Mandibular setback for surgical correction of mandibular hyperplasia — does it provoke sleep-related breathing disorders?
The question has arisen as to whether mandibular setback may possibly cause sleep-related breathing disorders (SRBD). To evaluate the possible effects of mandibular setback on posterior airway space (PAS), 16 consecutive patients were examined prospectively. All patients underwent surgical mandibula...
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| Veröffentlicht in: | International journal of oral and maxillofacial surgery 1996-10, Vol.25 (5), p.333-338 |
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| container_title | International journal of oral and maxillofacial surgery |
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| creator | Hochban, Walter Schürmann, Ralph Brandenburg, Ulrich |
| description | The question has arisen as to whether mandibular setback may possibly cause sleep-related breathing disorders (SRBD). To evaluate the possible effects of mandibular setback on posterior airway space (PAS), 16 consecutive patients were examined prospectively. All patients underwent surgical mandibular setback using bilateral sagittal split osteotomy. Polysomnographic evaluation for SRBD was performed according to the Marburg graded diagnostic protocol before and after surgery. Cephalometric analysis was performed preoperatively, and 1 week, 3 months, and 1 year postoperatively, with particular attention to pharyngeal changes. PAS decreased considerably in all patients. Nevertheless, the preoperative PAS was enlarged in all patients with mandibular hyperplasia compared to normal subjects. Despite the pharyngeal narrowing, there was no evidence of postoperative SRBD in any of these patients. SRBD as a consequence of mandibular setback may be rare; nevertheless, the pharyngeal airway does decrease. |
| doi_str_mv | 10.1016/S0901-5027(06)80024-X |
| format | Article |
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To evaluate the possible effects of mandibular setback on posterior airway space (PAS), 16 consecutive patients were examined prospectively. All patients underwent surgical mandibular setback using bilateral sagittal split osteotomy. Polysomnographic evaluation for SRBD was performed according to the Marburg graded diagnostic protocol before and after surgery. Cephalometric analysis was performed preoperatively, and 1 week, 3 months, and 1 year postoperatively, with particular attention to pharyngeal changes. PAS decreased considerably in all patients. Nevertheless, the preoperative PAS was enlarged in all patients with mandibular hyperplasia compared to normal subjects. Despite the pharyngeal narrowing, there was no evidence of postoperative SRBD in any of these patients. SRBD as a consequence of mandibular setback may be rare; nevertheless, the pharyngeal airway does decrease.</description><identifier>ISSN: 0901-5027</identifier><identifier>EISSN: 1399-0020</identifier><identifier>DOI: 10.1016/S0901-5027(06)80024-X</identifier><identifier>PMID: 8961010</identifier><identifier>CODEN: IJOSE9</identifier><language>eng</language><publisher>Amsterdam: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Cephalometry ; Dentistry ; Female ; Follow-Up Studies ; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics ; Humans ; Hyperplasia ; Male ; Malocclusion, Angle Class III - surgery ; Mandible - pathology ; Mandible - surgery ; mandibular hyperplasia ; mandibular setback ; Maxillofacial surgery. Dental surgery. Orthodontics ; Medical sciences ; obstructive sleep apnea (OSA) ; Orthodontics, Corrective ; Osteotomy - adverse effects ; Pharynx - pathology ; Polysomnography ; Prospective Studies ; Sleep Apnea Syndromes - etiology ; sleep-related breathing disorders (SRBD) ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><ispartof>International journal of oral and maxillofacial surgery, 1996-10, Vol.25 (5), p.333-338</ispartof><rights>1996 Munksgaard International Publishers Ltd.</rights><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c389t-b8dce5e9b56261b2a1258e666ab131a053590d4224ba040776380497e6926a573</citedby><cites>FETCH-LOGICAL-c389t-b8dce5e9b56261b2a1258e666ab131a053590d4224ba040776380497e6926a573</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0901-5027(06)80024-X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3541,27915,27916,45986</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2514700$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8961010$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hochban, Walter</creatorcontrib><creatorcontrib>Schürmann, Ralph</creatorcontrib><creatorcontrib>Brandenburg, Ulrich</creatorcontrib><title>Mandibular setback for surgical correction of mandibular hyperplasia — does it provoke sleep-related breathing disorders?</title><title>International journal of oral and maxillofacial surgery</title><addtitle>Int J Oral Maxillofac Surg</addtitle><description>The question has arisen as to whether mandibular setback may possibly cause sleep-related breathing disorders (SRBD). To evaluate the possible effects of mandibular setback on posterior airway space (PAS), 16 consecutive patients were examined prospectively. All patients underwent surgical mandibular setback using bilateral sagittal split osteotomy. Polysomnographic evaluation for SRBD was performed according to the Marburg graded diagnostic protocol before and after surgery. Cephalometric analysis was performed preoperatively, and 1 week, 3 months, and 1 year postoperatively, with particular attention to pharyngeal changes. PAS decreased considerably in all patients. Nevertheless, the preoperative PAS was enlarged in all patients with mandibular hyperplasia compared to normal subjects. Despite the pharyngeal narrowing, there was no evidence of postoperative SRBD in any of these patients. SRBD as a consequence of mandibular setback may be rare; nevertheless, the pharyngeal airway does decrease.