Orthèse d'avancée mandibulaire ou ostéotomie maxillo-mandibulaire pour le traitement des syndromes d'apnées obstructives du sommeil sévères refusant la PPC

We are confronted with an increasing number of severe OSAS patients with CPAP failure or intolerance. Surgery for maxillo-mandibular advancement is an effective alternative. However, it is not always indicated or accepted by the patient. So an oral appliance remains a useful therapeutic option despite its moderate success rate.