Hi, i present myself, my name is francesco and i am an italian young male (20 years old) suffering from sleeping apnea.
im fit, so the problem is not because im fat.
The occlusion is good, but not perfect, so the maxillo facial surgeon said i should undergo a "MAXILLARY IMPACTION surgery".

As you can see by the title, the surgery technique would be lefrot1 and i te maxilla would be impacted by 5 mm, therefore the mandible will AUTOROTATE forward.

will this be Enough to "heal" my mild/moderate sleeping apnea????
please answer!!!!

There is no way anyone, not even a physician, can predict a surgical outcome. All anyone can do is to strongly suggest that a few months after your surgery, when everything has had a chance to heal, you have another sleep study to access your apnea status. There are other people here who have had that surgery and maybe they can tell you more about the process. There are a lot of anatomical blockage areas that can cause obstructive sleep apnea so I would also highly encourage you to 1. See a doctor who specializes in sleep medicine to get their opinion. 2. Get a second opinion from another surgeon.

Keep posting your questions and your progress!

Vicki

thankyou.

In my case, this surgery has been a blessing since it would adress many other problems i was unaware about, without having that atrocious orthodontical treatment since my occlusion will be kept the same (changing height wont change bite).
They will put braces, but only one day prior surgery and i will take them off 2 weeks later just to be sure (every max fax operation is done with braces on).

IF this surgery will help, i will strongly reccomend ANYONE who has my same exact problems and whose problems can be adressed with this surgery.

i will post a diary from the day i will put the braces and a study of the quality of my sleep.

I hope everythin will go for the best.
thankyou for you answer and for your inspiring signature lol

159061 wrote:Hi, i present myself, my name is francesco and i am an italian young male (20 years old) suffering from sleeping apnea.
im fit, so the problem is not because im fat.
The occlusion is good, but not perfect, so the maxillo facial surgeon said i should undergo a "MAXILLARY IMPACTION surgery".

As you can see by the title, the surgery technique would be lefrot1 and i te maxilla would be impacted by 5 mm, therefore the mandible will AUTOROTATE forward.

will this be Enough to "heal" my mild/moderate sleeping apnea????
please answer!!!!

I think that this might be the full title of your proposed surgery:

Bimaxillary Advancement (Lafort 1 Maxillary Osteotomy with Bilateral Sagittal Split Mandibular Osteotomy)

It comprises:
The upper and lower jaw bones are moved forward along with all teeth in an effort to pull soft tissue structures forward and make more room for the tongue. Metal plates and screws are used to hold the realigned jaw bones in place. Orthodontic work prior to or following the procedure may be necessary to maintain proper alignment of the teeth. Change in facial appearance relates to the extent of the advancement.

This is pretty severe surgery to the Lower Airway, and there are no guarantees of any type of positive outcome.
This type of surgery is not reversible (maybe partially reversible), but you could be looking at substantial orthodontic work post surgery.
The gold standard for surgery is the Stanford Protocol, comprising different surgical procedures over a period of time. They usually start with the Upper Airway...moving to the lower airway. You should google this.

In all honesty, I don't think that this surgery will cure your mild/moderate apnoea......I am not a doctor.

I would suggest looking at Oral Appliances as a first option for mild/moderate Apnoea, if you are not prepared to try cpap.

Daniel.

no no, i will not have bimaxillary advancement.
only jaw (upper jaw impaction) and by consequence the mandible will autorotate forward (no cutting on lower jaw so no bsso).

max fac told me it will certainly help.

IM 20 and the vision of goin to sleep like an old sick guy with a mask is sickening! i want to be free, forever, not be slave of a stupid machine. if this will help me, ill be thrilled.

if not, id rather kill myself in my sleep than putting strange devices in my mouth that will deteriorate my tmj or that ugly cpap. crazy.

