Maxillomandibular Advancement Efficacy in Obstructive Sleep Apnea Patients With Class 2 Versus 3 Dentofacial Deformity
To compare the efficacy of maxillomandibular advancement (MMA) for patients with obstructive sleep apnea (OSA) with class 2 versus 3 dentofacial deformities (DFDs). Retrospective chart review. Tertiary sleep surgery center. Patients with OSA and DFD class 2 versus 3 undergoing MMA at Stanford Sleep...
Saved in:
Published in | Otolaryngology-head and neck surgery |
---|---|
Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
England
01.11.2023
|
Subjects | |
Online Access | Get more information |
Cover
Loading…
Abstract | To compare the efficacy of maxillomandibular advancement (MMA) for patients with obstructive sleep apnea (OSA) with class 2 versus 3 dentofacial deformities (DFDs).
Retrospective chart review.
Tertiary sleep surgery center.
Patients with OSA and DFD class 2 versus 3 undergoing MMA at Stanford Sleep Surgery between 2014 and 2021 were matched by preoperative body mass index (BMI), age, and sex. Postoperative outcome was compared with polysomnography measures and patient-reported outcome measures (PROMs).
Twenty-eight matched subjects, 14 in each deformity group were identified and assessed. The mean age (standard deviation) was 34.29 (10.21) and 33.86 (10.23) for classes 2 and 3, respectively. The apnea-hypopnea index (AHI) decreased from 43.42 (28.30) to 9.6 (5.29) (p < .001) and 37.17 (35.77) to 11.81 (15.74) (p = .042) in class 2 and 3 subjects, respectively. The oxygen desaturation index (ODI) changed from 30.48 (24.02) to 6.88 (3.39) (p = .024) and 11.43 (11.40) to 5.44 (7.96) (p = .85) in class 2 and 3 subjects, respectively. The Epworth sleepiness scale changed from 8.93 (5.28) to 3.91 (2.70) (p = .018) and 10.23 (4.38) to 4.22 (3.07) (p = .006) in class 2 and 3 subjects, respectively.
Among age, sex, and BMI-matched subjects, MMA is equally effective in both dentofacial class 2 and 3 groups, both objectively and subjectively. Preoperatively, dentofacial class 2 patients with OSA presented with the more severe disease with higher AHI and ODI. Dentofacial class 3 patients with OSA may require additional attention to improve nasal function outcomes. |
---|---|
AbstractList | To compare the efficacy of maxillomandibular advancement (MMA) for patients with obstructive sleep apnea (OSA) with class 2 versus 3 dentofacial deformities (DFDs).
Retrospective chart review.
Tertiary sleep surgery center.
Patients with OSA and DFD class 2 versus 3 undergoing MMA at Stanford Sleep Surgery between 2014 and 2021 were matched by preoperative body mass index (BMI), age, and sex. Postoperative outcome was compared with polysomnography measures and patient-reported outcome measures (PROMs).
Twenty-eight matched subjects, 14 in each deformity group were identified and assessed. The mean age (standard deviation) was 34.29 (10.21) and 33.86 (10.23) for classes 2 and 3, respectively. The apnea-hypopnea index (AHI) decreased from 43.42 (28.30) to 9.6 (5.29) (p < .001) and 37.17 (35.77) to 11.81 (15.74) (p = .042) in class 2 and 3 subjects, respectively. The oxygen desaturation index (ODI) changed from 30.48 (24.02) to 6.88 (3.39) (p = .024) and 11.43 (11.40) to 5.44 (7.96) (p = .85) in class 2 and 3 subjects, respectively. The Epworth sleepiness scale changed from 8.93 (5.28) to 3.91 (2.70) (p = .018) and 10.23 (4.38) to 4.22 (3.07) (p = .006) in class 2 and 3 subjects, respectively.
