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Treatment of Obstructive Sleep Apnea with Maxillo-mandibular Advancement Surgery: Evaluation and Predictors of Success
Daniel Taub, DMD, MD; Michael Courtney, DMD, MD; and Karl Doghramji, MD
Obstructive sleep apnea (OSA) is a well-recognized disease entity affecting approximately 2% to 4% of the population. Maxillomandibular advancement (MMA) surgery is a highly successful surgical alternative to poorly tolerated CPAP therapy and achieves a success rate of 89% in the current literature. Our present study evaluates the effectiveness of MMA surgery in the treatment of patients with moderate to severe OSA based on Shers criteria of 50% reduction in AHI and AHI < 20. Radiographic and clinical treatment variables were evaluated in determining predictors of success for MMA in individuals with OSA.