Sleep-disordered breathing: choosing the right cephalometric analysis.

Purpose: Cephalometry can be helpful for choosing the optimal treatment of sleep apnea. The presence or absence of maxillomandibular retrusion can contribute to the choice of treatment with an oral appliance or a skeleton-based or soft tissue surgery. To measure the position of the maxillomandibular complex, the analysis of Tweed has been cited most often.

Does propulsion mechanism influence the long-term side effects of oral appliances in the treatment of sleep-disordered breathing?

Background: Mandibular advancement appliances (MAAs) can be used to treat sleep-disordered breathing, and differences in their designs have been thought to influence the occurrence of secondary effects. With bibloc devices, the lateral attachments producing mandibular propulsion can be inserted to generate traction or compression. We evaluated the clinical impact of this difference by comparing the long-term secondary effects and compliance of two devices.

The tongue-retaining device: efficacy and side effects in obstructive sleep apnea syndrome.

Study Objectives: The tongue-retaining device is a customized monobloc oral appliance used in the treatment of obstructive sleep apnea syndrome (OSAS). This study evaluated tongue-retaining device efficacy and its tolerance by patients with OSAS.

Methods: The charts of 84 apneic patients were retrospectively analyzed, and patients were contacted by telephone to answer an oral questionnaire.

Complications/adverse effects of maxillomandibular advancement for the treatment of OSA in regard to outcome.

Objective: To evaluate adverse effects/postoperative complications and surgical response rate of maxillomandibular advancement for the treatment of severe obstructive sleep apnea syndrome.

Study Design: Case series with chart review.

Setting: Otolaryngology Head and Neck Surgery Department in a teaching hospital.