(11-15-2015, 12:25 PM)sonicboom Wrote:(11-14-2015, 11:02 PM)Stiffdoc Wrote: I have examined many people over my career whose lives were severely shortened by untreated OSA.
This statement, standing alone, is about all anyone needs to know about whether this is all worth the hassle, fight, and discomfort to try and adapt to and stick with xpap therapy as a first line defense to OSA. I suppose for some people surgery is an option but if I recall another post by stiffdoc, surgery, even if successful initially, rarely is a permanent solution and some people find themsleves back on xpap anyway. Please stick with it.
It depends on the surgery.
Not to sound like a broken record but I wanted to repost what I previously wrote on this board regarding the success rates of the MMA.
""A meta-analysis by Holty and Guilleminault  pooled 53 reports describing 22 unique patient populations (627 patients), and found that the mean AHI decreased from 63.9/hr to 9.5/hr, with a pooled surgical success rate of 86%. Overall, 43.2% were cured (AHI < 5), with a 66.7% cure rate for those with a preoperative AHI < 30/hr. Long-term surgical success was maintained at 44 months. Predictors of surgical success included younger age, lower BMI, lower preoperative AHI, and greater degree of maxillary advancement. Quality of life measures, excessive daytime sleepiness, and blood pressure were noted to be significantly improved as well.""
To get the link, google "Maxillomandibular Advancement Surgery
A Permanent Solution for OSA". Because it qualifies as a commercial link, I can't post it directly.
By the way, I realize that a 9.5 AHI may not sound wonderful. But keep in mind, that MMA surgery as the OP pointed out is done as a last resort solution many times. So going from an average 63.9 AHI to 9.5 AHI is darned good when looked at it in that context.
Comments in response to previous post:
Just so folks understand, I am not advocating surgery for this person and yes, cpap should always be the treatment of first resort. But I wanted to point out that the statistics for surgery may not be as bleak as people think it is as it depends on the procedure. And obviously if you have tried everything else to no avail, this is the best option.
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