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Maxillomandibular Advancement

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The Role of Epiglottis in Obstructive Sleep Apnea

Abstract

Obstructive sleep apnea (OSA) is the most common sleep-related breathing disorder, characterized by recurrent episodes of upper airway collapse at different sites. The epiglottis is an important structure contributing to upper airway collapse that has been largely ignored in early research on OSA. Due to the introduction of drug-induced sleep endoscopy, the importance of epiglottis collapse in OSA has risen. The treatments for OSA targeting this site have also gained more and more interest. In the last two decades, maxillomandibular advancement (MMA) has been demonstrated to be the most effective surgical option for OSA. However, the role of MMA in epiglottis collapse is still poorly understood. According to the limited evidence, MMA may not be an effective treatment for epiglottis collapse, especially in the case of complete anteroposterior epiglottis collapse. Further research is essential to investigate the role of MMA for different types of epiglottis collapse.

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Correspondence to Jean-Pierre T. F. Ho .

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Zhou, N., Ho, JP.T.F., de Lange, J. (2023). Maxillomandibular Advancement. In: Delakorda, M., de Vries, N. (eds) The Role of Epiglottis in Obstructive Sleep Apnea. Springer, Cham. https://doi.org/10.1007/978-3-031-34992-8_25

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  • DOI: https://doi.org/10.1007/978-3-031-34992-8_25

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