Skip to main content

Advertisement

SpringerLink
Log in

A case report on the efficacy of transverse expansion in severe obstructive sleep apnea syndrome

  • Case Report
  • Published:
Sleep and Breathing Aims and scope Submit manuscript

Abstract

Background

The recognition of the role of craniofacial abnormalities in the development of obstructive sleep apnea (OSAS) has led to several treatment strategies to correct or improve craniofacial structures. We report a case of severe OSAS [Apnea Hypopnea Index (AHI) = 80] in which an increase in the transverse dimensions by surgically assisted rapid maxillary expansion and mandibular symphyseal distraction osteogenesis dramatically decreased the OSAS index.

Discussion

Polysomnographic examen 6 months after surgery noticed normalization of the somnographic parameters (AHI = 9). This case report indicates that maxillomandibular transverse expansion can be a useful surgical procedure for treating severe OSAS with transverse deficiency. The results reported in the present case report are encouraging and emphasize the need for further critical evaluations of this potential new approach for the treatment of OSAS.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Barbe Pericas J, Munoz A, Findley L et al (1998) Automobile accidents in patients with sleep apnea syndrome: an epidemiological and mechanistic study. Am J Respir Crit Care Med 158:18–22

    Google Scholar 

  2. Guerrero CA, Bell WH, Contasti GI, Rodriguez AM (1997) Mandibular widening by intraoral distraction osteogenesis. Br J Oral Maxillofac Surg 35(6):383–392

    Article  CAS  PubMed  Google Scholar 

  3. Riley R, Powell N, Guilleminault C (1993) Obstructive sleep apnea syndrome: a surgical protocol for dynamic upper airway reconstruction. J Oral Maxillofac Surg 51:740–742

    Article  Google Scholar 

  4. Cistulli PA, Palmisano RG, Poole MD (1998) Treatment of obstructive sleep apnea syndrome by rapid maxillary expansion. Sleep 21:831–835

    CAS  PubMed  Google Scholar 

  5. Seto BH, Gotsopaulos H, Sims MR, Cistulli PA (2001) Maxillary morphology in obstructive sleep apnea syndrome. Eur J Orthod 23:703–714

    Article  CAS  PubMed  Google Scholar 

  6. Kushida C, Efron B, Guilleminault C (1997) A predictive morphometric model for the obstructive sleep apnea syndrome. Ann Intern Med 127:581–587

    CAS  PubMed  Google Scholar 

  7. Cistulli PA, Richards GN, Palmisano RG et al (1996) Influence of maxillary constriction on nasal resistance and sleep apnea severity in patients with Marfan’s syndrome. Chest 110:1184–1188

    Article  CAS  PubMed  Google Scholar 

  8. Timms DJ (1984) The reduction of nasal airway resistance by rapid maxillary expansion and its effect on respiratory disease. J Laryngol Otol 98:357–3629

    Article  CAS  PubMed  Google Scholar 

  9. Pirelli P, Saponara M, Guilleminault C (2004) Rapid maxillary expansion in children with obstructive sleep apnea syndrome. Sleep 27:761–766

    PubMed  Google Scholar 

  10. Villa MP, Malagola C, Pagani J et al (2007) Rapid maxillary expansion in children with obstructive sleep apnea syndrome: 12-month follow-up. Sleep Med 8:128–134

    Article  PubMed  Google Scholar 

  11. White BC, Woodside DG, Cole P (1989) The effect of rapid maxillary expansion on nasal airway resistance. J Otolaryngol 18:137–143

    CAS  PubMed  Google Scholar 

  12. Koudstaal MJ, Poort LJ, van der Wal KG, Wolvius EB, Prahl-Andersen B, Schulten AJ (2005) Surgically assisted rapid maxillary expansion (SARME): a review of the literature. Int J Oral Maxillofac Surg 34(7):709–714

    Article  CAS  PubMed  Google Scholar 

  13. Guilleminault C, Li KK (2004) Maxillomandibular expansion for the treatment of sleep-disordered breathing: preliminary result. Laryngoscope 114(5):893–896

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Dental Sciences, University of Bologna, Bologna, Italy

    Giulio Alessandri Bonetti

  2. ENT Department, Sant’Orsola-Malpighi Hospital, via Massarenti 9, 40138, Bologna, Italy

    Ottavio Piccin

  3. Department of Oral and Maxillofacial Surgery, University of Bologna, Bologna, Italy

    Lorenzo Lancellotti, Alberto Bianchi & Claudio Marchetti

Authors
  1. Giulio Alessandri Bonetti
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ottavio Piccin
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Lorenzo Lancellotti
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Alberto Bianchi
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Claudio Marchetti
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ottavio Piccin.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bonetti, G.A., Piccin, O., Lancellotti, L. et al. A case report on the efficacy of transverse expansion in severe obstructive sleep apnea syndrome. Sleep Breath 13, 93–96 (2009). https://doi.org/10.1007/s11325-008-0206-6

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11325-008-0206-6

Keywords

Search

Navigation