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

Abstract

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.

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

“…Sixteen articles assessed the impacts of orthognathic surgery on satisfaction and patient quality of life. The year of publication ranged from 2004 [ 27 ] to 2023 [ 28 ], given that five were published in 2020 [ 20 , 29 , 30 , 31 ] and three in 2022 [ 32 , 33 , 34 ]. Regarding the type of study, eight were retrospective cohort studies, four were cohort studies, three were prospective cohort studies and one was a retrospective case–control study.…”

Major clinical results of orthognathic surgery and maxillomandibular advancement in obstructive sleep apnea syndrome

“…It is suitable for patients who can alleviate upper airway obstruction through surgery. The surgical methods commonly used include uvulas palate pharyngoplasty (UPPP) and its enhancement, mandibular advancement, anterior and mandibular migration, anterior maxillofacial migration and suspension of lingual muscle suspension, laser-assisted pharyngoplasty, pharyngeal angioplasty, tracheostomy, bariatric surgery, implant surgery such as soft abutment implantation, hypoglossal nerve stimulation, reconstruction of upper airway surgery, soft airway reconstruction, tonsillectomy, adenoidectomy, nasal septoplasty, nasal concha radiofrequency ablation or nasal surgery, etc [1][2][3].…”

“…In particular, OS is an effective treatment for OSAS due to mandibular factors [2,21]. OS is a type of surgery that corrects maxillofacial deformities by incising the upper and lower jaws.…”

“…In addition, although maxillomandibular advancement is an orthognathic surgical procedure used to control OSAS, it encounters problems in terms of aesthetic results with preexisting dentoalveolar protrusion [1,2,23]. Thus, a prospective study investigated changes in posterior pharyngeal space and aesthetic outcomes of patients suffering from OSAS after OS rotational counter-clockwise [3].…”

“…In this sense, orthognathic Surgery (OS) corrected the deformities of maxillary and mandibular bones of the OSAS [2,3]. OS has evolved a lot in the last two decades.…”