Among age, sex, and BMI-matched subjects, MMA is equally effective in both dentofacial class 2 and 3 groups, both objectively and subjectively. Preoperatively, dentofacial class 2 patients with OSA presented with the more severe disease with higher AHI and ODI. Dentofacial class 3 patients with OSA may require additional attention to improve nasal function outcomes. |
Author | Taheri, Nazlie Abdelwahab, Mohamed Eltahir, Lina Erdogan, Can Lee, Kyra Liu, Stanley Y-C |
Author_xml | – sequence: 1 givenname: Mohamed orcidid: 0000-0002-2588-8355 surname: Abdelwahab fullname: Abdelwahab, Mohamed organization: Department of Otolaryngology-Head and Neck Surgery, Division of Sleep Surgery, Medical University of South Carolina, Charleston, South Carolina, SC, USA – sequence: 2 givenname: Nazlie surname: Taheri fullname: Taheri, Nazlie organization: Department of Otolaryngology-Head and Neck Surgery, Division of Sleep Surgery, Stanford University School of Medicine, Stanford, California, USA – sequence: 3 givenname: Lina surname: Eltahir fullname: Eltahir, Lina organization: Department of Otolaryngology-Head and Neck Surgery, Division of Sleep Surgery, Stanford University School of Medicine, Stanford, California, USA – sequence: 4 givenname: Can surname: Erdogan fullname: Erdogan, Can organization: Department of Otolaryngology-Head and Neck Surgery, Division of Sleep Surgery, Stanford University School of Medicine, Stanford, California, USA – sequence: 5 givenname: Kyra surname: Lee fullname: Lee, Kyra organization: Department of Orthodontics, Arthur A. Dugoni School of Dentistry, San Francisco, California, USA – sequence: 6 givenname: Stanley Y-C orcidid: 0000-0001-6885-7885 surname: Liu fullname: Liu, Stanley Y-C organization: Department of Otolaryngology-Head and Neck Surgery, Division of Sleep Surgery, Stanford University School of Medicine, Stanford, California, USA |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/37449410$$D View this record in MEDLINE/PubMed |
BookMark | eNo1kF1LwzAYhYMo7kPxH0j-QGeSpul6OeamwmSCX5fjTfqGRdK0NOlw_96BenUOPIfn4kzIeWgDEnLD2YwzJu7afZjlZXVGxpxVZabmvByRSYxfjDGlyvKSjPJSykpyNiaHZ_h23rcNhNrpwUNPF_UBgsEGQ6Ira50Bc6Qu0K2OqR9Mcgekrx6xo4suINAXSO60jfTTpT1deoiRCvqBfRwizen9ibUWjAN_6rbtG5eOV-TCgo94_ZdT8r5evS0fs8324Wm52GRGyDxlilvOhRUgRWUZ5wyBlZVCaWoJtdZCzBVTIFEUBuZSC2BFgXkNWkIBAsSU3P56u0E3WO-63jXQH3f_B4gf9OxdPQ |
ContentType | Journal Article |
Copyright | 2023 American Academy of Otolaryngology-Head and Neck Surgery Foundation. |
Copyright_xml | – notice: 2023 American Academy of Otolaryngology-Head and Neck Surgery Foundation. |
DBID | NPM |
DOI | 10.1002/ohn.379 |
DatabaseName | PubMed |
DatabaseTitle | PubMed |
DatabaseTitleList | PubMed |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database |
DeliveryMethod | no_fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 1097-6817 |
ExternalDocumentID | 37449410 |
Genre | Journal Article |
