Morphological impact on patients of maxillomandibular advancement surgery for the treatment of obstructive sleep apnea-hypopnea syndrome

Beranger, Thibaut; Garreau, Émilie; Ferri, Joël; Raoul, G.

doi:10.1016/j.ortho.2016.12.013

Cited by 7 publications

(5 citation statements)

References 19 publications

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“…Apart from one study that did not mention the patients’ sex [ 35 ], all studies included more men than women. Regarding the instruments, five articles used a single questionnaire [ 27 , 29 , 30 , 36 , 37 ], while eleven employed multiple questionnaires, with the most extensive one using six [ 38 ]. The most commonly referred instruments were the Epworth Sleepiness Scale (nine studies) [ 27 , 28 , 31 , 34 , 35 , 37 , 38 , 39 , 40 , 41 ], SF-36 (four studies) [ 32 , 38 , 39 , 42 ], Functional Outcomes of Sleep (three studies) [ 31 , 39 , 41 ], Ottawa Sleep Apnea (two studies) [ 36 , 39 ], and Rustemever’s method (two studies) [ 32 , 33 ].…”

Section: Resultsmentioning

confidence: 99%

“…Apart from on study that did not mention the patients' sex [35], all studies included more men tha women. Regarding the instruments, five articles used a single questionnair [27,29,30,36,37], while eleven employed multiple questionnaires, with the most extensiv one using six [38]. The most commonly referred instruments were the Epworth Sleepines…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

“…Regarding the instruments, five articles used a single questionnaire [27,29,30,36,37], while eleven employed multiple questionnaires, with the most extensive one using six [38]. The most commonly referred instruments were the Epworth Sleepiness Scale (nine studies) [27,28,31,34,35,[37][38][39][40][41], SF-36 (four studies) [32,38,39,42], Functional Outcomes of Sleep (three studies) [31,39,41], Ottawa Sleep Apnea (two studies) [36,39], and Rustemever's method (two studies) [32,33]. The most evaluated outcomes were sleep quality, daytime function, facial aesthetics, dental function and emotional health.…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

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Patient-Reported Outcomes of Maxillomandibular Surgery for Obstructive Sleep Apnea Treatment: A Scoping Review

Francisco,

Nunes,

Baptista Paula

et al. 2024

JCM

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(1) Background: The present scoping review aims to scrutinize all existing patient-reported outcomes and assess the perspectives of obstructive sleep apnea patients after maxillomandibular surgery. (2) Methods: The review was carried out according to the extensions for scoping reviews using the PRISMA-ScR guidelines. Several databases were used to carry out the initial search. This study included randomized controlled trials, cohort studies, cross-sectional and case-control studies. The included studies considered patients with obstructive sleep apnea who were submitted to orthognathic surgery as the main subjects, and the patient’s perception of quality of life, satisfaction, treatment experience and side effects were assessed. (3) Results: From 1407 examined articles, a total of 16 were included. Most of the included studies used more than one questionnaire to assess quality of life, except for five articles. The most commonly referred instruments were the Epworth Sleepiness Scale, SF-36, the Functional Outcomes of Sleep and Ottawa Sleep Apnea. The most commonly assessed outcomes were sleep quality, daytime function, facial aesthetics, dental function and emotional health. (4) Conclusions: The number of variables that can be evaluated from a patient’s perspective are endless, as are the tools available to assess them. Not all of these tools, which are generally questionnaires, assess all the various outcomes, and some do not compare the pre- and post-surgical situations. Most of them are generic and lack specificity for obstructive sleep apnea.

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Section: Resultsmentioning

confidence: 99%

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

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Patient-Reported Outcomes of Maxillomandibular Surgery for Obstructive Sleep Apnea Treatment: A Scoping Review

Francisco,

Nunes,

Baptista Paula

et al. 2024

JCM

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“…While favorable and more attractive ratings have been reported with MMA, even when no underlying dentofacial deficiencies were present [ 28 ], a proportion of dissatisfied patients has been reported in the literature ranging from 9 to 31%, who were unhappy with their postoperative appearance [ 34 ]. Beauty standards vary across cultures, however, a pronounced jawline and prognathic mandible is a beauty trend now and considered an attractive feature for both males and females.…”

Section: Reviewmentioning

confidence: 99%

Satisfaction With Facial Aesthetic Appearance Following Maxillomandibular Advancement (MMA) for Obstructive Sleep Apnea (OSA): A Meta-Analysis

