Rotation Advancement Surgery cures Sleep Apnea for ever
If sleep apnoea is suspected, x-ray images are used to carry out an analysis of the respiratory passages. The exact diameter of the upper respiratory passages are measured and defined. Together with the recordings from the sleep laboratory, the necessary treatment stages are started.
Catching up on natural growth
Through the forward advancement of the jaw, the lack of forward growth is “caught up on” and therefore a vitally important widening of the upper respiratory passages by 2 or 3 times is sustainably achieved. Many sleep apnoea patients wore braces as children, but only the tooth position and not the rear position of the jaw was taken into consideration.
The highly sensitive soft tissues remain untouched
The sensitive, supple and continually moving soft tissue parts such as the soft palate, pharyngeal uvula and the base of the tongue are spared when the rotation advancement method is used. Procedures which affect these functional soft tissues are particularly painful and Professor Sailer therefore does not carry out these procedures. Every year Professor Sailer performs numerous operations to correct the damage caused by these procedures, damage which leads to speech difficulties, a nasal voice or problems such as fluid leaking through the nose when swallowing.
The procedure is not dangerous and leaves no visible scars
The procedure is carried out on the jaw bone. Bones are not sensitive to pain, therefore the operation is painless. Surgery is carried out through the oral cavity, leaving no outwardly visible scars.
To find more information and patient reports see www.schlafapnoe.com
Patient reports before and after Sleep Apnea surgery
Authentic reports with name and photos of patients
Sleep apnea cured forever: Many enthusiastic former patients who have been cured hand over their contact details to pre-operative patients for sharing their experiences. Below you will find some current excerpts. In order to illustrate the authenticity and integrity of the letters and interviews we have been allowed to publish some of them with their full names.
2 weeks after surgery, October 2019
Mr. Uwe Sch. from Germany Berlin
Dear Professor Sailer, dear Frau Doktor Sailer,
Today is the 17th day of my new life.
I can sleep again in peace without a mask and wake up refreshed in morning.
My blood pressure has levelled out at 130/88, my weight is around 11 kilos lower and when I take a breath, then I really do get air - my nose is free. The swellings are almost gone and my friends ask me if I have had a beauty operation.
It took me a long time to come to a decision and I am happy that I decided to go for it.
I was lucky to find in you, dear professor, a very experienced, accomplished specialist as operating doctor - surrounded by a professional team. During my time with you I felt very comfortable and well looked after; the lovingly prepared ice packs from Frau Doktor Sailer were a particular help in the first hours afterwards.
I would like to thank you and your team once again for your fantastic work!
In grateful thanks, Uwe Sch. from Berlin
February 2019, 4 month after surgery
4month after surgery Mrs.Wuethrich writes:
Rotation Advancement Operation by Professor Sailer:
After years of snoring, sleep disturbance, daytime fatigue, difficulty breathing, depression and a stroke, I decided to consult Professor Sailer.
After I was diagnosed with severe sleep apnoea in May 2017, was not doing well with the CPAP mask and my X-rays showed drastic narrowing of the respiratory passages and a growth disorder of the lower jaw, Professor Sailer advised me to have the operation. Professor Sailer and his team carried out the repositioning of the upper and lower jaws (Rotation Advancement) in October 2018.
I recovered from the operation very well. Although I was very tired, I did not experience any pain at all, but rather severe pressure caused by facial swelling.
However, this got better after about a week and even the bruising went. Since I was only able to open my mouth a tiny bit, my meals consisted of soups, juice and purees for five long weeks. After the wires and stitches had been removed, I was able to chew food again. I then discovered that the muscles needed to be stretched again after having not been used for a long time. To optimise this healing process I sought the help of Ms. Gerda Braun (a qualified physio and craniosacral therapist). Another 4 weeks went by before I could chew soft meat.
Now, four months after the operation, I can say that my life has changed for the better. I no longer have breathing problems, no longer snore, no longer get migraines, am able to play sport again and am much healthier. People around me have noticed that I do a lot more, no longer gasp for air, have lost weight and my face is “narrower”.
In the days after the operation I could not go for a walk, it was exhausting for me to talk and it was difficult to eat and drink, but this is improving each week.
It is a blessing that Professor Sailer operated on me. My family and I are very grateful that my quality of life is now this high.
Desperate patient, 2019
Mrs. Silke P. from Germany was desperate seeking for help.
After an unsuccessful surgery I consulted many doctors in Germany in search of help.
After a lot of time searching the Internet, I learned about Prof. Sailer in Zürich
I contacted his very sympathetic and friendly wife, Frau Dr. Sailer, and Frau Oppenberger, who was also very helpful. I travelled to Zürich with my mum.
