Clinical, esthetic, and quality of life outcomes after telegnathic surgery in Caucasian OSAS patients

González, Maite Barbero; Casellas, Joan; Mondragon, Maria Pilar Fernandez; Cabriada, Valentín; Amézaga, Julio Alvarez; Villafra, Felix De Carlos

doi:10.1080/08869634.2020.1767474

Cited by 5 publications

(3 citation statements)

References 28 publications

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“…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: Resultsmentioning

confidence: 99%

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%

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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“…Among the options, the OSAS-specific "OSA-18 questionnaire" is widely accepted and validated as an informative instrument [30,41]. Health generic instruments such as SF 36 are also being widely used by researchers although there is still a limited number of reports evaluating QoL and patient satisfaction [30,[40][41][42][43][44][45][46][47][48]. All these mentioned surveys are used to evaluate and compare the pre-/post-operative condition.…”

Section: Discussionmentioning

confidence: 99%

“…Among the options, the OSA-18 questionnaire by Franco et al [42] is the most widely used QoL survey aimed at paediatric OSAS patients and has been validated as an informative instrument. For adult patients, generic instruments, such as the Medical Outcome Survey, Short Form (SF)-36, are mostly being used along with some reports on disease-specific questionnaires [30,[40][41][42][43][44][45][46][47][48]. However, there is still a limited number of reports in literature that investigate the post-operative QoL evaluations in such patients.…”

Section: Of 18mentioning

confidence: 99%

Post-Operative Patients’ Satisfaction and Quality of Life Assessment in Adult Patients with Obstructive Sleep Apnea Syndrome (OSAS)

Rossi

Göker

Cullati

et al. 2022

IJERPH

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Background: The treatment for severe OSAS includes maxillomandibular advancement surgical option in selected cases. The aim of this study was to evaluate the post-operative impact of bimaxillary surgery on satisfaction and consequently the quality of life of these patients. Methods: This study included 18 patients with severe OSAS who received maxillomandibular advancement surgery. Patients were divided into Group A (operated by CAD/CAM) and Group B (conventional surgery). The impact of bimaxillary surgery on satisfaction and quality of life of these patients was evaluated by utilizing post-operative life quality and Rustemeyer’s patient-satisfaction-based survey. Results: A total of 18 adult OSAS patients (Group A: 11 patients, Group B: 7 patients) with a mean age of 44.39 years (SD ± 9.43) were included. Mean follow-up period was 32.64 months (SD ± 21.91). No intra-operative complications were seen in any patients. Post-operative complication was seen in one patient and the mandible did not integrate. According to the results, overall post-operative satisfaction score was 79.72% (SD ± 9.96). There was no significant difference among those in Group A and Group B. Conclusion: Maxillomandibular advancement surgery seems to be beneficial in terms of patients’ satisfaction in severe adult OSAS patients and can be considered as a valuable option in selected cases.

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Racial variations in maxillomandibular advancement for obstructive sleep apnea: a systematic review and meta-analysis

Nanu,

Diemer,

Nguyen

et al. 2024

Sleep Breath

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Purpose We aimed to explore alterations in polysomnographic, cephalometric, and subjective outcomes amongst different ethnic/racial groups after MMA for OSA. Methods A meta-analysis was performed according to PRISMA reporting guidelines. The COCHRANE Library, CINAHL, PubMed, and Scopus were searched from inception to August 8, 2023. Each measure was weighted according to the number of patients affected. Heterogeneity among studies was assessed using χ2 and I2 statistics with fixed effects (I2 < 50%) and random effects (I2 ≥ 50%). Results Twenty studies with a total of 469 patients (n = 257 Caucasians, n = 204 Asians, n = 8 Latinos) with a mean patient age of 40.0 years (range: 18–67; 95% CI: 38.0, 42.1). The mean difference for Caucasians were AHI: -39.6 (95% CI: -55.0, -24.1; p <.001), LSAT: 7.5 (95% CI: 5.7, 9.3; p <.0001), and ESS: -4.5 (95% CI: -5.6, -3.4; p <.0001). The mean difference for Asians were AHI: -42.7 (95% CI -49.3, -36.0; p <.0001), LSAT: 13.8 (95% CI: 10.0, 17.4; p <.0001), and ESS: -6.7 (95% CI: -9.9, -3.5; p <.0001). The mean difference for Latinos were AHI: -21.2 (95 CI%: -37.7, -4.6; p =.01), and ESS: -2.0 (-7.9, 3.9; p =.50). Greater reduction of AHI was seen in Asians vs. Caucasians and Asians vs. Latinos. Lastly, the reduction of ESS was significantly better for Asians vs. Caucasians. Conclusion The study highlights significant variations in MMA outcomes among different ethnic/racial groups. Asians tend to have more severe OSA preoperatively and experience greater postoperative improvements in AHI, LSAT, and ESS compared to Caucasians.

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Clinical, esthetic, and quality of life outcomes after telegnathic surgery in Caucasian OSAS patients

Cited by 5 publications

References 28 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

Post-Operative Patients’ Satisfaction and Quality of Life Assessment in Adult Patients with Obstructive Sleep Apnea Syndrome (OSAS)

Racial variations in maxillomandibular advancement for obstructive sleep apnea: a systematic review and meta-analysis

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