Ladies and gentlemen, dear patients,

Dr Robert FreyFirst of all, I would like to thank you for your trust in the SeegartenKlinik and your interest in the causal therapy of sleep apnoea on our website. Today, I can confirm that your interest and your trust are justified.

The best success rate in international comparison

According to the S3 guidelines of the German Society for Sleep Research and Sleep Medicine, a complete cure of sleep apnoea (apnoea-hypopnoea index must be below 5) can be achieved in 43.2% of cases through pure maxillo-mandibular advancement (MMA). Internationally, similar values have been confirmed by scientific META analyses(38.5%, 44.2%). We were able to demonstrably achieve an 86.8% success rate in 2019 through the surgical procedure developed and carried out at the SeegartenKlinik. Using our raw data, an independent scientific institute for statistics (ISTAT, Institute for Applied Statistics, Kassel) evaluated the local results and confirmed our 86.8% success rate.

 

Definition:

AHI under 20
&
AHI reduction ≥ 50%

AHI under 15
&
AHI reduction ≥ 50%

No longer in need of therapy
AHI below 15 6

Cured
AHI under 5

S-3 Guidelines 1

86,0%

Not specified

Not specified

43,2%

META Analysis 2 2010

86,0%

Not specified

Not specified

43,2%

META Analysis 3 2015

Not specified

64,7%

64,7%

38,5%

META Analysis 4 2018

80,6%

Not specified

Not specified

44,2%

SeegartenKlinik 5 2019

100%

97,4%

100%

86,8%

I am very pleased that you have taken the time to visit our website to find out more about the causal therapy for sleep apnoea. As you will have noticed, we are doing a lot to inform as many sufferers as possible about the possibility of curing obstructive sleep apnoea. We also notice that the demand is increasing permanently, this has the consequence that some more surgeons have started to work in this field. This is also a very positive development from which everyone can benefit.

Sleep apnoea jaw surgery was unsuccessful, what now?

I am increasingly seeing patients who have had external surgery and are asking me for corrective surgery because their treatment has not only been unsuccessful, but in some cases has even resulted in a worsening of their AHI values as well as their general state of health.

The original tissue situation has usually deteriorated considerably. Unfortunately, scar tissue in particular often no longer allows me to achieve the desired position of the jaws. The results of such corrective operations are therefore too often unsatisfactory, especially with regard to a safe healing success of sleep apnoea and UARS (Upper Airway Resistance Syndrome). Due to the significantly higher risks associated with corrective surgery, I often have no choice but to recommend patients back to their original surgeons with a suggested therapy.

Inform yourself well

I would therefore advise every patient to find out very precisely in advance of an operation how the individual jaw relocation will be carried out. Without a profound knowledge of the planning and root cause analysis with precise details of the surgical procedure, there is a risk of a failed operation or even a worsening of the present situation. Therefore, the publication of the results here will hopefully serve as a guide to treat patients more successfully in the future. I wish you all the best and above all good health.

 

Heidelberg, 02.02.2021

 

Dr Robert Frey

 

  1. DGSM, SGSSC, ÖGSS, Braumann B, Ficker KJH, Fietze NI, Sitter FH, Stuck MBA. S3 guideline Non-restorative sleep/sleep disorders - chapter "Sleep-related breathing disorders". Somnology 2017; 20: 97-180
  2. Holty J-EC, Guilleminault C. Maxillomandibular advancement for the treatment of obstructive sleep apnea: A systematic review and meta-analysis. Sleep Med Rev 2010; 14: 287-297
  3. Zaghi S, Holty JEC, Certal V, Abdullatif J, Guilleminault C, Powell NB, Riley RW, Camacho M. Maxillomandibular advancement for treatment of obstructive sleep apnea ameta-analysis. JAMA Otolaryngol - Head Neck Surg 2016; 142: 58-66
  4. John CR, Gandhi S, Sakharia AR, James TT. Maxillomandibular advancement is a successful treatment for obstructive sleep apnoea: a systematic review and meta-analysis. Int J Oral Maxillofac Surg 2018; 47: 1561-1571 On the Internet: https://doi.org/10.1016/j.ijom.2018.05.015
  5. Evaluation / Statistics by ISTAT Institute for Applied Statistics, Universitätsplatz 12, 34127 Kassel, Germany
  6. Littner, MR, J Clin Sleep Med. 2007 Apr 15; 3(3): 263-264.
    Hörmann, K, Verse, TH, Surgery for Sleep-Disordered Breathing