Prof. Sailer was the most caring and considerate doctor I have ever met.
Regarding my difficult situation, he put a lot of thought into how he could help me.
Prof. Sailer is trying to root out the exact cause of the problem.
Here at his clinic you’re not just parked in a corner.
From the very first moment I felt well looked-after in Prof. Sailer’s clinic and I have complete trust in him.
They also looked after my mum very well here.
They even rang me up after I got home to find out how I was doing.
A doctor had never done that for me before.
The entire team that we talked to at the clinic was more than helpful, and very kind too.
That’s why we want to thank you, from the bottom of our hearts.
Thank you and until next time.”
S.P from Germany
August 2018, Mr. Nipps report
Longtime experience after operation in 2004
I left my position as CEO of a private bank at the end of 2001 and reduced my workload to 50%. I made this decision on the advice of my doctors who had diagnosed me with severe sleep apnoea. I have been to the sleeping laboratory three times, and the assessments were very bad. Over 130 apnoeas (average 33 seconds). A recuperation value of around two and a half hours per night was calculated. Besides reducing my workload, I had a respirator made for me at the Swiss Lungenliga (Lung League) and used it every night for three years.
I heard about Professor Sailer and his success in the treatment of sleep apnoea from a friend. I then decided rather quickly to contact Professor Sailer. Already during my first visit, I was optimistic to do something about my sleep disorders. A second opinion I received from the University Hospital of Zurich convinced me that Professor Sailer would be able to successfully perform this non-standard operation on me. It has to be said that both an orthodontist and the attending doctor at the Lungenliga strongly advised against this operation.
First of all, my four large wisdom teeth had to be removed, which caused considerable pain! Then, the big operation took place at the beginning of October 2004. Well, the following four months weren't easy. But from then on, I didn’t need a respirator anymore and was able to sleep miraculously well again. Today, I can say that I have regained my quality of life and I look to the future with full confidence. I was 52 years old when Professor Sailer operated on me; it was probably the best decision I have ever taken. With deep gratitude
March 2018, operation after Cpap mask complaints
Mr. Ocke J. Harrsen, Germany
In 2016 I was diagnosed with severe sleep apnoea syndrome after suffering restrictions for many years with night-time blood pressure crises, insomnia, daytime fatigue and finally cardiac arrhythmia. The polysomnography showed severe REM-related OSAS. In view of the marked nature of the results, CPAP therapy was initiated. For over a year, I consistently wore the mask despite numerous problems. These manifested themselves in a wide range of forms: continual adjustment of the placement of the mask during the night (I tried various different models), swelling of the nasal mucous membranes, dry lips and nasal and oral mucous membranes despite the use of a humidifier, frequent conjunctivitis, continued severe fatigue and sleepiness in the daytime, concentration and memory disruptions, high blood pressure despite medication, in particular high values during the night, frequent urination at night, a sharply distended stomach and shortness of breath upon minimal exertion. I found the continual fatigue and my nightmares and states of anxiety to be very troublesome. The anxiety and nightmares prevented me from resting and caused me to go to bed later and later out of fear. In the morning I constantly had the feeling that I had not slept. My mental state got worse and worse, until finally I became depressive. This was a massive and no longer tolerable reduction of my quality of life.
The search for a solution led me, via the Internet, to Professor Sailer’s specialist clinic in Zurich.
I went to the clinic on 07.07.2017 and a detailed diagnosis was carried out. I was diagnosed with severe obstructive sleep apnoea syndrome, retraction of the upper and lower jaw (class 2 skeletal dysgnathia) and hypoplasia of both mandibular condyles, whose growth is retarded, and extremely narrow oropharyngeal respiratory tract with a diameter of 8 mm.
As an alternative to the CPAP treatment, corrective osteotomy of the jaws in terms of a bimaxillary rotation advancement of both jaws was proposed, whereby the oropharyngeal respiratory tract is greatly enlarged and the OSAS is treated causally.
I decided to have this operation carried out because, aside from the restrictions mentioned above, the obstructive sleep apnoea is life-threatening and leads to a shorter life expectancy. For example, the latest multi-centre study in the New England Journal of Medicine shows that CPAP treatment does not lead to a longer survival period.
From the outset, I felt that I was in good hands with Professor Sailer and his team. I would particularly like to mention Professor Sailer’s calm, empathic manner when he talked to me and my wife. In a very detailed discussion, which was perfectly clear even for a layman, we were given the medical facts regarding the operation and the course of healing. I had the opportunity to talk to a patient shortly after a successful operation. Due to the positive feedback, I was reaffirmed in my decision.
