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

The Angle orthodontist Pub Date : 2025-01-01 DOI:10.2319/020624-99.1

Inês Francisco, Raquel Travassos, Anabela Baptista Paula, Bárbara Oliveiros, Filipa Marques, Madalena Prata Ribeiro, Mariana McEvoy, Mariana Santos, Catarina Oliveira, Carlos Miguel Marto, Eunice Carrilho, Catarina Nunes, Francisco Vale

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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.

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阻塞性睡眠呼吸暂停综合征患者正颌手术后的生活质量评估：系统综述。

目的就患者对接受正颌前突手术后阻塞性睡眠呼吸暂停综合征（OSAS）治疗的看法进行系统综述：本系统性综述遵循了系统性综述和荟萃分析（PRISMA）指南的首选报告项目，并采用了患者、干预、比较和结果（PICO）方法来提出研究问题。使用以下数据库进行了文献检索：科克伦图书馆（试验）、PubMed（通过 MEDLINE）、Embase 和 Web of Science（所有数据库）。采用纽卡斯尔-渥太华量表评估研究质量：最初，从不同的数据库中检索到了 1407 篇文章，并对这些文章进行了初步审查。随后，选择了 17 篇文章进行全面的质量分析，并选择了 6 项研究进行定量分析。大多数研究被归类为质量良好。在中度至重度成人OSAS病例中，上颌前移手术似乎能提高患者的满意度：结论：上下颌前突矫正手术能显著改善患者的主观总体生活质量，在问卷评分中提高了6.36分，并显示出长期稳定性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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The Angle orthodontist

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