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Distraction Osteogenesis for Management of Obstructive Sleep Apnoea in Temporomandibular Joint Ankylosis Patients Before the Release of Joint by Rahul Yadav; Ongkila Bhutia; Garima Shukla; Ajoy Roychoudhury is a Medicine article available to read on EtoBox.

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## Aim: To evaluate the effects of distraction osteogenesis in management of obstructive sleep apnoea patients secondary to temporomandibular joints ankylosis. ## Methods: Fifteen patients were included in study. preoperatively the patients were worked up for polysomnography and ct scans. only those patients with apnoea-hypopnoea index >15 events/h denoting moderate to severe obstructive sleep apnoea were included in the study. distraction osteogenesis was followed with 5 days latency period in adult patients and 0 days for children. rate of distraction was 1 mm/day for adults and 2 mm/day for children till the mandibular incisors were in reverse overjet. after 3 months post distraction assessment was done using polysomnography and ct scan. tmj ankylosis was released by doing gap arthroplasty after distraction osteogenesis. ## Results: Post distraction improvement was seen in clinical features of osa like daytime sleepiness and snoring. epworth sleepiness scale improved from a mean of 10.25 to 2.25. polysomnographic analysis also showed improvement in all cases with apnoea-hypopnoea index from 57.03 to 6.67 per hour. lowest oxygen saturation improved from 64.47% to 81.20% and avera

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Author

Rahul Yadav; Ongkila Bhutia; Garima Shukla; Ajoy Roychoudhury

Publisher

Elsevier BV

Published

2014

Language

EN

Field

Medicine (Health Sciences)