Điều trị không phẫu thuật hội chứng ngưng thở khi ngủ tắc nghẽn: Báo cáo 2 trường hợp lâm sàng

Abstract

Obstructive Sleep Apnea is a common disorder that is strongly associated with cardiovascular events, metabolic dysfunction, and impaired quality of life.In contemporary sleep disorders conferences, emphasis is increasingly placed on the role of multidisciplinary and personalized approaches in the management of obstructive sleep apnea. Craniofacial morphology is directly related to upper airway anatomy and contributes significantly to the underlying pathophysiological mechanisms of the disease. Non-surgical dentofacial interventions include orthodontic treatment and the use of Mandibular Advancement Device (MAD). Orthodontic treatment represents an effective alternative therapeutic modality for pediatric and young adult patients with OSA associated with craniofacial anatomical abnormalities, whereas MAD therapy is commonly indicated for patients with mild-to-moderate OSA or for those who are intolerant to CPAP therapy. In this paper, we present two clinical cases: the first involves a growing pediatric patient with a transverse craniofacial anomaly who underwent maxillary expansion and orthodontic treatment; the second describes a middle-aged patient with moderate OSA and mandibular retrognathia who responded successfully to mandibular advancement device (MAD) therapy. Through these cases, we aim to highlight the vital role of non-surgical maxillofacial interventions in OSA management, which also serves as a foundation for conducting larger-scale studies on this topic in the future.