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
来源
LARYNGOSCOPE | 2025年 / 135卷 / 02期
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 50 条
  • [21] EFFECT OF MAXILLOMANDIBULAR ADVANCEMENT ON OBSTRUCTIVE SLEEP-APNEA
    TINER, BD
    VANSICKELS, JE
    MCANEAR, JT
    CASMEDES, HP
    JOURNAL OF DENTAL RESEARCH, 1994, 73 : 285 - 285
  • [22] Maxillomandibular advancement is a successful treatment for obstructive sleep apnoea: a systematic review and meta-analysis
    John, C. R.
    Gandhi, S.
    Sakharia, A. R.
    James, T. T.
    INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2018, 47 (12) : 1561 - 1571
  • [23] Volumetric analysis of the pharynx in patients with obstructive sleep apnea (OSA) treated with maxillomandibular advancement (MMA)
    Faria, Ana Celia
    da Silva-Junior, Savio Nogueira
    Garcia, Luis Vicente
    dos Santos, Antonio Carlos
    Franca Fernandes, Maria Regina
    de Mello-Filho, Francisco Verissimo
    SLEEP AND BREATHING, 2013, 17 (01) : 395 - 401
  • [24] MAXILLOMANDIBULAR ADVANCEMENT SURGERY IN 23 PATIENTS WITH OBSTRUCTIVE SLEEP-APNEA SYNDROME
    WAITE, PD
    WOOTEN, V
    LACHNER, J
    GUYETTE, RF
    JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 1989, 47 (12) : 1256 - 1261
  • [25] Improved Apnea-Hypopnea Index and Lowest Oxygen Saturation After Maxillomandibular Advancement With or Without Counterclockwise Rotation in Patients With Obstructive Sleep Apnea: A Meta-Analysis
    Knudsen, Thorkild B.
    Laulund, Anne S.
    Ingerslev, Janne
    Homoe, Preben
    Pinholt, Else M.
    JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2015, 73 (04) : 719 - 726
  • [26] Skeletal Stability of Patients Undergoing Maxillomandibular Advancement for Treatment of Obstructive Sleep Apnea
    Lee, Sang Hwa
    Kaban, Leonard B.
    Lahey, Edward T.
    JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2015, 73 (04) : 694 - 700
  • [27] Volumetric analysis of the pharynx in patients with obstructive sleep apnea (OSA) treated with maxillomandibular advancement (MMA)
    Ana Célia Faria
    Savio Nogueira da Silva-Junior
    Luis Vicente Garcia
    Antonio Carlos dos Santos
    Maria Regina França Fernandes
    Francisco Veríssimo de Mello-Filho
    Sleep and Breathing, 2013, 17 : 395 - 401
  • [28] Counterclockwise maxillomandibular advancement: a choice for Chinese patients with severe obstructive sleep apnea
    Silong Wei
    Yong Zhang
    Xiaojing Guo
    Wenwen Yu
    Meng Wang
    Kan Yao
    Hongxia Sun
    Hua Zhang
    Xiaofeng Lu
    Sleep and Breathing, 2017, 21 : 853 - 860
  • [29] Counterclockwise maxillomandibular advancement: a choice for Chinese patients with severe obstructive sleep apnea
    Wei, Silong
    Zhang, Yong
    Guo, Xiaojing
    Yu, Wenwen
    Wang, Meng
    Yao, Kan
    Sun, Hongxia
    Zhang, Hua
    Lu, Xiaofeng
    SLEEP AND BREATHING, 2017, 21 (04) : 853 - 860
  • [30] Patient Referral and Acceptance of Maxillomandibular Advancement for Obstructive Sleep Apnea
    Rodin, Julianna
    Fiorella, Michele
    Crippen, Meghan
    Best, Keisha
    Taub, Daniel
    Champion, Allen
    Boon, Maurits
    Huntley, Colin
    LARYNGOSCOPE, 2024, 134 (06): : 2964 - 2969