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Skeletal surgery in sleep apnea

Meslemani, Danny; Jones, Lamont R.

Current Opinion in Otolaryngology & Head and Neck Surgery: August 2011 - Volume 19 - Issue 4 - p 307–311
doi: 10.1097/MOO.0b013e328348842e
Maxillofacial surgery: Edited by Sherard A. Tatum

Purpose of review Obstructive sleep apnea (OSA) is a common condition, increasing in incidence along with obesity in Americans. This review looks at skeletal surgery to treat sleep apnea and recent advancements.

Recent findings Skeletal surgery for OSA has improved with recent advancements in surgical genioplasty now able to advance the genioglossus as well as inferior mandible muscles without changing aesthetics. Some investigators have called for maxillomandibular advancement to be considered as a first-line therapy over continuous positive airway pressure.

Summary Maxillomandibular advancement appears safe and effective for consideration as a first-line therapy for select patients with OSA.

Department of Otolaryngology–Head and Neck Surgery, Henry Ford Hospital, Detroit, Michigan, USA

Correspondence to Lamont R. Jones, MD, Department of Otolaryngology–Head and Neck Surgery, Henry Ford Hospital, 2799W. Grand Blvd K-8, Detroit, MI 48202, USA Tel: +1 313 916 5722; fax: +1 313 916 7262; e-mail:

© 2011 Lippincott Williams & Wilkins, Inc.