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Sleep Apnoea Syndrome associated with maxillofacial abnormalities

Published online by Cambridge University Press:  29 June 2007

Cesar Colmenero ,
Rosa Esteban ,
Apolinar R. Albarino  and
Bartolome Colmenero
Cesar Colmenero*
Affiliation:
Department of Oral and Maxillofacial Surg. Department of Pneumology, Universidad Autonoma, Madrid, Spain.
Rosa Esteban
Affiliation:
Department of Oral and Maxillofacial Surg. Department of Neurophysiology, Universidad Autonoma, Madrid, Spain.
Apolinar R. Albarino
Affiliation:
Department of Oral and Maxillofacial Surg. Ciudad Sanitaria ‘La Paz’, Universidad Autonoma, Madrid, Spain.
Bartolome Colmenero
Affiliation:
Department of Oral and Maxillofacial Surg. Department of Pneumology, Universidad Autonoma, Madrid, Spain.
*
Dr Cesar Colmenero, Calle D. Ramon de la Cruz n 83 Piso l.C, 28006 Madrid, Spain.
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Abstract

Four cases with Obstructive Sleep Apnoea Syndrome (OSAS) are presented. They consisted of two cases with TMJ ankylosis with micrognathia, one case with Treacher Collins Syndrome, and one case with the Long Face Syndrome.

Standard and specific cephalometric parameters were obtained to detect the site of the obstruction. Polysomnographic studies yielded information regarding the patient's sleep-wake state, respiratory and cardiac functioning, pre- and post-operatively. A temporary tracheostomy corrected the symptoms in one patient but the syndrome recurred when it was closed. Surgical correction of the maxillofacial anomalies will reestablish normal sleep patterns preventing OSAS.

Keywords

Sleep apnea syndromesMaxillofacial development
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 105 , Issue 2 , February 1991 , pp. 94 - 100
Copyright
Copyright © JLO (1984) Limited 1991

