Surgical treatment options for obstructive sleep apnea in maxillofacial surgery: A review of literature review

Subject Areas : Oral and Maxillofacial Surgery

Mehrdad Shahraki ¹ , Sadra Amirpour Haradasht ² , Niloofar EbrahimZade ³

1 - Department of Oral And Maxillofacial Surgery, School of Dentistry Zahedan University of Medical Sciences, Zahedan, Iran
2 - Postgraduate Student, Department of Oral and Maxillofacial Surgery, School of Dentistry, Zahedan University of Medical Sciences, Zahedan, Iran
3 - Faculty of Dentistry, Student Research Committee, School of Dentistry, Zahedan University of Medical Science, Zahedan, Iran

Received: 2024-02-22 Accepted : 2024-11-09 Published : 2024-08-03

Keywords: obstructive sleep apnea, OSA, surgical treatment, maxillofacial surgery, head and neck surgery,

Abstract :

 Background: The purpose of this study was to investigate surgical treatment options for obstructive sleep apnea (OSA) in maxillofacial surgery. Methods: The review study focused on the keywords: obstructive sleep apnea, maxillofacial surgery, and surgical treatment. Articles were chosen based on relevant findings. English language articles were obtained via Google Scholar, Science Direct, PubMed, and Research Gate between November and December 2023. A total of 14 articles met the inclusion criteria and were reviewed. Results: The selected surgical treatment options within maxillofacial surgery for OSA include maxillomandibular advancement (MMA), genioglossus advancement, hyoid suspension, nasal surgery, and palatal surgery. These techniques aim to address anatomical factors contributing to airway collapse during sleep, ultimately improving airflow dynamics and reducing the severity of OSA. Conclusion: Maxillofacial surgical options provide promising alternatives for obstructive sleep apnea patients unable to tolerate CPAP therapy. Techniques are available but require experienced surgeons with a deep understanding of maxillofacial anatomy and sleep medicine. Collaborative efforts between maxillofacial surgeons and sleep medicine specialists are essential for optimal patient outcomes in managing obstructive sleep apnea surgically.