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cephalometry</subject><subject>Dentistry</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Humans</subject><subject>Hyperplasia</subject><subject>Male</subject><subject>Malocclusion, Angle Class III - surgery</subject><subject>Mandible - pathology</subject><subject>Mandible - surgery</subject><subject>mandibular hyperplasia</subject><subject>mandibular setback</subject><subject>Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Medical sciences</subject><subject>obstructive sleep apnea (OSA)</subject><subject>Orthodontics, Corrective</subject><subject>Osteotomy - adverse effects</subject><subject>Pharynx - pathology</subject><subject>Polysomnography</subject><subject>Prospective Studies</subject><subject>Sleep Apnea Syndromes - etiology</subject><subject>sleep-related breathing disorders (SRBD)</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><issn>0901-5027</issn><issn>1399-0020</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkctu1TAQQC0EKpfCJ1TyAiFYBMZO7Nirqqp4SUUsAKk7y49Ja5obBzupVLHhI_hCvoSk9-qyZOWx5sxDZwg5YfCaAZNvvoAGVgng7UuQrxQAb6rLB2TDaq2r5QcPyeaAPCZPSvkOALpW7RE5UlouTWBDfn6yQ4hu7m2mBSdn_Q3t0hLP-Sp621OfckY_xTTQ1NHtP_r6bsQ89rZES__8-k1DwkLjRMecbtMN0tIjjlXG3k4YqMtop-s4XNEQS8oBczl9Sh51ti_4bP8ek2_v3n49_1BdfH7_8fzsovK10lPlVPAoUDshuWSOW8aFQimldaxmFkQtNISG88ZZaKBtZa2g0S1KzaUVbX1MXuz6Lqv9mLFMZhuLx763A6a5mFZJpoRcQbEDfU6lZOzMmOPW5jvDwKzSzb10sxo1IM29dHO51J3sB8xui-FQtbe85J_v87YsTrtsBx_LAeOCNS2s2OkOw0XGbcRsio84eAxxPYEJKf5nkb846aAS</recordid><startdate>19961001</startdate><enddate>19961001</enddate><creator>Hochban, Walter</creator><creator>Schürmann, Ralph</creator><creator>Brandenburg, Ulrich</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19961001</creationdate><title>Mandibular setback for surgical correction of mandibular hyperplasia — does it provoke sleep-related breathing disorders?</title><author>Hochban, Walter ; Schürmann, Ralph ; Brandenburg, Ulrich</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-b8dce5e9b56261b2a1258e666ab131a053590d4224ba040776380497e6926a573</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cephalometry</topic><topic>Dentistry</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Humans</topic><topic>Hyperplasia</topic><topic>Male</topic><topic>Malocclusion, Angle Class III - surgery</topic><topic>Mandible - pathology</topic><topic>Mandible - surgery</topic><topic>mandibular hyperplasia</topic><topic>mandibular setback</topic><topic>Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Medical sciences</topic><topic>obstructive sleep apnea (OSA)</topic><topic>Orthodontics, Corrective</topic><topic>Osteotomy - adverse effects</topic><topic>Pharynx - pathology</topic><topic>Polysomnography</topic><topic>Prospective Studies</topic><topic>Sleep Apnea Syndromes - etiology</topic><topic>sleep-related breathing disorders (SRBD)</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hochban, Walter</creatorcontrib><creatorcontrib>Schürmann, Ralph</creatorcontrib><creatorcontrib>Brandenburg, Ulrich</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of oral and maxillofacial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hochban, Walter</au><au>Schürmann, Ralph</au><au>Brandenburg, Ulrich</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mandibular setback for surgical correction of mandibular hyperplasia — does it provoke sleep-related breathing disorders?</atitle><jtitle>International journal of oral and maxillofacial surgery</jtitle><addtitle>Int J Oral Maxillofac Surg</addtitle><date>1996-10-01</date><risdate>1996</risdate><volume>25</volume><issue>5</issue><spage>333</spage><epage>338</epage><pages>333-338</pages><issn>0901-5027</issn><eissn>1399-0020</eissn><coden>IJOSE9</coden><abstract>The question has arisen as to whether mandibular setback may possibly cause sleep-related breathing disorders (SRBD). To evaluate the possible effects of mandibular setback on posterior airway space (PAS), 16 consecutive patients were examined prospectively. All patients underwent surgical mandibular setback using bilateral sagittal split osteotomy. Polysomnographic evaluation for SRBD was performed according to the Marburg graded diagnostic protocol before and after surgery. Cephalometric analysis was performed preoperatively, and 1 week, 3 months, and 1 year postoperatively, with particular attention to pharyngeal changes. PAS decreased considerably in all patients. Nevertheless, the preoperative PAS was enlarged in all patients with mandibular hyperplasia compared to normal subjects. Despite the pharyngeal narrowing, there was no evidence of postoperative SRBD in any of these patients. SRBD as a consequence of mandibular setback may be rare; nevertheless, the pharyngeal airway does decrease.</abstract><cop>Amsterdam</cop><pub>Elsevier Ltd</pub><pmid>8961010</pmid><doi>10.1016/S0901-5027(06)80024-X</doi><tpages>6</tpages></addata></record> |
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| ispartof | International journal of oral and maxillofacial surgery, 1996-10, Vol.25 (5), p.333-338 |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adolescent Adult Biological and medical sciences Cephalometry Dentistry Female Follow-Up Studies Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics Humans Hyperplasia Male Malocclusion, Angle Class III - surgery Mandible - pathology Mandible - surgery mandibular hyperplasia mandibular setback Maxillofacial surgery. Dental surgery. Orthodontics Medical sciences obstructive sleep apnea (OSA) Orthodontics, Corrective Osteotomy - adverse effects Pharynx - pathology Polysomnography Prospective Studies Sleep Apnea Syndromes - etiology sleep-related breathing disorders (SRBD) Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases |
| title | Mandibular setback for surgical correction of mandibular hyperplasia — does it provoke sleep-related breathing disorders? |
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