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
Home Page Case Study Management of Snoring & Sleep Apnea
Management of Snoring & Sleep Apnea

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

Surgical Plan:
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 Photo Comparison
Before After

Surgical results vary from person to person and should be evaluated by a professional doctor
Before After

Surgical results vary from person to person and should be evaluated by a professional doctor
Before After

Surgical results vary from person to person and should be evaluated by a professional doctor
Before After

Surgical results vary from person to person and should be evaluated by a professional doctor
Before After

Surgical results vary from person to person and should be evaluated by a professional doctor
Before After

Surgical results vary from person to person and should be evaluated by a professional doctor

Computerized tomography
Before After

Surgical results vary from person to person and should be evaluated by a professional doctor

Sleep study report

Surgical results vary from person to person and should be evaluated by a professional doctor


Surgical results vary from person to person and should be evaluated by a professional doctor

Results of surgery vary among patients. Please consult your doctor.
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All Written Contents and Pictures Created by Dr. Adrian M. Hsieh and Dr. Scott H. Jiang

 

 

 

 

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