Takako Sato, Ryota Nakamura, Akio Himejima, Akemi Kusano, Se-rin Kang, S. Ohtani, K. Yamada, Kanako Yamagata, Hiroaki Azaki, Junya Aoki, Keiichi Yanagawa, K. Shinozuka, T. Yamada, M. Tonogi
{"title":"The Effects of Maxillomandibular Advancement and Genioglossus Advancement on Sleep Quality","authors":"Takako Sato, Ryota Nakamura, Akio Himejima, Akemi Kusano, Se-rin Kang, S. Ohtani, K. Yamada, Kanako Yamagata, Hiroaki Azaki, Junya Aoki, Keiichi Yanagawa, K. Shinozuka, T. Yamada, M. Tonogi","doi":"10.5772/intechopen.89296","DOIUrl":null,"url":null,"abstract":"Maxillomandibular advancement (MMA) using a standardized surgical procedure consisting of a LeFort I osteotomy and bilateral sagittal split ramus osteotomy and genioglossus advancement (GA) using a genioplasty improve airway volume, oxygen desaturation, and the AHI in patients with OSA. However, there are few reports on changes in sleep quality following MMA and GA. We assessed the effects of MMA and GA on sleep quality by comparing oxygen desaturation, AHI, and sleep architecture before and after surgery. Methods: Eight patients underwent polysomnography (PSG) and CT scan before and after surgery. Conclusions: Our study finds that %TST and %REM were both increased, while %S1 and NA both decreased. Based on these results, it appears that both the quality and quantity of sleep were improved. MMA and GA improve sleep respiratory disturbance and can also improve sleep quality.","PeriodicalId":178770,"journal":{"name":"Maxillofacial Surgery and Craniofacial Deformity - Practices and Updates","volume":"36 1 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2019-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Maxillofacial Surgery and Craniofacial Deformity - Practices and Updates","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5772/intechopen.89296","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Maxillomandibular advancement (MMA) using a standardized surgical procedure consisting of a LeFort I osteotomy and bilateral sagittal split ramus osteotomy and genioglossus advancement (GA) using a genioplasty improve airway volume, oxygen desaturation, and the AHI in patients with OSA. However, there are few reports on changes in sleep quality following MMA and GA. We assessed the effects of MMA and GA on sleep quality by comparing oxygen desaturation, AHI, and sleep architecture before and after surgery. Methods: Eight patients underwent polysomnography (PSG) and CT scan before and after surgery. Conclusions: Our study finds that %TST and %REM were both increased, while %S1 and NA both decreased. Based on these results, it appears that both the quality and quantity of sleep were improved. MMA and GA improve sleep respiratory disturbance and can also improve sleep quality.
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