Resumo

PINTO, Leonardo Augustus Peral Ferreira et al. Maxillomandibular advancement in the treatment of Obstructive Sleep Apnea and Hypopnea Syndrome. Rev. cir. traumatol. buco-maxilo-fac. [online]. 2013, vol.13, n.1, pp. 09-12. ISSN 1808-5210.

Introduction: obstructive sleep apnea and hypopnea syndrome is a disease that causes great incon-venience to the patient. Several types of treatment have been proposed, ranging from clinical to surgical procedures involving either the oro-nasopharynx alone or the face as a whole. objective: Case report of a patient with the syndrome, classified as severe, surgically treated with maxillomandibular advancement. Case report: The patient, P.C.C.S, male, Caucasian, 46 years old, body mass index 29.37, sought dental treatment, reporting the occurrence of apneas during sleep. Polysomnography revealed the incidence of 151 apneas / hour of sleep, 71 hypopneas / hour of sleep; the profile cephalometric radiograph revealed a narrowing of the upper airways and bimaxillary advancement surgery to increase the volumetric airway was performed. The patient had an improvement in the apnea. Conclusion: Although uvulopalatopharyngoplasty is thefioldest and most widely used surgical technique for the treatment of sleep apnea and hypopnea syndrome, maxillomandibular advancement has been more effective and definitive final for patients affected by the condition.

Palavras-chave : Sleep Apnea; Obstructive; Sleep Apnea Syndromes; Mandibular Advancement; Maxilla/surgery.