Jamal¹,

Ibrahim²

2023

Cureus

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Purpose: A large cohort of patients diagnosed with obstructive sleep apnea (OSA) require surgical intervention, sometimes in the form of maxillomandibular advancement (MMA), to correct their functional disturbance. Such a surgical procedure typically results in a slight modification of the patients' facial appearance. The purpose of the current systematic review and meta-analysis was to examine the rate of satisfaction with facial aesthetics post-MMA intervention and to assess its dependability on and relationship with other patient or treatment factors. Based on the literature currently available, and to the best of our knowledge, this is the first paper to draw on the topic analytically.Methods: A search was conducted on four electronic literature databases (Pubmed, Ovid, Science Direct, and Scholar). Using referred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), our inclusion criterion covered any case with adequate reported data pertaining to the research question up to June 2021. Three evaluator groups were utilized. Satisfaction was defined as either an obvious reported increase in fondness for facial appearance or a state of indifference to the cosmetic results of the conducted changes. Dissatisfaction was defined as a clear discontent with the post-operative esthetic results. A multivariate analysis of the data was conducted, and Chi-square tests for independence were used to detect any significant associations. A meta-analysis of proportion was employed to permit for Freeman-Tukey double arcsine transformation and stabilize the variance of each study's proportion. Cochran's Q was computed, and the significance level was gauged as a function of P value.Results: Meta-analyses of proportion conducted for assessment of aesthetic appraisal following surgical MMA for OSA elucidated a significantly higher predilection towards aesthetic satisfaction after surgical MMA for OSA for all evaluator groups in the encompassed studies. 94.2% of patients were satisfied with their facial esthetics postoperatively. Conclusion:The vast majority of patients that undergo MMA for the correction of OSA report satisfaction with post-surgical facial aesthetics. The subjective assessment of this parameter by physicians and laypeople portrays an equivalently significant skew toward post-surgical appearance improvement. MMA is a generally safe procedure that substantially contributes to enhancement of both overall quality of life and perceived aesthetic appeal.

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“…The gold standard in the OSAs diagnosis is the polysomnography [13]. In obstructive sleep apnea Lateral Headfilms and 3D headfilm are used to evaluate the site of airflow reduction [14,15]. These provide to give information about the facial morphology and airflow spaces [16,17].…”

Section: Introductionmentioning

confidence: 99%

Correlation between Craniofacial Structures and Severity of Obstructive Sleep Apnea

Ciavarella¹,

Laurenziello²,

Russo³

et al. 2018

Dentistry

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Objective: In the present paper authors evaluated, on supine lateral head films, the correlation of Upper Airway Space (UAS), posterior maxillary structures (i.e., palatal morphology), maxillo-mandibular and hyoid position with different severity of OSA evaluated on polysomnography test. Materials and Methods: One hundred patients (mean age 51.4 years old; 92 man and 8 women) with OSA were enrolled in the present study. An Epworth questionnaire and a complete overnight Polysomnography (PSG) were done. Head films were taken with the patient in supine position fixed in a cephalostat, in centric occlusion, with adequate visualization of reference structures. Results: The cephalometric evaluation showed how patients presented a reduction of Upper airway space, a post inclination of the mandible, an increase of the ANB Angle and an increase of palatal length, palatal height and palatal angle. At Spearman test a great correlation between IAS and OSA data, a direct correlation between the palatal length and thickness with IAS and an inverse correlation between the mandibular post inclination and backward position and IAS were evaluated. Conclusion: In the present paper authors showed how PSG (AHI, SO2 and Nadir) data was correlated above all to IAS. The modification of IAS was related to the mandibular vertical and sagittal position and to palatal length and thickness.

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Morphological impact on patients of maxillomandibular advancement surgery for the treatment of obstructive sleep apnea-hypopnea syndrome

Cited by 7 publications

References 19 publications

Patient-Reported Outcomes of Maxillomandibular Surgery for Obstructive Sleep Apnea Treatment: A Scoping Review

Patient-Reported Outcomes of Maxillomandibular Surgery for Obstructive Sleep Apnea Treatment: A Scoping Review

Satisfaction With Facial Aesthetic Appearance Following Maxillomandibular Advancement (MMA) for Obstructive Sleep Apnea (OSA): A Meta-Analysis

Correlation between Craniofacial Structures and Severity of Obstructive Sleep Apnea

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