Orthognathic and Obstructive Sleep Apnea

Myron R. Tucker; Richard G. Burton; Aaron D. Figueroa; Vincent Carrao; Riddhi Patel; Bryan Weaver; Gregg A. Jacob; Joseph W. Ivory

doi:10.1007/978-3-030-48880-2_5

Book chapter

Orthognathic and Obstructive Sleep Apnea

Myron R. Tucker, Richard G. Burton, Aaron D. Figueroa, Vincent Carrao, Riddhi Patel, Bryan Weaver, Gregg A. Jacob and Joseph W. Ivory

Oral Board Review for Oral and Maxillofacial Surgery, pp.97-132

Springer International Publishing

12/06/2020

DOI: 10.1007/978-3-030-48880-2_5

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Abstract

This chapter guides the candidate through the workup, analysis, and surgical management of dentofacial deformities. We start with the clinical features of common dentofacial deformities and the corresponding objective and radiographic findings. This aids the candidate in establishing the appropriate skeletal and dental diagnosis. The surgical options to treat the diagnoses are discussed and include management of complications of orthognathic surgery. The nuances of cleft lip and palate are discussed with relation to orthognathic surgery and its implications. The physiology of sleep is discussed as well as the sequelae of untreated obstructive sleep apnea (OSA). Both surgical and nonsurgical management of OSA are discussed. Cases representing common presentation of a patient seeking treatment of dentofacial deformities and OSA are also included. Cephalometric analysis is discussed in great detail as it relates to OSA and dentofacial deformities. An appendix with common cephalometric normal values is provided at the end of the chapter.

AHI

Arch alignment

Bad split

BMI

BSSO

Centric occlusion

Centric relation

Cephalometric analysis

Cheek bone–nasal base–lip contour

Cleft lip and palate

Condylar resorption

Condylar sag

CPAP

Dal Pont modification

Dental compensation

Distraction osteogenesis

Epker modification

Epworth Sleepiness Scale

Facial midline

Facial thirds

Fujita classification

Genioglossus advancement

Genioplasty

Growth evaluation

Hierarchy of stability

Hunsuck modification

IVRO

Lateral cephalogram

LeFort I osteotomy

Mallampati score

Mandibular hyperplasia

Mandibular hypoplasia

Maxillary hyperplasia

Maxillary hypoplasia

Model surgery

Mueller’s maneuver

Nasolabial angle

Nasopharyngoscopy

Negative vector

Open bite

Orthopantogram

OSA

Polysomnography

Posterior airway space

Pseudoaneurysm

REM sleep

SARPE

Scleral show

Skeletal facial deformity

Stanford protocol

Steiner analysis

STOP BANG

Submental vertex

Surgical hooks

Telegnathic surgery

Tooth size discrepancy

Tracheostomy

Transverse discrepancies

Trigeminocardiac reflex

UPPP

Vertical excess

Virtual surgical planning

Wits appraisal

Details

Title: Subtitle: Orthognathic and Obstructive Sleep Apnea
Creators: Myron R. Tucker - Louisiana State University
Richard G. Burton
Aaron D. Figueroa - University of Iowa
Vincent Carrao - Mount Sinai Hospital, Oral & Maxillofacial Surgery, New York, USA
Riddhi Patel - MetroHealth
Bryan Weaver - Memorial Hospital
Gregg A. Jacob - Urology Associates
Joseph W. Ivory - Dwight D. Eisenhower Army Medical Center, Oral and Maxillofacial Surgery, Evans, USA
Resource Type: Book chapter
Publication Details: Oral Board Review for Oral and Maxillofacial Surgery, pp.97-132
Publisher: Springer International Publishing; Cham
DOI: 10.1007/978-3-030-48880-2_5
Language: English
Date published: 12/06/2020
Academic Unit: Oral and Maxillofacial Surgery; Hospital Dentistry; Otolaryngology
Record Identifier: 9984367591402771

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