Although my medical insurance fund (DAK Gesundheit) refused to cover the costs, I decided to undergo the operation on 7 November. 2017 as a self-payer.
The atmosphere was pleasant when I arrived at the clinic on the day of the operation. I would like to stress that Professor Sailer talked to me again at length before the operation took place, which strengthened my confidence in him.
The post-operative care was excellent and I found the entire team to be caring and professional, particularly Dr. Sailer.
Following the operation, I experienced the consequences mentioned in the briefing, such as swelling, restrictions on swallowing and sensitivity disruptions. In the following weeks, I fed myself primarily with high-calorie, protein-rich shakes and pureed food. I did not experience any pain. My condition improved from week to week. It was a very special experience to be able to sleep immediately after the operation without any equipment or masks, without nightmares, and with restful sleep phases. The daytime fatigue has disappeared, and at 72 years of age I once again feel good and have a good quality of life.
The decades of experience of Professor Sailer and the fact that he successfully developed this type of operating technique affirmed me in my decision to have the operation performed in his clinic in Switzerland and not in a clinic in Germany. His method has been successful in all cases so far, as it was in mine.
I would like to sincerely thank Professor Sailer, Dr. Sailer and the team.
Ocke J. Harrsen
8 days after surgery in November 2017
David Neumayer, Vienna
On 14th November, I was operated on at Professor Sailer's for sleep apnoea. I already swam in the thermal water in Bad Ragaz on Friday evening and used the steam bath, but that's not what really counts. Instead, it is the improved quality of life, more oxygen concentration and the resulting effectiveness, more strength, and last but not least, much more and invaluable time – all these really valuable things in life, which the professor and his team have practically gifted me. In the clinic, you are cared for more than professionally, and there is a real family feeling. What more can you ask of the best?! P.S.: Greetings from Hungary – I even flew here!
January 2017, Mr. Ley from Germany
4 month after sleep apnea surgery
It all began in 2012 when I woke up tired, although I had slept more than adequately. For months, it was hard for me to work efficiently during the day and find any motivation for sports and other activities.
My doctor checked me thoroughly and referred me to a sleep laboratory. It was established that I was suffering a huge amount of breathing interruptions (apnoea). As a result, a breathing mask was prescribed to wear at night.
It may be acceptable to some people to come to terms with using a sleep mask for the rest of their life, however the mask bothered me enormously during sleep. In the morning when I woke up, the mask was often next to my bed. This was an unacceptable situation for me. I looked for a permanent cure for my sleep apnoea.
During my research on the internet I became aware of the Klinik Professor Sailer.
Having read the information in detail, I decided to take advantage of the free consultation in Zurich. The clinic is located close to the airport and is wonderfully accessible by public transport. The first impression was very positive.
When I entered Klinik Professor Sailer, I was greeted warmly at reception and then received by Professor Sailer's wife, Dr. Sailer. I was expertly informed in a most conducive atmosphere about the spectrum of options available to patients.
After the consultation, I was introduced to Professor Sailer himself. Professor Sailer is a very relaxed, pleasant and warm person. I felt very comfortable during the tests, during which everything was clearly explained to me and my face was analysed. Afterwards, radiographs of my skull were created and Professor Sailer illustrated how my problem would be treated and what results he could achieve.
An individual approach was basically created that would cure my sleep apnoea while taking into account my facial aesthetics, which was very important to me. This prognosis is of course only possible due to his enormous expertise and his unparalleled experience.
For me it was clear that he should perform the operation. I only had to be concerned about the financial part. In many cases, the cost of the operation is covered by insurance, but not in my case.
In 2016 the time had come. I had been studying this subject very intensely over the last three years and it felt almost unreal to be finally taking this step.
I went to Zurich to have the preliminary investigation and met a patient who had already completed the procedure. This dispelled any lingering doubts, because I had been worried that I might perhaps have an artificial appearance after the operation. The Austrian male patient looked very handsome and I would never have suspected that he'd undergone surgery. He recounted his experiences to me which was also reassuring.
The day before the operation, I travelled to Zurich, checked in at the hotel and then went to Klinik Professor Sailer for my teeth and oral cavity to be cleaned. Imprints were taken and I was then introduced to the anaesthesiologist to have any relevant questions about anaesthesia clarified.
The next morning I arrived at the hospital at around 6:30 am and was shown to my single room with private bathroom. I put on the surgical gown and then everything happened very quickly. I was welcomed by Professor Sailer and the other doctors and whose words encouraged me.
