Management of Snoring & Sleep Apnea - 謝明吉、姜厚任 顎顏面 美學 重建 專科診所-風華整形聯合診所
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Case Study
Management of Snoring & Sleep Apnea

Preoperative Symptoms：
Obstructive sleep apnea
receding chin-jaw and symptoms

Surgical Plan：
3D Custom-Made Orthognathic Surgery

He is a typical patient diagnosed of moderate obstructive sleep apnea (AHI = 22.9)(ESS = 14 meaning excessively sleepy) with a receding chin-jaw and symptoms of sleep fragmentation. He was prescribed of continuous positive airway pressure (CPAP) but ended with intolerance. Considering the comprehensive treatment goals of highest success rate, facial aesthetics and bite function, he decided to undergo combined orthodontics-orthognathics approach (counter-clock wise maxillo-mandibular advancement)(CCW-MMA). 6 months post-op AHI = 2.7 (meaning cured) and ESS = 2 (meaning not abnormally sleepy). He is satisfied with the aesthetics improvement coming along with the treatment as well.

AHI, apnea-hypopnea index
ESS, the Epworth sleepiness scale
Before and After Surgery Photos
Before After
Results of surgery vary among patients. Please consult your doctor
Before After

Results of surgery vary among patients. Please consult your doctor
Before After

Results of surgery vary among patients. Please consult your doctor
Before After

Results of surgery vary among patients. Please consult your doctor
Before After

Results of surgery vary among patients. Please consult your doctor
Before After

Results of surgery vary among patients. Please consult your doctor
Before and After Surgery Computerized Tomography
Before After

Results of surgery vary among patients. Please consult your doctor


Results of surgery vary among patients. Please consult your doctor


Results of surgery vary among patients. Please consult your doctor

Results of surgery vary among patients. Please consult your doctor.
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Results of surgery vary among patients. Please consult your doctor.