Orthognathic surgery in the management of obstructive sleep apnoea: experience from maxillofacial surgery unit in the United Kingdom.

摘要: In the United Kingdom, maxillofacial techniques are underused in treatment of obstructive sleep apnoea (OSA). We retrospectively analysed details and relevant clinical data consecutive patients who had operations for OSA at unit Leicester between 2002 2012. They been referred from local clinic after investigation diagnosis, all cases with continuous positive airway pressure (CPAP) failed. compared preoperative postoperative apnoea/hypopnoea indices (AHI), scores Epworth sleepiness scale (ESS), lowest oxygen saturation to measure surgical success (AHI less than 15 a 50% reduction number apnoeas or hypopnoea/hour) cure 5). identified 51 (mean age 44 years, range 21-60) mean (SD) body mass index (BMI) 29 (3.4). Most bimaxillary advancement genioplasty (n=42). Differences values were significant 3 outcome measures (AHI: 42 (17) 8 (7) p<0.001; ESS: 14 (4) 5 saturation: 76% (11%) 83% (7%); p=0.006). On study 85% met criteria success. Our experience has confirmed that results high rate OSA. The operation role management selected UK do not adhere CPAP.