Evaluation of quality of life after orthognathic surgery in obstructive sleep apnea syndrome: a systematic review

Abstract

Objectives To develop a systematic review of patient perspectives on the treatment of obstructive sleep apnea syndrome (OSAS) after undergoing orthognathic advancement surgery. Materials and Methods This systematic review adhered to the preferred reporting items for systematic reviews and meta-analysis (PRISMA) guidelines, and Patient, Intervention, Comparison, and Outcome (PICO) methodology was employed to formulate the research question. A literature search was performed using the following databases: Cochrane Library (Trials), PubMed via MEDLINE, Embase, and Web of Science (all databases). The Newcastle-Ottawa Scale was used to assess quality of the studies. Results Initially, 1407 articles were retrieved from diverse databases, and these were subjected to initial scrutiny. Subsequently, 17 articles were selected for thorough quality analysis and 6 studies for quantitative analysis. Most studies were classified as good quality. Maxillomandibular advancement surgery appeared to enhance patient satisfaction in cases of moderate to severe adult OSAS. Conclusions Maxillomandibular advancement surgery significantly improves patients’ subjective overall quality of life, improving by 6.36 points in questionnaire ratings and demonstrating long-term stability.