Three-dimensional volumetric changes in the upper airway after maxillomandibular advancement in obstructive sleep apnoea patients and the impact on quality of life

Veys, B.; Pottel, Lies; Mollemans, Wouter; Abeloos, J.; Swennen, G.; Neyt, N.

doi:10.1016/j.ijom.2017.06.020

Cited by 26 publications

(47 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Eight studies17–24 were therefore included in the quantitative analysis. The inter-rater agreement regarding study eligibility was considered excellent, with κ=0.813 (95% CI 0.663 to 1.0).…”

Section: Resultsmentioning

confidence: 99%

“…Regarding the AHI assessment, it was established as the final postoperative score (final AHI) and the presurgery versus postsurgery difference (AHI reduction). Moreover, final AHI was assessed to establish the ‘SRs’ and ‘CRs’ of surgical treatment of OSA after MMA, as described elsewhere 1 4–6 17–25. A final AHI of <20 events/hour, with a reduction of 50% postoperatively, defines surgical success 1 5 7.…”

Section: Methodsmentioning

confidence: 99%

“…A final AHI of <20 events/hour, with a reduction of 50% postoperatively, defines surgical success 1 5 7. A final AHI of <5 events/hour is regarded as a surgical cure criterion 1 4–6 17–25…”

Section: Methodsmentioning

confidence: 99%

“…Subgroup analyses were made to examine the different surgical techniques of the studies since genioplasty (Gp), the surgical correction of the projection of the chin, can add an increase in the PA. Thus, two surgical factors were considered for the two group analyses: (1) ‘MMA group’ (n=108), which excluded studies with Gp,17 20 22 24 and (2) ‘MMA±Gp’ group (n=159), including all articles regardless of Gp 17–24. Forests plots were used to show the effects.…”

Section: Methodsmentioning

confidence: 99%

See 3 more Smart Citations

Impact of surgical maxillomandibular advancement upon pharyngeal airway volume and the apnoea–hypopnoea index in the treatment of obstructive sleep apnoea: systematic review and meta-analysis

et al. 2019

View full text Add to dashboard Cite

BackgroundA systematic review was carried out on the effect of surgical maxillomandibular advancement (MMA) on pharyngeal airway (PA) dimensions and the apnoea–hypopnoea index (AHI) in the treatment of obstructive sleep apnoea (OSA), with the aim of determining whether increased PA in the context of MMA is the main factor conditioning the subsequent decrease in AHI.MethodsA search was made of the PubMed, Embase, Google Scholar and Cochrane databases. A total of 496 studies were identified. The inclusion criteria were a diagnosis of moderate to severe OSA, MMA success evaluated by polysomnography, reporting of the magnitude of MMA achieved, PA increase and a minimum follow-up of 6 months.ResultsFollowing application of the eligibility criteria, eight articles were included. Metaregression analysis showed MMA to significantly increase both pharyngeal airway volume (PAV) (mean 7.35 cm3 (range 5.35–9.34)) and pharyngeal airway space (mean 4.75 mm (range 3.15–6.35)) and ensure a final AHI score below the threshold of 20 (mean 12.9 events/hour).ConclusionsAlthough subgroup analysis showed MMA to be effective in treating OSA, more randomised trials are needed to individualise the required magnitude and direction of surgical movements in each patient, and to standardise the measurements of linear and nonlinear PAV parameters.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Impact of surgical maxillomandibular advancement upon pharyngeal airway volume and the apnoea–hypopnoea index in the treatment of obstructive sleep apnoea: systematic review and meta-analysis

et al. 2019

View full text Add to dashboard Cite

show abstract

“…According to a systematic review and meta-analysis based on 45 studies, the preoperative AHI (57.2 ± 25.4) was significantly decreased to 9.5 ± 10.4, and the preoperative BMI of OSA patients was 33.8 ± 9.7 with an average age of 45.3 ± 10.0 years [9]. In the current review, the average age of patients who underwent MMA ranged from 33 to 53.8 years (average 45.7 ± 5.4 years) based on previous studies [12,13,33,[37][38][39][40][41][42][43][44][45][46][47] (Table 5). Most of the studies included overweight patients (BMI > 25), and the average preoperative AHI was 51.1 ± 12.6.…”

Section: Improvement Of Airway Patency By Mmamentioning

confidence: 62%

Why most patients do not exhibit obstructive sleep apnea after mandibular setback surgery?

Kim

Kwon

2020

Maxillofac Plast Reconstr Surg

View full text Add to dashboard Cite

Maxillomandibular advancement (MMA) is effective for the treatment of obstructive sleep apnea (OSA). In previous studies, the airway was increased in the anteroposterior and transverse dimensions after MMA. However, the effect of the opposite of mandibular movement (mandibular setback) on the airway is still controversial. Mandibular setback surgery has been suggested to be one of the risk factors in the development of sleep apnea. Previous studies have found that mandibular setback surgery could reduce the total airway volume and posterior airway space significantly in both the one-jaw and two-jaw surgery groups. However, a direct cause-and-effect relationship between the mandibular setback and development of sleep apnea has not been clearly established. Moreover, there are only a few reported cases of postoperative OSA development after mandibular setback surgery. These findings may be attributed to a fundamental difference in demographic variables such as age, sex, and body mass index (BMI) between patients with mandibular prognathism and patients with OSA. Another possibility is that the site of obstruction or pattern of obstruction may be different between the awake and sleep status in patients with OSA and mandibular prognathism. In a case-controlled study, information including the BMI and other presurgical conditions potentially related to OSA should be considered when evaluating the airway. In conclusion, the preoperative evaluation and management of co-morbid conditions would be essential for the prevention of OSA after mandibular setback surgery despite its low incidence.

show abstract

Virtual Surgical Planning for Osseous Surgery to Manage Obstructive Sleep Apnea

Viozzi

2021

Management of Obstructive Sleep Apnea

View full text Add to dashboard Cite

Three-dimensional volumetric changes in the upper airway after maxillomandibular advancement in obstructive sleep apnoea patients and the impact on quality of life

Cited by 26 publications

References 23 publications

Impact of surgical maxillomandibular advancement upon pharyngeal airway volume and the apnoea–hypopnoea index in the treatment of obstructive sleep apnoea: systematic review and meta-analysis

Impact of surgical maxillomandibular advancement upon pharyngeal airway volume and the apnoea–hypopnoea index in the treatment of obstructive sleep apnoea: systematic review and meta-analysis

Why most patients do not exhibit obstructive sleep apnea after mandibular setback surgery?

Virtual Surgical Planning for Osseous Surgery to Manage Obstructive Sleep Apnea

Contact Info

Product

Resources

About