Surgery first: current state of the art orthognathic surgery and its potential as a primary treatment modality in obstructive sleep apnea with concurrent dentofacial deformities

: Dentofacial deformities (DFD) and obstructive sleep apnea (OSA) are two entities which can be intricately related require complex management. It argued that in the subset of patients these overlap intervention, an orthognathic surgery first approach (SFA) should considered a primary treatment modality. With respect to isolated dentofacifal undergoing first, literature cases completed by authors resulted overall decrease orthodontic time, on average one year. This is comparison length those who undergo after completion or near treatment. In addition, advantages this modality immediate resolution dentofacial deformity easier decompensation malocclusion surgery. relation OSA, it known apnea-hypopnea index (AHI) range 50–90% resulting improvement symptoms approximately 90% patients. Therefore, with both OSA DFD requiring intervention assessing objective subjective outcomes (i.e., AHI, treatment, patient satisfaction QOL) utilized further evaluate value as