Talks：

Bone Surgery in the Treatment of OSA

Name：

林政輝(Cheng-Hui Lin)

Position：

Assistant Professor

Affiliation：

Chang Gung Memorial Hosptial, Toayuan, Taiwan

Email：

Clementlin0614@yahoo.com

Photo：

Research Interests：

Sleep Medicine Craniofacial Development Computer Aided Surgical Simulation

Selected Publications：

◆Yue H, Lin CH, Guilleminault C. Upper airway changes with a mandibular advancement device. Expert review of Respiratory Medicine. 4(1): 25-28, 2010 Feb. (2.278) ◆Lin CH, Liao YF, Chen NH, Lo LJ, Chen YR. Three-dimensional computed tomography in obstructive sleep apneics treated by maxillomandibular advancement. Laryngoscope, 121:1336–1347, 2011 June. (2.316) ◆Lin CH, Guilleminault C. Current hypopnea scoring criteria underscores pediatric sleep disordered breathing. Sleep Medicine, 2011 Aug;12(7):720-9. (3.656) ◆Toh ST, Lin CH, Guilleminault C. Use of four-phase high resolution rhinomanometry and measurement of nasal resistance in sleep-disordered breathing. Laryngoscope. 2012 Oct;122(10):2343-9. doi: 10.1002/lary.23441. Epub 2012 Jul 9. (2.316) ◆Singhal D, Hsu S SP, Lin CH, Chen YC, Chen YR. Trapezoid mortised genioplasty: a further refinement of mortised genioplasty. Laryngoscope, 2013 Oct; 123(10): 2578-82. doi: 10.1002/lary.23460. Epub 2013 Jul 2. (Correspondence) (2.316)

Abstract：

Underdevelopment of craniofacial region can be accompanied by small skeletal framework, disproportion between structures, and narrowed pharyngeal airway. Segmental Maxillomandibular Rotational Advancement(SMMRA) is designed specifically for Far-East Asian OSA patients with underdeveloped maxillomandibular skeleton, featured by narrow maxilla with crowded upper dental arch, high mandibular plane angle, mandibular retrognathism, retruded chin and a generally narrowed pharyngeal airway. SMMRA advances maxilla by two segments, counterclockwisely rotates the maxillomandibular complex to improve the mandibular plane angle, advance the mandible to the optimal extent, and forwad the anterior inferior mandible including chin and genioglossus tubercle. The surgery may normalize the airway, facial skeleton, occlusion, and facial aesthetics at the same time.