I have not heard of this surgery for the treatment of obstructive sleep apnea. It seems to be jaw surgery to correct bite problems/cosmetic purpose. It may help with your apnea but definitely not give you a cure. Have you heard of maxillo-mandibular jaw advancement surgery which is also known as bimaxillary jaw advancement? This is THE jaw surgery performed for OSA. Basically both the upper and lower jaws are detached from the skull and advanced forward, then secured with titanium plates. The degree of advancement is very important, the more the jaws are advanced, the larger your airway will become. The best results advance the lower jaw at least 10 mm. I am not sure about the upper jaw but it is lower. I personally had the maxillo mandibular advancement surgery which advanced my lower jaw 12 mm. It was unsuccessful though because I have a very collapsible airway. I now have a tracheostomy.

The surgery you are describing does not sound like the correct one for OSA. The advancement is too small and both jaws should be advanced together. It looks like the surgery will be to align your bite and teeth.

159061,

Please read through the links I have in the post towards the top of this forum "The Surgical Modalities for OSA". I truly understand you not wanting to use a CPAP. But you do need to realistically assess the outcomes, both positive and negative, of a radical surgery and your reasons against using a simple little medical fan. I am older, but I am single and I probably have some of the same issues you do. I will have to say that my boyfriend always wants me to use my PAP so that first, my very unsexy snoring doesn’t keep him awake and secondly, so that I maintain my health. You might also seriously consider an oral device. I don’t think that an oral appliance always messes up your TMJ. You should post about using an oral appliance in the “Oral Appliance” forum. There is a dentist who specializes in sleep medicine and maybe he will respond to your post. Because you are so young, I am concerned about a surgery that might not have a good outcome for you. What is the chance of the surgery you plan on having messing up your TMJ?

As far as my signature. I do try to live it, although some days I am more successful than others

Vicki

theorically, it will adress my lip incompetence, so already by NOT sleeping with mouth open, i should breathe by the nose. Furthermore, the airway space would increase because the maxilla would be shortened and the mandible would be brought forward automatically by 5mm.

my sleeping apnea is very moderate, so would it help to a sufficient degree???

vicki, the fact is i would need this surgery anyways to fix other problems, and i will not carry braces for long time. the problem should be here, my nose functions perfectly, im very fit, no heart problems, i had tonsils removed, i believe the problem is caused by my facial unbalance.

i will try this surgery. if i'll solve the problem i'll live happily ever after. if not, i'll start looking at oral devices and cpaps, even though its not my dream.

thankyou both for the input, i appreciate your help

Keep us posted on your progress through your procedure! We just want people to be well informed about all types of therapy and you seem to have investigated it to you satisfaction. We support everyone's decision for therapy.

Vicki

159061 wrote:Hi, i present myself, my name is francesco and i am an italian young male (20 years old) suffering from sleeping apnea.
im fit, so the problem is not because im fat.
The occlusion is good, but not perfect, so the maxillo facial surgeon said i should undergo a "MAXILLARY IMPACTION surgery".

As you can see by the title, the surgery technique would be lefrot1 and i te maxilla would be impacted by 5 mm, therefore the mandible will AUTOROTATE forward.

will this be Enough to "heal" my mild/moderate sleeping apnea????
please answer!!!!

I am a dentist working in dental sleep medicine. After seeing your post and reviewing the posts from other forum members, I am quite concerned about your decision. These advancement surgeries are considered to be major surgery of serious proportion. Very seldom do you hear of people in the mild to moderate sleep apnea category contemplating it. The success of the procedure would not be assured. Even if you are not able to see your way toward trying CPAP, I think that to ignore oral appliances as an option is not a good idea at all. There is one very fine appliance in particular, the TAP3 Elite, that has a very high success rate in handling mild to moderate sleep apnea. It is very compact and comfortable, people can hardly tell that you are wearing it. I understand that, at 20, you are contemplating the need for many years of treatment. Fortunately, we now have some new long-term studies showing that oral appliances have virtually no ill effects on the TMJ's over time and usually no effect at all, except for some very minor tooth movement that most patients would never notice. The cost of an oral appliance is almost nothing compared to the surgery. I can not understand why you would not at least try it first. Please re-consider.

i believe the surgery would bring me some other major benefit. i would not pay it, since its insurance covered (id only pay 900 euros, and i can afford it).

however, if ill not solve my sleeping apnea problem, which is my major issue, i will certainly look into this tap3 which i just googled and found interesting. ill keep you posted on my progresses!