Maxillofacial Surgery and Nasal CPAP (1)
The treatment of obstructive sleep apnea syndrome (OSAS) dates back to 1969 when Kuhlo et al showed that tracheostomy eliminated the obstructive events during sleep. The concept of bypassing the...
View ArticleMaxillofacial Surgery and Nasal CPAP (2)
Sanders et al analyzed long-term home nasal CPAP therapy and found a compliance rate of 75 percent. Waldhom et al recently reported a longterm compliance rate of 76 percent in a group of 96 patients...
View ArticleMaxillofacial Surgery and Nasal CPAP: Methods (1)
Thirty patients with clinical symptoms of OSAS were included in this study. All patients initially underwent a pretreatment examination that included a systematic clinical evaluation and baseline...
View ArticleMaxillofacial Surgery and Nasal CPAP: Methods (2)
Surgical Evaluation The presurgical evaluation includes a physical examination, fiberoptic pharyngoscopy, and cephalometric analysis. It is one of the most important aspects in treating patients with...
View ArticleMaxillofacial Surgery and Nasal CPAP: Methods (3)
Patients were classified as positive for oropharyngeal obstruction when redundant soft palate tissue or hypertrophic tonsils were noted on pharyngeal examination, the soft palate collapsed against the...
View ArticleMaxillofacial Surgery and Nasal CPAP: Methods (4)
Pblysomnographic Analysis Polysomnograms were performed six months following MMHO and were compared with the results of the baseline diagnostic polysomnogram and night 2 CPAP study. Patients with type...
View ArticleMaxillofacial Surgery and Nasal CPAP: Results (1)
The baseline characteristics of the 30 patients are displayed in Table 1. The mean (±SD) age was 44.8 ± 10.4 years and included seven women and 23 men. The group was morbidly obese with a mean BMI of...
View ArticleMaxillofacial Surgery and Nasal CPAP: Results (2)
All these patients remained symptomatic, and an interval polysomnogram (Table 2) documented no significant change from the findings on their baseline study. The type 2 group characteristically...
View ArticleMaxillofacial Surgery and Nasal CPAP: Results (3)
The evaluation of the sleep-disordered breathing is displayed in Figure 4. The BMI was calculated at the baseline polygraphic recording and at the six-month postsurgical study. While all patients lost...
View ArticleMaxillofacial Surgery and Nasal CPAP: Results (4)
The concept of surgical advancement of the facial skeleton, at first glance, would seem to be an aggressive form of therapy. The postoperative morbidity, however, was very low. The mean hospital stay...
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