4NWBbNVPzC7jYPVDkEAJPMhK1IKEsozonkzXaLzGLKk2E_AMG_obCkO7eolO8B8K6nh2ZKZX3yyLcRw07sYuiGqB2MfLSkGC7fX1ksiMOqJOQGVvK_GG_-rT9TY0NSIIjj29U_MR0TDgkeyxrXfV-YzRzbXuzZOhlDbZ1Vu.jpg\" alt=\"Comparison of lateral craniofacial bones before and after MMA orthognathic surgery; fixation plates are visible postoperatively.\" title=\"\"><\/figure>","protected":false},"excerpt":{"rendered":"<p>A patient with severe sleep apnea (AHI=69.8) decided to seek treatment because of severe snoring that affected his family&#039;s quality of life, especially after the birth of his child, and daytime sleepiness. After trying non-surgical methods such as side sleeping, positive pressure respirators, and anti-snoring braces with limited results, I finally chose to undergo MMA orthognathic surgery. After the operation, the AHI dropped from 69.8 to 13, and the minimum blood oxygen concentration during sleep increased from 53% to 83%. This not only improved the mental and physical strength, but also made the family no longer need to wear earplugs to sleep.<\/p>","protected":false},"author":20,"featured_media":434,"template":"","class_list":["post-433","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\/433","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\/434"}],"wp:attachment":[{"href":"https:\/\/www.mch-osa.com\/en\/wp-json\/wp\/v2\/media?parent=433"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}