Improvement in the airway after mandibular distraction osteogenesis surgery in children with temporomandibular joint ankylosis and mandibular hypoplasia

ConclusionMandibular distraction osteogenesis improved laryngeal view. Distraction osteogenesis can be successfully used for the treatment of obstructive sleep apnea in mandibular hypoplasia patients.
Source: Pediatric Anesthesia - Category: Anesthesiology Authors: Tags: Original Article Source Type: research

Related Links:

Crouzon syndrome is an autosomal dominant inheritance that affects the FGFR2 receptors, manifesting as craniosynostosis of the coronal and sagittal sutures. This clinical case reports the treatment of 47-year-old patient C.A.P. whose main complaint was related to obstructive sleep apnea. He reported other syndromic characteristics such as phonetic difficulty, respiratory and masticatory pain, bilateral pain in the temporomandibular joint, and headaches. Clinically, maxillary hypoplasia was observed, associated with exophthalmos and mandibular prognathism.
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - Category: ENT & OMF Authors: Source Type: research
Authors: Yu X, Wang J, Hou S, Zeng R Abstract Temporomandibular joint (TMJ) ankylosis in pediatric patients is rare and may cause severe micrognathia and obstructive sleep apnea syndrome. The present study reports on the treatment and 4-year follow-up of a pediatric patient with early-onset bilateral TMJ ankylosis and severe secondary micrognathia, as well as obstructive sleep apnea syndrome. A typical 'bird face' appearance was noted with severe mandible retrognathism and a significant convex facial profile. The treatment of this patient involved TMJ ankylosis release with condylectomy and simultaneous bilateral m...
Source: Experimental and Therapeutic Medicine - Category: General Medicine Tags: Exp Ther Med Source Type: research
We report a case of a 4-year-old boy who was struggling with OSA due to TMJ ankylosis. He was successfully treated by bilateral mandibular DO. The formation and cortication of the MC is discussed with emphasis on the neural regeneration.
Source: Indian Journal of Dental Research - Category: Dentistry Authors: Source Type: research
Temporomandibular joint ankylosis in children commonly lead to difficulty in feeding, poor oral hygiene, retrognathic mandible and obstructive sleep apnea. Surgical release of the ankylosis has always been the standard treatment. The authors report a 12 year old boy with unilateral temporomandibular joint ankylosis and obstructive sleep apnea underwent surgical release of the ankylosis with successful gain in mouth opening. However, he continued to suffer from obstructive sleep apnea as confirmed by post-operative polysomnography. Orthognathic surgery for mandibular advancement is not favorable due to his young age and man...
Source: Journal of Craniofacial Surgery - Category: Surgery Tags: Brief Clinical Studies Source Type: research
AbstractSleep complaints are frequently reported by patients with temporomandibular disorders (TMD). This review aims to offer dental practitioners and allied specialties a basic understanding of sleep quality, measured it subjectively and objectively, and common sleep disturbances that are present in TMD patients. Guidance in identifying and managing patients with TMD and comorbid sleep related complaints will be provided as well. Dentists should be able to screen sleep disorders such as insomnia, sleep disordered breathing (apnea, snoring), or sleep bruxism, and to refer patients to the appropriate specialist when necess...
Source: Oral Surgery - Category: ENT & OMF Authors: Tags: Invited Review Source Type: research
ConclusionsOSCS is a rare disorder. Diagnosis can often be challenging because other diseases, such as osteopetrosis, pyknodysostosis, Paget disease of bone, and other sclerosing bone dysplasias, make this difficult to diagnose. Radiologists should be aware of the specific radiographic appearance of this condition to aid in the proper diagnosis and management of these patients.
Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology - Category: ENT & OMF Source Type: research
ConclusionsThese three cases lend support to the hypothesis that chronic insomnia and obstructive sleep apnea share a pathophysiology of chronic stress. Among patients with obstructive sleep apnea, the stress response is directed at inspiratory airflow limitation during sleep (hypopnea, snoring, and inaudible fluttering of the throat). Therefore, when chronic insomnia and obstructive sleep apnea occur in one individual, aggressive treatment of obstructive sleep apnea may lead to a reduction in chronic stress that causes the patient ’s chronic insomnia to remit.
Source: Journal of Medical Case Reports - Category: General Medicine Source Type: research
PMID: 30717923 [PubMed - in process]
Source: The Surgical Clinics of North America - Category: Surgery Authors: Tags: Atlas Oral Maxillofac Surg Clin North Am Source Type: research
Publication date: March 2019Source: Atlas of the Oral and Maxillofacial Surgery Clinics, Volume 27, Issue 1Author(s): Rishi Jay Gupta, Rebeka Silva, Stephen T. Connelly
Source: Atlas of the Oral and Maxillofacial Surgery Clinics of North America - Category: ENT & OMF Source Type: research
AbstractPurposeMandibular repositioning devices (MRDs) are an effective treatment option for obstructive sleep apnea syndrome (OSAS), particularly in patients who refuse or cannot tolerate continuous positive airway pressure (CPAP). However, sex differences in the response to therapy and predictors of response are not clearly defined. This analysis of data from the long-term prospective ORCADES trial compared MRD efficacy in men and women with OSAS.MethodsThe ORCADES study included patients with newly diagnosed mild-to-moderate or severe OSAS who refused or were non-compliant with CPAP. MRD therapy was titrated over 3 &nda...
Source: Sleep and Breathing - Category: Respiratory Medicine Source Type: research
More News: Anesthesia | Anesthesiology | Bronchoscopy | Children | Laryngoscopy | Obstructive Sleep Apnea | Pediatrics | Respiratory Medicine | Sleep Apnea | Sleep Disorders | Sleep Medicine | Study | Temporomandibular Disorders