Actively Recruiting

Phase Not Applicable
Age: 30Years - 65Years
All Genders
NCT03929549

Preliminary Evaluation of a RCMP to Predict Failure of Maxillomandibular Advancement Surgery for OSA

Led by University of Michigan · Updated on 2024-12-09

20

Participants Needed

1

Research Sites

359 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Maxillomandibular advancement (MMA) surgery, one of the most successful surgical procedures for the treatment of obstructive sleep apnea (OSA), is predominantly used to manage patients with moderate to severe OSA. However, limiting factors include incomplete response in some cases, unfavorable facial changes as a result of large advancements, and risk of malocclusion or malunion. This study will be done to determine predictors of success with MMA surgery in patients with moderate to severe OSA. Studies have already shown the value of a remote controlled mandibular positioner (RCMP) device to identify the correct level of therapeutic protrusion needed with oral appliance therapy. Moreover, some patients experience a dose dependent improvement in sleep parameters based on the degree of protrusion during the titration study. Use of RCMP as a means to identify potential candidates for MMA, may help customize treatment options for patients with OSA by providing predictive value.

CONDITIONS

Official Title

Preliminary Evaluation of a RCMP to Predict Failure of Maxillomandibular Advancement Surgery for OSA

Who Can Participate

Age: 30Years - 65Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Apnea-hypopnea index (AHI) of 15 or greater per hour
  • Age between 30 and 65 years
  • Body mass index (BMI) between 25 and 34.9
  • Suitable candidate for surgery
  • Unable or unwilling to use positive airway pressure (PAP) therapy
Not Eligible

You will not qualify if you...

  • Body mass index (BMI) of 35 or higher
  • Younger than 30 or older than 65 years
  • Pregnancy
  • Central sleep apnea diagnosed on baseline sleep study
  • Chronic opioid use
  • Active temporomandibular joint (TMJ) disorders
  • Inability to protrude the lower jaw more than 5 millimeters
  • Unable to attend follow-up visits after surgery
  • Dental problems such as loose teeth or severe gum disease

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Michigan Medicine Oral and Maxillofacial Surgery

Ann Arbor, Michigan, United States, 48109

Actively Recruiting

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Research Team

J

Jennifer Lay-Luskin

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

OTHER

Number of Arms

1

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