Maxillomandibular Advancement for Obstructive Sleep Apnea in Patients With Obesity: A Meta-Analysis

被引:3
作者
Diemer, Tanner J. [1 ,2 ]
Nanu, Douglas P. [1 ,3 ]
Nguyen, Shaun A. [1 ]
Ibrahim, Badr [4 ]
Meyer, Ted A. [1 ]
Abdelwahab, Mohamed [1 ,5 ]
机构
[1] Med Univ South Carolina, Dept Otolaryngol Head & Neck Surg, Sleep Surg Div, Charleston, SC USA
[2] Univ Arizona, Coll Med, Phoenix, AZ USA
[3] Washington State Univ, Elson S Floyd Coll Med, Spokane, WA USA
[4] Univ Montreal, Dept Otolaryngol Head & Neck Surg, Montreal, PQ, Canada
[5] Med Univ South Carolina, Dept Oral & Maxillofacial Surg, Charleston, SC USA
关键词
meta-analysis; obstructive sleep apnea; surgical treatment of obstructive sleep apnea; systematic review; AIRWAY CHANGES; SURGERY; INDEX; GUIDE; CPAP; BIAS;
D O I
10.1002/lary.31751
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
This systematic review examined the effects of maxillomandibular advancement (MMA) on obstructive sleep apnea (OSA) patients with obesity, including 14 studies with 143 subjects. Significant improvements were observed in apnea-hypopnea index (AHI), lowest oxygen saturation (LSAT), and Epworth Sleepiness Scale (ESS), with surgical success and cure rates at 85.6% and 39.2%, respectively. Notably, patients with class 3 obesity showed a significantly greater percent reduction in AHI compared to those with class 1 and 2 obesity.image
引用
收藏
页码:507 / 516
页数:10
相关论文
共 39 条
[1]   Maxillomandibular Advancement Efficacy in Obstructive Sleep Apnea Patients With Class 2 Versus 3 Dentofacial Deformity [J].
Abdelwahab, Mohamed ;
Taheri, Nazlie ;
Eltahir, Lina ;
Erdogan, Can ;
Lee, Kyra ;
Liu, Stanley Y. -C. .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2023, 169 (05) :1366-1373
[2]   Value of Surgical and Nonsurgical Treatment for Sleep Apnea: A Closer Look at Healthcare Utilization [J].
Abdelwahab, Mohamed ;
Marques, Sandro ;
Huang, Allen ;
De Moraes, Thyago P. ;
Previdelli, Isolde ;
Cruz, June Alisson Westarb ;
Al-Sayed, Ahmed A. ;
Capasso, Robson .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2023, 168 (05) :1228-1237
[3]   Virtual Surgical Planning for Patients with Skeletal-Dental and Obstructive Sleep Apnea Syndrome [J].
Barrera, Jose E. .
FACIAL PLASTIC SURGERY, 2023, 39 (05) :564-568
[4]   Virtual surgical planning improves surgical outcome measures in obstructive sleep apnea surgery [J].
Barrera, Jose E. .
LARYNGOSCOPE, 2014, 124 (05) :1259-1266
[5]   Counterclockwise Rotation of the Occlusal Plane in the Treatment of Obstructive Sleep Apnea Syndrome [J].
Brevi, Bruno Carlo ;
Toma, Livia ;
Pau, Mauro ;
Sesenna, Enrico .
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2011, 69 (03) :917-923
[6]   Linear and Volumetric Airway Changes After Maxillomandibular Advancement for Obstructive Sleep Apnea [J].
Butterfield, Kevin J. ;
Marks, Patricia L. G. ;
McLean, Laurie ;
Newton, Jack .
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2015, 73 (06) :1133-1142
[7]   Maxillomandibular Advancement and Tracheostomy for Morbidly Obese Obstructive Sleep Apnea: A Systematic Review and Meta-analysis [J].
Camacho, Macario ;
Teixeira, Jeffrey ;
Abdullatif, Jose ;
Acevedo, Jason L. ;
Certal, Victor ;
Capasso, Robson ;
Powell, Nelson B. .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2015, 152 (04) :619-630
[8]   Comprehensive review of surgeries for obstructive sleep apnea syndrome [J].
Camacho, Macario ;
Certal, Victor ;
Capasso, Robson .
BRAZILIAN JOURNAL OF OTORHINOLARYNGOLOGY, 2013, 79 (06) :780-788
[9]   Bias in meta-analysis detected by a simple, graphical test [J].
Egger, M ;
Smith, GD ;
Schneider, M ;
Minder, C .
BMJ-BRITISH MEDICAL JOURNAL, 1997, 315 (7109) :629-634
[10]   Three-dimensional changes in upper airways of patients with obstructive sleep apnea following maxillomandibular advancement [J].
Fairburn, S. Craig ;
Waite, Peter D. ;
Vilos, George ;
Harding, Susan M. ;
Bernreuter, Wanda ;
Cure, Joel ;
Cherala, Sai .
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2007, 65 (01) :6-12