GroupedDBID | --- 01A 0R~ 123 1B1 1OC 354 4.4 53G 54M 5RE 71M 8F7 AABOD AAJQC AAMGE AANLZ AANSI AAQQG AARDL AATBZ AAWTL ABAFQ ABAWP ABCCA ABJNI ABNCE ABQWH ABQXT ABVFX ACDXX ACGFS ACGZU ACSIQ ACTQU ACXQS ADBBV ADBTR AEIGN AENEX AERKM AEUHG AEUIJ AEUYR AEWDL AEWHI AFFPM AFKRG AFOSN AHBTC AIOMO AITYG AJUZI ALMA_UNASSIGNED_HOLDINGS ARTOV AUTPY AYAKG BDDNI BSEHC BYIEH C45 CS3 DCZOG DU5 DV7 EBS EO8 EO9 EP2 EP3 F5P FDB G-Q GROUPED_SAGE_PREMIER_JOURNAL_COLLECTION HF~ HGLYW IHE J8X JCYGO K.F MEWTI NPM O9- OHH OVD OZT P.B Q1R RIG RPZ S01 SCNPE SDG SDP SEL SFC SJN SUPJJ TEORI UGJ WH7 WXSBR ZY1 |
ID | FETCH-LOGICAL-c243t-61f112f2a429f0110ea0796e4cd4adbb228606a4e25ca84b2a055e3dab4a5a2a2 |
IngestDate | Sat Sep 28 08:12:34 EDT 2024 |
IsPeerReviewed | true |
IsScholarly | true |
Keywords | obstructive sleep apnea skeletal phenotyping and surgical outcomes maxillomandibular advancement |
Language | English |
License | 2023 American Academy of Otolaryngology-Head and Neck Surgery Foundation. |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-c243t-61f112f2a429f0110ea0796e4cd4adbb228606a4e25ca84b2a055e3dab4a5a2a2 |
ORCID | 0000-0002-2588-8355 0000-0001-6885-7885 |
PMID | 37449410 |
ParticipantIDs | pubmed_primary_37449410 |
PublicationCentury | 2000 |
PublicationDate | 2023-11-01 |
PublicationDateYYYYMMDD | 2023-11-01 |
PublicationDate_xml | – month: 11 year: 2023 text: 2023-11-01 day: 01 |
PublicationDecade | 2020 |
PublicationPlace | England |
PublicationPlace_xml | – name: England |
PublicationTitle | Otolaryngology-head and neck surgery |
PublicationTitleAlternate | Otolaryngol Head Neck Surg |
PublicationYear | 2023 |
SSID | ssj0006677 |
Score | 2.4538128 |
Snippet | To compare the efficacy of maxillomandibular advancement (MMA) for patients with obstructive sleep apnea (OSA) with class 2 versus 3 dentofacial deformities... |
SourceID | pubmed |
SourceType | Index Database |
Title | Maxillomandibular Advancement Efficacy in Obstructive Sleep Apnea Patients With Class 2 Versus 3 Dentofacial Deformity |
URI | https://www.ncbi.nlm.nih.gov/pubmed/37449410 |
hasFullText | |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Jb9NAFB6lIFW9IHYoi-bAzXJxxuPtWJWgCinpgVb0Vr2xZxoLZxy17kJ_PW8WG9MCAi5W5HEiy9-X8Xvf2wh5V0VlXIhKhQqmDB0UxUMAFodsyhUUaFJEymZbLNL9I_7pODmeTK5HWUsXndgpb35ZV_I_qOI5xNVUyf4DssOP4gn8jPjiERHG419hPIfrumnalSlNETafdNeF9G2Ef2a6Q5hp7rUODoRvFHspg8-NlGs0P7UE06G_tjVuX4weaydkBiwwItrFeRDjbqS7VoGV1T9IY9_W3U9x4IPOuMbf9KlV50Pc2W3r10DL8mtwPiq5thGmSjZXsAQbApq3S1j5yiqrHCx90fsCbpp6oNus6WBZn3n5YHiHzM6q9tRpt3ue3166QAZMB-lCuu02KrIwzV315p3N3DWHbZd6J3YDZ0aQrlcW0zjjvOAuMfbPq7e6avdLG2Qjy83Ij4VRefwbPE2zzBVYm3t47-9gi2z237rlg1hb5PAheeCdCLrrGPGITKR-TDbnPk3iCbm8Qww6IgbtiUFrTUfEoJYY1BKD9sSghhjUEoMy6ohBYzoiBh2I8ZQcfZwd7u2HfsBGWDIed2E6VWhuKwZolChjCEqIsiKVvKw4VEIwlqN_C1yypIScCwZRksi4AsEhAQbsGbmnWy1fEJopIZM8Khkrc65yvEIKUUEGglVKKvWSPHdP7GTtuqic9M9y-7crr8jWD9a8JvcV_m3lG7QBO_HWAvYdk1FjDg |
link.rule.ids | 780 |
linkProvider | National Library of Medicine |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Maxillomandibular+Advancement+Efficacy+in+Obstructive+Sleep+Apnea+Patients+With+Class+2+Versus+3+Dentofacial+Deformity&rft.jtitle=Otolaryngology-head+and+neck+surgery&rft.au=Abdelwahab%2C+Mohamed&rft.au=Taheri%2C+Nazlie&rft.au=Eltahir%2C+Lina&rft.au=Erdogan%2C+Can&rft.date=2023-11-01&rft.eissn=1097-6817&rft_id=info:doi/10.1002%2Fohn.379&rft_id=info%3Apmid%2F37449410&rft_id=info%3Apmid%2F37449410&rft.externalDocID=37449410 |