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References

Bear, S. E., Priest, J. H. (1980) Sleep apnea syndrome: correction with surgical advancement of the mandible. Journal of Oral Surgery, 38: 543–549.Google ScholarPubMed
Block, A. J., Faulkner, J. A., Hughes, R. L. (1984) Factors influencing the upper airway closure. Chest, 86: 114–122.Google Scholar
Bonham, P. E., Currier, F. G., Orr, W. C., Othaman, J., Nanda, R. (1988) The effect of modified functional appliance on obstructive sleep apnea. American Journal Orthodontics and Dentofacial Orthopedics, 94: 384–392.Google Scholar
Bowes, G., Woolf, G. M., Sullivan, C. E., Phillipson, E. A. (1980) Effect of sleep fragmentation on ventilatory and arousal responses of sleeping dogs to respiratory stimuli. American Review Respiratory Diseases, 122: 889–894.Google Scholar
Chaban, R., Cole, P., Hoffstein, V. (1988) Site of upper airway obstruction in patients with idiopathic obstructive sleep apnea. Larygnoscope, 98: 641–647.CrossRefGoogle ScholarPubMed
Dempsey, J. A., Skatrud, J. B. (1988) Fundamental effects sleep state of breathing. Current pulmonology, Simmons, D.H. Year Book Medical Publishers Inc. Vol. 9: p 267–304.Google Scholar
Graham, C. R. The effect of superior repositioning of the maxilla on nasal airway resistance and air flow: a short term study. Master's Thesis (1977). University of California.Google Scholar
Guenthner, T. A., Howard, A., Sather, B., Kern, E. (1984) The effect of the LeFort I maxillary impaction on nasal airway resistance. American Journal Orthodontics and Dentofacial Orthopedics, 85: 308–315.Google Scholar
Guilleminault, C., Van den Hoed, J., Mitler, M. N. (1978) Clinical overview of the sleep apnoa syndromes. In: Sleep Apnea Syndromes. (Guilleminault, C., Dement, W. C. eds.) Alan R. Liss Inc., New York: p. 1–12.Google Scholar
Guilleminault, C., Riley, R., Powell, N. (1984) Obstructive sleep apnea and abnormal cephalometric measurements. Chest, 86: 793–794.CrossRefGoogle ScholarPubMed
Johnston, C., Taussing, L., Koopmann, C., Smith, P., Bjelland, J. (1981) Obstructive sleep apnea in Treacher Collins Syndrome. Cleft Palate Journal, 18: 39–44.Google Scholar
Khosla, T., Lowe, F. R. (1967) Indices of obesity derived from body weight and height. British Journal of Preventive and Social Medicine, 21: 122–198.Google ScholarPubMed
Krieger, J., Weitzenblum, E., Racineux, J. L. (1987) Maladies respiratoires L'adults chroniques de ladulte et sommeil. Chronic respiratory disease and sleep in adults. Bulletin European Physiopathologie Respiratorie, 23: 479–499.Google Scholar
Lauritzen, C. B., Lilja, J., Jarlstedt, J. (1986) Airway obstruction and sleep apnea in children with craniofacial anomalies. Plastic and Reconstructive Surgery, 77: 1–5.Google Scholar
Linder-Aronson, S. (1970) Adenoids: their effect on mode of breathing and nasal airflow and their relationship to characteristics of the facial skeleton and the dentition. Acta Otolaryngologica, 265: 1–132.Google Scholar
Lowe, A. A., Santamaria, J. D., Fleetham, J. A., Price, C. (1986) Facial morphology and obstructive sleep apnea. American Journal Orthodontics and Dentofacial Orthopedics, 90:484–491.CrossRefGoogle ScholarPubMed
Olsen, K. D., Kern, E. B., Westbrook, P. R. (1981) Sleep and breathing disturbances secondary to nasal obstruction. Otolaryngology—Head and Neck Surgery, 98: 804–810.Google Scholar
Onal, T., Lapata, M. (1982) Pathogenesis of apneas and hypersomnia sleep apnea syndrome. American Review of Respiratory Diseases, 125: 167–174.Google Scholar
Powell, N., Guilleminault, C., Riley, R., Smith, L. (1983) Mandibular advancement and obstructive sleep apnea syndrome. Bulletin European Physiopologie Respiratorie, 19: 607–610.Google Scholar
Principato, J. J., Wolf, P. (1985) Nasal resistance in the pediatric age group. Presented at the Middle Section Meetings of the American Laryngological, Rhinological and Otological Society, Laryngoscope, 95: 1067–1069.Google Scholar
Rechlschaffen, A., Kales, A. (1968) A manual of standardized terminology, techniques and scoring systems of sleep stages of human subjects. Los Angeles: Brain Information Service-Brain Research Institution, UCLA.Google Scholar
Remmers, J. E., De Groot, W. J., Sauerland, E. K., Anch, A. M. (1978) Pathogenesis of upper airway occlusion during sleep. Journal of Applied Physiology, 44: 931–938.Google Scholar
Riley, R., Powell, N., Guilleminault, C. (1986) Maxillary mandibular and hyoid advancement: alternative to tracheostomy in obstructive sleep apnea syndrome. Otolaryngology—Head and Neck Surgery, 94: 584–593.Google Scholar
Riley, R., Powell, N., Guilleminault, C. (1987) Current surgical concepts for treating obstructive sleep apnea syndrome. Journal of Oral and Maxillofacial Surgery, 45: 149–157.CrossRefGoogle ScholarPubMed
Riley, R., Powell, N., Guilleminault, C. (1990) Maxillary, mandibular and hyoid advancement for treatment of obstructive sleep apnea. Journal of Oral and Maxillofacial Surgery, 48: 20–26.Google Scholar
Rivlin, J., Hoffstein, V., Kalbleisch, J., McNicholas, W., Zamel, N., Bryan, A. (1984) Upper airway morphology in patients with idiopathic obstructive sleep apnea. American Review of Respiratory Diseases, 129: 355–360.Google Scholar
Rojewski, T. E., Schuller, D. E., Clarke, R. W., Schmidt, H. S., Potts, R. E. (1984) Video endoscopic determination of the mechanisms of obstruction in obstructive sleep apnea. Otolaryngology—Head and Neck Surgery, 92: 127–131.Google Scholar
Spire, J. P., Kuo, P. C., Cambell, N. (1983) Maxillofacial surgical approach: an introduction and review of mandibular advancement for OSAS. Bulletin European Physiopathologie Respiratorie, 19: 604–606.Google Scholar
Sukerman, S., Healy, G. B. (1979) Sleep apnea syndrome associated with upper airway obstruction. Laryngoscope, 89:878–885.Google Scholar
Surat, P. M., Dee, P., Atkinson, R. L., Armstrong, P., Stephen, W. (1983) Fluoroscopic and computed tomographic features of the pharyngeal airway in obstructive sleep apnea. American Review of Respiratory Diseases, 127: 487–492.Google Scholar
Waite, P. D., Wooten, V., Lachner, J., Guyette, R. F. (1989) Maxillomandibular advancement surgery in 23 patients with obstructive sleep apnea syndrome. Journal of Oral and Maxillofacial Surgery, 47: 1256–1261.CrossRefGoogle ScholarPubMed