Maxillomandibular advancement as the initial treatment of obstructive sleep apnoea: Is the mandibular occlusal plane the key?

Rubio-Bueno, Pilar; Landete, Pedro; Ardanza, Bruno; Vazquez, Lydia; Soriano, Joan B.; Wix, Rybel; Capote, Ana; Zamora, Enrique; Ancochea, Julio; Naval-Gías, Luis

doi:10.1016/j.ijom.2017.07.003

Cited by 24 publications

(8 citation statements)

References 28 publications

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“…Las apneas pueden clasificarse en tres tipos según su esfuerzo inspiratorio: Cirugía de avance realizarán en el paciente. 4,8,9,[29][30][31][32][33][34] Para la preparación pre quirúrgica se indica el protocolo de Stanford, el cual divide a la cirugía en dos fases: 9,13,32,33 1. Fase l: consiste en la úvulo palato faríngeo plastia y/o genioplastia.…”

Section: Polisomnografíaunclassified

Cirugía de avance maxilo-mandibular como tratamiento alternativo del Apnea Obstructiva del Sueño: Revisión de Literatura.

2022

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El Síndrome de Apnea Obstructiva del Sueño (SAOS) se define como un trastorno que representa episodios de obstrucción total del flujo aéreo (apnea) o parcial (hipopnea) de las vías respiratorias durante el sueño. El objetivo de esta revisión de la literatura fue analizar información de relevancia acerca de la cirugía de avance maxilo mandibular (AMM) como una alternativa en el tratamiento del síndrome de apnea obstructiva del sueño. En la que, se consultaron las bases de datos electrónicas como: Medline, PubMed, Scielo, ElSevier, Healey Library, Web of Science; entre otros, para identificar publicaciones sin límite de fecha, sin distinción de idioma, junto con una búsqueda manual. Como criterios de inclusión se seleccionaron las palabras clave: “Apnea Obstructiva del Sueño”, “Procedimientos Quirúrgicos Ortognáticos”, “Avance Mandibular”, “Dispositivos Oclusales”, en varias combinaciones usando los operadores boleanos OR, AND y NOT, para obtener referencias relevantes para su selección, se tomaron en cuenta varias revisiones de la literatura, casos, ensayos clínicos y estudios de cohortes. Se revisaron un total de 1583 artículos, 41 cumplieron los criterios de inclusión, 21 en idioma español y 20 en idioma inglés. La cirugía de avance maxilo mandibular es una de las mejores alternativas de tratamiento para el SAOS, tiene un promedio de éxito a corto y largo plazo, alrededor de un 98.8% ya que reduce significativamente los episodios de apneas e hipoapneas durante el sueño, mejorando la calidad de vida de los pacientes sometidos al tratamiento.

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Section: Polisomnografíaunclassified

Cirugía de avance maxilo-mandibular como tratamiento alternativo del Apnea Obstructiva del Sueño: Revisión de Literatura.

2022

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“…It has been reported for children with identifiable syndromes associated with micrognathia and mandibular ankylosis. Many research efforts have focused on finding the optimal cephalometric analysis and values to track both in a presurgical and postsurgical fashion, and measurements used with success have included total pharyngeal airway volume, minimal axial area, and the mandibular occlusive plane [ 61 , 62 ]. This suggests that correctible dental defects are an important part of evaluation before referring for MMA.…”

Section: Surgical Proceduresmentioning

confidence: 99%

Alternative Approaches to Adenotonsillectomy and Continuous Positive Airway Pressure (CPAP) for the Management of Pediatric Obstructive Sleep Apnea (OSA): A Review

et al. 2020

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Continuous positive airway pressure (CPAP) is considered first-line treatment in the management of pediatric patients without a surgically correctible cause of obstruction who have confirmed moderate-to-severe obstructive sleep apnea (OSA). The evidence supports its reduction on patient morbidity and positive influence on neurobehavioral outcome. Unfortunately, in clinical practice, many patients either refuse CPAP or cannot tolerate it. An update on alternative approaches to CPAP for the management of OSA is discussed in this review, supported by the findings of systematic reviews and recent clinical studies. Alternative approaches to CPAP and adenotonsillectomy for the management of OSA include weight management, positional therapy, pharmacotherapy, high-flow nasal cannula, and the use of orthodontic procedures, such as rapid maxillary expansion and mandibular advancement devices. Surgical procedures for the management of OSA include tongue-base reduction surgery, uvulopalatopharyngoplasty, lingual tonsillectomy, supraglottoplasty, tracheostomy, and hypoglossal nerve stimulation. It is expected that this review will provide an update on the evidence available regarding alternative treatment approaches to CPAP for clinicians who manage patients with pediatric OSA in daily clinical practice.

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“…in the literature when the UA has been assessed following orthognathic surgery. [36][37][38] These protocols include 'placing the tongue on the roof of the mouth' , 'placing the tongue in a relaxed position' 37,39 and 'placing the tongue against the incisor teeth' 38,40 which may The impacts of altered head and tongue posture during image acquisition on the reliability of UA outcomes are significant which are emphasized in previous studies 31,32 where a quality assessment was performed in order to exclude CBCT scans with significant malpositioned head posture (head rotation, head flexion or head extension).…”

Section: Different Protocols For Tongue Positioning During 3d Image Amentioning

confidence: 99%

The effect of altered head and tongue posture on upper airway volume based on a validated upper airway analysis—An MRI pilot study

Gurani

Cattaneo

Rafaelsen

et al. 2019

Orthod Craniofacial Res

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Maxillomandibular advancement as the initial treatment of obstructive sleep apnoea: Is the mandibular occlusal plane the key?

Cited by 24 publications

References 28 publications

Cirugía de avance maxilo-mandibular como tratamiento alternativo del Apnea Obstructiva del Sueño: Revisión de Literatura.

Cirugía de avance maxilo-mandibular como tratamiento alternativo del Apnea Obstructiva del Sueño: Revisión de Literatura.

Alternative Approaches to Adenotonsillectomy and Continuous Positive Airway Pressure (CPAP) for the Management of Pediatric Obstructive Sleep Apnea (OSA): A Review

The effect of altered head and tongue posture on upper airway volume based on a validated upper airway analysis—An MRI pilot study

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