CPAP Airway 3D Volumes

0 cm H20 5 cm H20 10 cm H20 15 cm H20

FIGURE 4.11 Volumetric magnetic resonance imaging reconstruction of the upper airway in a normal subject with progressively greater continuous positive airway pressure (CPAP) (0 to 15 cm H2O) settings. (See p. 78)

FIGURE 4.11 Volumetric magnetic resonance imaging reconstruction of the upper airway in a normal subject with progressively greater continuous positive airway pressure (CPAP) (0 to 15 cm H2O) settings. (See p. 78)

FIGURE 11.2 Uvulopalatopharyngoplasty. (See p. 19S)

FIGURE 11.5 Mandibular osteotomy with genioglossus advancement. A rectangular osteotomy is created in the anterior mandible. The genial tubercle and the attached gen-ioglossus muscle are advanced anteriorly. The bony fragment is rotated 90° to overlap the inferior border of the mandible and secured to the mandible with a titanium screw. Source: From Ref. 121.

FIGURE 11.6 Hyoid myotomy and suspension. The hyoid bone and thyroid cartilage are exposed via a small neck incision. The hyoid bone is advanced anteriorly and secured to the thyroid cartilage with three or four permanent sutures. Source: From Ref. 121.

FIGURE 11.5 Mandibular osteotomy with genioglossus advancement. A rectangular osteotomy is created in the anterior mandible. The genial tubercle and the attached gen-ioglossus muscle are advanced anteriorly. The bony fragment is rotated 90° to overlap the inferior border of the mandible and secured to the mandible with a titanium screw. Source: From Ref. 121.

FIGURE 11.6 Hyoid myotomy and suspension. The hyoid bone and thyroid cartilage are exposed via a small neck incision. The hyoid bone is advanced anteriorly and secured to the thyroid cartilage with three or four permanent sutures. Source: From Ref. 121.

FIGURE 11.7 Maxillomandibular advancement osteotomy (MMO). The maxilla and mandible are advanced 10 to 15 mm. A Le Fort I osteotomy and bilateral sagittal split mandibular osteotomy are performed. The advanced segments of bone are stabilized with bi-cortical screws and rigid plate fixation. Note the genioglossus advancement performed prior to MMO. Source-. From Ref. 121.

FIGURE 11.8 Lateral cephalogram films. (See p. 204)

FIGURE 12.2 An example of a duobloc FIGURE 12.1 An example of a monobloc (two-piece) mandibular advancement splint (one-piece) mandibular advancement splint. (SomnoMed MAS™, Australia). (See p. 218)

FIGURE 12.3 Axial magnetic resonance imaging scans at the retroglossal level at baseline (A), with a mandibular advancement splint (B), and with a tongue retaining device (C) in the same patient, taken in the awake state. (See p. 219)

FIGURE 12.4 The effect of a tongue retaining device in holding the tongue out of the mouth by use of a suction cap.

FIGURE 15.2 Infant with Pierre Robin syndrome; micrognathia, specifically mandibular hypoplasia, as depicted is characteristic of this disorder.

FIGURE 12.4 The effect of a tongue retaining device in holding the tongue out of the mouth by use of a suction cap.

FIGURE 15.3 (A) Schematic diagram illustrating oral cavity before (left) and after (right) tonsillectomy. (B) Patient's oral cavity depicting hypertrophied tonsils. (C) Same patient's oral cavity following tonsillectomy.
Polysomgnography Diagrams

FIGURE 15.4 (A) Child awake and (B) asleep while wearing a continuous positive airway pressure mask during polysomnography monitoring in a sleep laboratory. Note wires connected to recording electrodes that are placed on the face and on the scalp, which are hidden beneath the head wraps used to prevent dislodgement of electrodes.

FIGURE 15.4 (A) Child awake and (B) asleep while wearing a continuous positive airway pressure mask during polysomnography monitoring in a sleep laboratory. Note wires connected to recording electrodes that are placed on the face and on the scalp, which are hidden beneath the head wraps used to prevent dislodgement of electrodes.

FIGURE 15.5 Maxillary osteo-genic distraction device placed below the palate of a child's mouth. Source: Photograph courtesy of Kannan Ramar, MD.
FIGURE 15.6 Profile of child's face (A) before and (B) after mandibular distraction osteogenesis.
Broncho-constriction

FIGURE 23.2 Potential interactions between OSA, nasal inflammation, systemic inflammation, and their possible link to asthma severity. (See p. 392)

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