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Mandibular Retrognathia and Sleep Apnea

Mandibular Retrognathia and Sleep Apnea To the Editor.— I have read the article "Adverse Effects of Tracheostomy for Sleep Apnea" by Conway et al (1981;246:347). The authors present 11 cases of hypersomnia sleep apnea of obstructive etiology that were treated by tracheostomy. For the most part, their results show dramatic improvement of the manifestations of sleep apnea, but an entire new set of complications ensued, including tracheal complications, infection, and psychosocial difficulties. It has been documented that the upper airway obstruction seen in these patients is sometimes secondary to either a congenital or acquired mandibular retrognathia. The authors list two patients of the 11 in their Table 1 (p 348) with a diagnosis of mandibular retrognathia as the primary underlying disease of these patients' airway obstruction. We believe that an orthognathic evaluation to include cephalometric analysis, model surgery, and postural positioning of the mandible for airway assessment should be accomplished on all patients with hypersomnia http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Mandibular Retrognathia and Sleep Apnea

JAMA , Volume 247 (16) – Apr 23, 1982

Mandibular Retrognathia and Sleep Apnea

Abstract



To the Editor.—
I have read the article "Adverse Effects of Tracheostomy for Sleep Apnea" by Conway et al (1981;246:347). The authors present 11 cases of hypersomnia sleep apnea of obstructive etiology that were treated by tracheostomy. For the most part, their results show dramatic improvement of the manifestations of sleep apnea, but an entire new set of complications ensued, including tracheal complications, infection, and psychosocial difficulties.
It has been documented...
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Publisher
American Medical Association
Copyright
Copyright © 1982 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1982.03320410020018
Publisher site
See Article on Publisher Site

Abstract

To the Editor.— I have read the article "Adverse Effects of Tracheostomy for Sleep Apnea" by Conway et al (1981;246:347). The authors present 11 cases of hypersomnia sleep apnea of obstructive etiology that were treated by tracheostomy. For the most part, their results show dramatic improvement of the manifestations of sleep apnea, but an entire new set of complications ensued, including tracheal complications, infection, and psychosocial difficulties. It has been documented that the upper airway obstruction seen in these patients is sometimes secondary to either a congenital or acquired mandibular retrognathia. The authors list two patients of the 11 in their Table 1 (p 348) with a diagnosis of mandibular retrognathia as the primary underlying disease of these patients' airway obstruction. We believe that an orthognathic evaluation to include cephalometric analysis, model surgery, and postural positioning of the mandible for airway assessment should be accomplished on all patients with hypersomnia

Journal

JAMAAmerican Medical Association

Published: Apr 23, 1982

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