Open AccessManagement of severe sleep apnea secondary to juvenile arthritis with temporomandibular joint replacement and mandibular advancement
Author(s) -
S Arun Paul,
Sibu S Simon,
Barney Issac,
Saurav Kumar
Publication year - 2015
Publication title -
journal of pharmacy and bioallied sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.268
H-Index - 36
eISSN - 0976-4879
pISSN - 0975-7406
DOI - 10.4103/0975-7406.163479
Subject(s) - medicine , temporomandibular joint , condyle , obstructive sleep apnea , airway , airway obstruction , arthritis , hypoplasia , juvenile , sleep apnea , orthodontics , surgery , anesthesia , genetics , biology
Variations affecting the growth centers can severely affect the normal formation and subsequent function of vital musculoskeletal structures. We report a case of bilateral condylar atrophy with a history of juvenile arthritis (JA) resulting in progressive obstructive sleep apnea (OSA) in adulthood. In addition to this, the case report emphasizes the role of temporomandibular joint replacement and advancement of the mandible to correct progressive OSA secondary to idiopathic JA. Computed tomography revealed micrognathia, condylar hypoplasia, and decreased pharyngeal airway space. The resultant increase in the retrolingual-pharyngeal airway space following the surgery, helped to completely resolve the presenting symptoms. It is hoped that the described technique could be used in similar cases with a predictable outcome.