ABSTRACT
Surgery is a major modality in the treatment of obstructive sleep apnea syndrome (OSAS),
and maxillomandibular advancement (MMA) has been shown to be the most effective surgical
option. However, despite the successful short-term (6-9 months) results reported by
various investigators, little is known of the long-term clinical outcomes. A review
of our long-term clinical results demonstrated that MMA achieves long-term cure in
most patients. Aging and minor weight gain did not appear to have a significant adverse
effect on the long-term results; however, major weight gain did seem to have a significant
negative impact on the long-term outcomes. Therefore, long-term follow-up with proper
counseling on weight maintenance or reduction is essential in improving long-term
results.
KEYWORD
obstructive sleep apnea syndrome - sleep apnea surgery - sleep-disordered breathing
- maxillomandibular advancement