I remember being woken up around 7 pm. I coped very well with the anaesthetic, probably due to the gentle anaesthesia given by an experienced anaesthetist.
I could not eat for the first 2 days and lost about 8 kg in weight. The pain was bearable. I was able get up though and take a walk with Ms Jelic in the Klinik garden. On the 4th day I was picked up by my parents. The 6 hour drive went relatively well.
After arriving home, I could eat only freshly squeezed juices and vegetable pulp for the first week. I also took calorie shakes so as not to lose any more weight. My weight had now dropped from 92 kg to 79 kg.
After another 10 days, the wires were removed from my mouth, because my jaw did not have to be fixed together any more. The swelling went down enormously. Every day it was a little bit better.
90 days after the operation, I went for a check-up. Photos and three-dimensional X-ray images were made to see the results (which were becoming more and more evident). The new positioning of the jaw could be clearly seen, causing an ante-face. Today I can breathe better than ever before. I need less sleep and am active throughout the day. No one has mentioned my "new" look because not very much has changed in my appearance. The result can be seen in my profile though. In the coming months, plate material and screws will be removed.
In summary, I can say the following:
My experience with Klinik Professor Sailer has been entirely positive. The positive effects of this surgery on my personal and professional life are immense. Today, performance and appearance play a crucial role. I have been to many doctors and nobody was as expert and experienced as Professor Sailer.
Everything about him is good on a human level, he is a very pleasant, serene person with a lot of empathy.
His wife Dr. Sailer is also a very friendly, skilful person and I was very well looked after and advised by her. The clinic and the processes behind the operation were professional and well structured. The staff, especially Ms Tejic were very nice and looked after me extremely well. I can thoroughly recommend anyone to at least have a free consultation in order to form their own impression. Anyone is welcome to contact me via the clinic if you have specific questions concerning the operation.
Thanks to all the team and see you soon
December 2016, daughter writes about the surgery of her father
Ms. Wafae El Otmani, Morocco.
My family and I have spent one month in Zurich for my father’s surgery of sleep apnea; a maxillomandibular advancement surgery performed by Prof. Sailer and his brilliant team.
Seven months before surgery, my father went for a polysomnography because of a constant asthenia and snoring during sleep, he was diagnosed with severe sleep apnea (Index of 45/hour).
He started CPAP during sleep but could not use the machine regularly, he changed devices several times but in vain; he was simply not tolerating any facial mask. He even tried dental prosthesis and Surgery (septoplasty & uvulectmy) but nothing helped. His performance declined so much that he took long periods of sick leave, did not do sport anymore and became depressed and constantly anxious.
We finally came across the Professor Sailer’s klinik website and booked an appointment for a medical consultation. We were attended and welcomed in a very friendly way, Prof. Sailer gave us all necessary explanations and surgery was scheduled a month later.
My father, to whom doctors said he should wear the mask for his entire life, is now completely freed from sleep apnoea and can finally have a restful sleep.
To all the team of Professor Sailer Klinik, we express our sincere thanks and deepest gratitude; this surgery heeled my father and improved his quality of life. Thank you Professor Sailer, we wish you a healthy life and much more strength to continue performing and helping other people.
1 year after Sleep Apnea surgery, Oktober 2016
Mr. Ben J.Frommherz, Germany :
At the end of 2015 I underwent a Rotation Advancement Operation, because I could hardly sleep anymore due to shortness of breath and nothing provided me with any relief. The cause was that my jawbone had not grown to its full extent, which led to a bottleneck effect in my throat. The operation, which Prof. Sailer suggested, planned to rectify the bottleneck without altering the position of my jaw line or disfiguring my face.
I agreed to the operation despite the genaral risks of a surgery. I could no longer bear the present situation, which carried an even higher amount of risks: my weight had escalated to 100 kg; I was 185cm tall, constantly tired, my blood values were consistently deteriorating, in particular the liver and cholesterol values. I had also suffered 2 cases of thrombosis in the past 3 years. My whole body was in a bad condition. In the operation my air duct was widened from 4mm to approx. 15mm, my respiratory problems immediately became a thing of the past! In my specific case the operation did not prove to be a minor procedure as a long-term inflamed sinus problem and a wisdom tooth also had to be addressed. I therefore prepared myself for a long recovery period and took advantage of the opportunity to change my diet. After only 4 months I had lost 20kg and many other symptoms had also disappeared: Constipation, reflux, the chronic inflammation of my sinuses. All my blood values were at a healthy level again for the first time in years. I am full of energy again and it shows. Everyone around me confirms it. I feel 20 years younger and would definitely undergo this operation again. Heartfelt thanks to Professor Sailer and his team!