Nine patients with severe obstructive sleep apnea syndrome (OSAS)—for whom several therapeutic approaches, including palatopharyngoplasty, had failed—were treated with a combined maxillary, mandibular, and hyoid advancement. Objective evaluation—performed before and 4 to 18 months after surgery, using nocturnal polysomography—indicated that the OSAS had improved or had disappeared. This surgical approach is beneficial for specific cases of OSAS, which can be identified by mandatory presurgical tests.
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