Combined orthodontic and surgical treatment for a patient with Hallermann-Streiff-Francois syndrome, severe obstructive sleep apnea, and history of antiresorptive medication
| Autor: | Stanimira I. Kalaykova, Frank Baan, Caroline F.W. Sondeijker, Johanna K.M. Maertens, Ruben C. Apperloo |
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| Rok vydání: | 2021 |
| Předmět: |
Pediatrics
medicine.medical_specialty business.industry Sleep apnea Orthodontics 030206 dentistry Drug holiday medicine.disease respiratory tract diseases Obstructive sleep apnea Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10] 03 medical and health sciences 0302 clinical medicine All institutes and research themes of the Radboud University Medical Center Retrognathia Micrognathism medicine Hallermann Streiff Francois Syndrome Surgical treatment business Airway 030217 neurology & neurosurgery |
| Zdroj: | American Journal of Orthodontics and Dentofacial Orthopedics, 159, 97-107 American Journal of Orthodontics and Dentofacial Orthopedics, 159, 1, pp. 97-107 |
| ISSN: | 0889-5406 |
| Popis: | Micrognathia and retrognathia, as observed in patients with the Hallermann-Streiff-Francois syndrome, might result in obstructive sleep apnea syndrome. When it becomes severe (apnea-hypopnea index [AHI], ≥30), noninvasive treatment options might be insufficient. An orthognathic treatment with mandibular advancement will increase the upper airway volume, which results in a decrease of apneas. A 53-year-old woman with Hallermann-Streiff-Francois syndrome and a history of antiresorptive medication suffered from severe obstructive sleep apnea (AHI, 77.7). She was treated with a combined orthodontic and surgical approach. The AHI decreased to 1, and the patient felt fitter after treatment. No medication-induced osteonecrosis nor inhibition of tooth movement was seen. A combined orthodontic and surgical treatment of a patient with severe obstructive sleep apnea was a good treatment choice. With a history of antiresorptive medication, the risks related to these medications have to be weighed up against the consequences of not treating obstructive sleep apnea syndrome. With a drug holiday, successful surgical treatment can be achieved. |
| Databáze: | OpenAIRE |
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