How Successful is Surgery for Sleep Apnoea?

Understanding the words 'Success' and 'Cure' in sleep apnoea surgery is frighteningly difficult as there are 9 different definitions for these terms. In this video I explain what is meant by a 'successful' operation or 'curing' someone of sleep apnoea with surgery. I want to reduce the confusion about these terms and I hope you find this video useful if you are thinking about surgery for sleep apnoea. This video is all about Maxillomandibular advancement surgery (MMA) surgery for sleep apnoea.

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** Disclaimer - The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional. **

Chapters
0:00 Introduction
3:12 Improvement rate
3:48 Sher Criteria
6:25 Off CPAP rate
7:21 As good as CPAP rate
9:06 Sleep apnoea cure rate
11:03 UARS - upper airway resistance syndrome
12:22 'Cured' rate
14:37 Complications and risks of MMA surgery
17:59 Conclusion

[LukeTheDocumentary]

I’m 6-weeks post-op from jaw surgery. Hoping it cures me, still recovering at the moment. Tracking my progress on my channel

[yvie]

My sleep specialist told me if I cannot manage the CPAP he will have to barbecue my tongue from the inside or I will have to wear a dental thing, just like that. I wish he spoke like you you are so comforting to listen to

[shuikai]

A lot of the "bad sleep apnea MMAs" seem to be around the 2-6 mm range for the mandibular osteotomy site. A lot of surgeons do advancements like that. At that point you're really better off doing some other surgery, or seeing another maxillofacial surgeon (assuming you are sufficiently recessed) who knows how to do a better job.

[Janecas]

Hello Dr. Veer, I’m in love with your channel. I have learned a lot with your channel, which I’m adapting to my day to day life, like facial exercises and how to correctly use a nose spray. I suffer from Non Allergic Rhinitis, which I find very challenging and annoying to handle. If you ever miss inspiration for a new topic for a video :-) maybe an interesting topic for a video? thank you for work and dedication for the better welfare of everyone.

[Abdul_]

Hi dr veer, thanks for seeing me and looking forward to more of your videos 💪💪💪💪😊😇

[silverdentalcentre]

Surgery is always a last resort and this is a very complicated surgery with a very challenging recovery. Why not recommend surgical expansion or even simple orthopaedic expansion with dental appliances? I treat patients with those regularly and have my own as well.

[joemax_kiamco]

Are there any side effects of a dental appliance, if so what are those, how can we avoid it?

[dinobambino]

Could you do more videos about UARS? I'd like to know why it's not a well-known condition, and how somebody can get help for it.

[silvertongues]

Whats your opinion on bimaxillary jaw advancement (BIMAX)? Its advertised like an ultimate OSA solution. Sorry for the general question.

[aural_angst]

I think this video is not being completely truthful? There is no indication of what movements were performed? Some surgeons are conservative with the movements, and some are outright dumb, so the movements might even make sleep apnoea worse - i.e., clockwise rotation. It also doesn't tell you the degree of jaw recession as a starting point - those people with very recessed jaws are likely to improve dramatically, but those without significantly recessed jaws are likely to improve modestly. So, this means all the statistics presented need to be taken for what they are - a summary of a wide variety of surgery procedures on a wide variety of conditions. I've found this issue with most papers on this surgery - there's too much individual variation in the surgery to be able to summarise in a meaningful way. Maybe, with AI coming in, they can do some more nuanced analysis and refine the expected outcome.

[emailvinayasap]

Dr. I am Dr. Vinay from India. Could i get on a call with you.. i am sleep Apnea Patient and needed some critical advice..