{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T12:28:00Z","timestamp":1783427280117,"version":"3.54.6"},"reference-count":39,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T00:00:00Z","timestamp":1766361600000},"content-version":"vor","delay-in-days":355,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["JP19H03857"],"award-info":[{"award-number":["JP19H03857"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Dentistry"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>This case report describes the multidisciplinary treatment of a patient with mandibular retrognathia and hyperdivergent skeletal pattern, condylar resorption, and severe obstructive sleep apnea (OSA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>A 42\u2010year\u2010old female patient presented with a chief complaint of mandibular retrognathia. The patient had no significant medical history, and her body mass index was 18.8. She had a +9.0\u2009mm overjet and +1.0\u2009mm overbite, and an Angle Class II molar relationship. Cephalometric analysis revealed SNA, SNB, and FMA of 76.0\u00b0, 67.5\u00b0, and 50.5\u00b0, respectively. Computed tomography (CT) images showed severe bilateral mandibular condylar head deformity due to resorption. Polysomnography revealed an apnea\u2013hypopnea index (AHI) of 43.3, leading to a diagnosis of severe OSA. Correspondingly, continuous positive airway pressure (CPAP) therapy was started immediately.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Management and Outcomes<\/jats:title>\n                    <jats:p>After 19 months of preoperative orthodontic treatment with preadjusted edgewise appliances, Le Fort I osteotomy was performed to impact the maxilla by 3.0\u2009mm at the anterior and 4.0\u2009mm at the posterior nasal spine. The mandible was autorotated 8.6\u00b0 counterclockwise, reducing ANB from +8.5\u00b0 to +2.0\u00b0. A genioplasty was also performed. After 8 months of postoperative orthodontic treatment, the AHI decreased to 2.3, and CPAP therapy was discontinued due to significant improvement in respiratory function. CT images showed an increase in the upper airway volume after orthognathic surgery. No remarkable morphological changes were observed in the mandibular condylar head during orthodontic treatment. Favorable occlusion was maintained with no apparent relapse after 21 months of retention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Unlike conventional maxillomandibular advancement for OSA, the surgical method described in this case study combines counterclockwise mandibular rotation and genioplasty to simultaneously improve respiratory function and craniofacial morphology in patients with hyperdivergent and Class II skeletal pattern accompanied by mandibular condylar head deformity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/crid\/7229009","type":"journal-article","created":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T07:10:18Z","timestamp":1766473818000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Improvement of the Respiratory Function in a Patient With Mandibular Retrognathia and Hyperdivergent Skeletal Pattern With Condylar Resorption by Le Fort I Osteotomy and Genioplasty"],"prefix":"10.1155","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5551-2845","authenticated-orcid":false,"given":"Yukiho","family":"Kobayashi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunaho","family":"Yonemitsu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-9541-7318","authenticated-orcid":false,"given":"Namiaki","family":"Takahara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1896-8696","authenticated-orcid":false,"given":"Tetsuya","family":"Yoda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8349-3183","authenticated-orcid":false,"given":"Norihisa","family":"Higashihori","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0580-4510","authenticated-orcid":false,"given":"Keiji","family":"Moriyama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,22]]},"reference":[{"key":"e_1_2_14_1_2","article-title":"International Classification of Sleep Disorders\u2014Third Edition (ICSD-3)","volume":"281","author":"American Academy of Sleep Medicine","year":"2014","journal-title":"AASM Resource Library"},{"key":"e_1_2_14_2_2","volume-title":"Principles and Practice of Sleep Medicine-E-Book: Expert Consult-Online and Print","author":"Kryger M. 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