Sever Obstructive Sleep Apnea

Sleep Apnea is a sleep disorder characterized by repeated pauses in breathing or shallow breaths during sleep. It leads to fragmented and poor-quality sleep, resulting in daytime fatigue, and difficulty concentrating. It is typically caused by the relaxation of throat muscles, which obstructs the airway and disrupts normal breathing patterns.

Common Symptoms

Common symptoms include loud snoring, gasping, choking during sleep, daytime sleepiness, morning headaches, irritability, and difficulty concentrating. If left untreated, OSA can increase the risk of high blood pressure, heart disease, stroke, diabetes, obesity, and mental health issues. It can also lead to poor quality of life, impaired cognitive function, and an increased risk of accidents due to daytime sleepiness.

Procedure Performed

First surgery: Maxillomandibular Advancement (MMA).

Second Surgery: Distraction Osteogenesis on the Lower Jaw.
Third Surgery: Maxillomandibular Advancement (MMA).
DISE Confirm Expanded Airway.

About This Patient

The patient was struggling with an undiagnosed health problem for four years and experienced constant exhaustion that affected his work during his PhD program. Sleep tests finally revealed that he had severe Sleep Apnea. He met Dr. Movahed, who identified a below-average size airway even when awake, which worsened during sleep. The patient underwent a double jaw surgery known as maximum mandibular advancement (MMA) to move and secure his jaw forward, expanding the airway. Despite the intensity of the surgery, the patient found relief as breathing became easier. He noticed improvements in mental health, concentration, and overall functionality after each surgery. The surgeries allowed him to better focus on his hobbies, completing his PhD, and job at Google. They majorly contributed to his overall well-being and sense of normalcy.
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In This Video

He spent 4 years, with an undiagnosed health issue. It was affecting his sleep, his work, and his PHD program. Finally getting a sleep test he found out he had severe sleep apnea. He tried out different noninvasive solutions but was unsuccessful. With Dr. Movahed he was able to achieve a much larger airway. He had two separate surgeries, each one improving his quality of life and sleep. He elaborates more on his experience in the video.

Dr. Movahed’s Thoughts...

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“ In this video, Dr. Movahed praises Dr. Michael Braverman as an exceptional patient due to his extensive knowledge, patience, understanding, and trust in the medical team. Michael educated himself thoroughly about sleep apnea and noticed subtle changes in his condition. Initially, Dr. Movahed performed upper and lower jaw advancement surgery (MMA) to improve Michael’s airway and reduce sleep apnea. While the surgery significantly helped, he still experienced fatigue. They decided to expand his lower jaw through a second procedure involving an osteotomy and distraction, which successfully increased airway space.”