SpringerLink
Log in

Distraction Osteogenesis as a reliable method in management of Obstructive Sleep Apnoea (OSA) secondary to TMJ Ankylosis: A Case Report

  • Clinical Report
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Obstructive sleep apnoea (OSA) is identified as repetitive and intermittent upper airway collapse or narrowing during sleep. Skeletal advancement through maxillomandibular surgery remains the most effective surgical treatment for OSA but is radical with certain relapse rate. Distraction Osteogenesis of mandible is a single-jaw surgical treatment alternative to bi-jaw surgeries having lesser complications.

This case report describes successful management of a 46-year-old patient who reported with a chief complain of obstruction in breathing while slee** since one year. Obstructive Sleep Apnoea (OSA) secondary to a retrognathic mandible was the final diagnosis, which was successfully treated by Distraction Osteogenesis (DO) of the mandible. The case showed enhancement in airway by 13mm and marked forward movement of Point-B (SNB increased by 6 degrees). The Epworth Sleepiness Scale value decreased from 19mm to 8 mm indicating substantial increase in the airway with stable results after 18 months of follow-up (elimination of symptoms and subsequent sound sleep).

Distraction osteogenesis is an effective and reliable method to treat obstructive sleep apnoea secondary to retrognathic mandible.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7

Similar content being viewed by others

References

  1. Tomonari H, Takada H, Hamada T, Kwon S, Sugiura T, Miyawaki S (2017 Nov) Micrognathia with temporomandibular joint ankylosis and obstructive sleep apnea treated with mandibular distraction osteogenesis using skeletal anchorage: a case report. Head Face Med 10(1):20

  2. Breik O et al (2016) Mandibular distraction osteogenesis for the management of upper airway obstruction in children with micrognathia: a systematic review. Int J Oral Maxillofac Surg. https://doi.org/10.1016/j.ijom.2016.01.009

    Article  PubMed  Google Scholar 

  3. Prinsell JR (1999) Maxillomandibular advancement surgery in a site-specific treatment approach for obstructive sleep apnoea in 50 consecutive patients. Chest. Dec 1;116(6):1519-29

  4. Li N, Li HP, Wang P, Yan YR, Li SQ, Li QY (2019) Nocturnal Mean Oxygen Saturation is Associated with secondary Polycythemia in Young adults with obstructive sleep apnoea, especially in men. Nat Sci Sleep 11:377

    Article  PubMed  PubMed Central  Google Scholar 

  5. Goyal M, Johnson J. Obstructive sleep apnoea diagnosis and management. Missouri medicine. 2017 Mar;114(2):120.

  6. Brevi B, Di Blasio A, Di Blasio C, Piazza F, D’ASCANIO L, Sesenna E. Which cephalometric analysis for maxillo-mandibular surgery in patients with obstructive sleep apnoeasyndrome?. Acta OtorhinolaryngologicaItalica. 2015 Oct;35(5):332.

  7. Yu X, Wang J, Hou S, Zeng R. Mandibular distraction osteogenesis in the treatment of pediatric temporomandibular joint ankylosis with micrognathia and obstructive sleep apnea syndrome: A case report with 4-year follow-up. Exp Ther Med. 2019 Dec;18(6):4888–4892.

  8. Rejas J, Ballestro S, Angulo JC, Brenes JF, Arumi D, et al. (2017) The Sequential Treatment of Temporomandibular Joint Ankylosis with Secondary Deformities by Distraction Osteogenesis. J Sleep Med Disord 3(7): 1071.

Download references

Funding

Nil.

Author information

Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Sinhgad Dental College and Hospital, Pune, Maharashtra, India

    Sanjay Shaligram Chandan & Rashmi Vikrant Sane

  2. Department of OMFS, Bharati Vidyapeeth (Deemed to be) University Dental College and Hospital, Katraj, Pune, Maharashtra, India

    Vikrant Dilip Sane & Vivek Sunil Nair

  3. Oral Medicine and Radiology, Bharati Vidyapeeth (Deemed to be) University Dental College and Hospital, Pune, India

    Rashmi Vikrant Sane

Authors
  1. Sanjay Shaligram Chandan
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Vikrant Dilip Sane
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Vivek Sunil Nair
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Rashmi Vikrant Sane
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Vikrant Dilip Sane.

Ethics declarations

Conflict of interest

There are no conflicts of interest.

Ethics approval and consent to participate

The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Chandan, S.S., Sane, V.D., Nair, V.S. et al. Distraction Osteogenesis as a reliable method in management of Obstructive Sleep Apnoea (OSA) secondary to TMJ Ankylosis: A Case Report. Indian J Otolaryngol Head Neck Surg 75, 2470–2476 (2023). https://doi.org/10.1007/s12070-023-03770-w

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-023-03770-w

Keywords

Search

Navigation