Long-term follow-up after surgical treatment of obstructive sleep apnea
by maxillomandibular advancement
AUDIENCE COMMENTS:
I have been seeking information on the long-term effectiveness of this surgery, and was very interested to find your article. Do you know why subjects with BMI >32 were excluded? As a lifelong (so far, that is) sufferer of sleep apnea, it frustrates me to realize that my weight
could be an elimination factor preventing me from obtaining successful treatment. During the years I was skinny, nobody had even heard of sleep apnea. And now, the ravages of too many years without diagnosis and consequently without treatment have led to obesity and other assorted cardiovascular difficulties. I will continue to seek information on this surgery and other advancements in treatment.
MY RESPONSE:
Although I don’t know for sure, I surmise that the surgeons eliminated obese patients because of the generally greater hazards of any kind of surgery in the context of severe obesity. This is not to say that it cannot be done, but when one undertakes a relatively new treatment where optimal results are important if the treatment is to continue in use, it might be reasonable to choose patients with the best prognosis for lack of complications, etc. I checked out another article on this website about surgical treatment, Do you have your own comments to add? E-mail me at