An Overview of Systematic Reviews on the Surgical Management of Obstructive Sleep Apnoea.

IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE
Journal of Maxillofacial & Oral Surgery Pub Date : 2023-12-01 Epub Date: 2023-11-17 DOI:10.1007/s12663-023-02051-x
Vivekanand Kattimani, Elavenil Panneerselvam, Rahul Tiwari, Gnana Sarita Kumari Panga, Roopa Rani Sreeram
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引用次数: 0

Abstract

Background: Obstructive Sleep Apnoea (OSA) is a common sleep disorder marked by partial or total obstruction of the upper airway while a person is asleep leading to breathing difficulty, reduced oxygenation and frequent awakenings. This condition affects the general health significantly compromising quality of life. The objective of this overview  is to thoroughly assess the systematic reviews on current surgical therapies for the management of OSA in terms of patient outcomes.

Methods: A thorough literature search was performed from inception till 31st December 2022 using PubMed, and Cochrane databases. Studies evaluating the effectiveness and safety of different surgical techniques for the management of OSA were considered. The quality of articles was assessed using AMSTAR (A MeaSurement Tool to Assess systematic Reviews) and Glenny et al. checklist.

Results: Out of eighteen studies, only seven studies met the inclusion and exclusion criteria. Results showed that the majority of studies were in the pediatric age group except one systematic  review which assessed the adult age group.

Conclusion: None of the published articles had compared all surgical procedures based on the standard evaluating procedure nor followed all reporting guidelines in the primary studies. For better implementation, further multi center studies are warranted with unique reporting criteria and guidelines about pre- as well as post-operative phases. Future research should concentrate on contrasting strategies, combination therapies, and evaluating long-term effects.

Supplementary information: The online version contains supplementary material available at 10.1007/s12663-023-02051-x.

阻塞性睡眠呼吸暂停手术治疗系统综述》。
背景:阻塞性睡眠呼吸暂停(OSA)是一种常见的睡眠障碍,主要表现为睡眠时上气道部分或全部阻塞,导致呼吸困难、氧合作用降低和频繁觉醒。这种疾病会严重影响一般人的健康,降低生活质量。本综述旨在从患者疗效的角度全面评估目前治疗 OSA 的手术疗法的系统性综述:方法:使用 PubMed 和 Cochrane 数据库对从开始到 2022 年 12 月 31 日的文献进行了全面检索。研究考虑了对不同手术技术治疗 OSA 的有效性和安全性进行评估的研究。文章质量采用 AMSTAR(评估系统性综述的评估工具)和 Glenny 等人的核对表进行评估:在 18 项研究中,只有 7 项研究符合纳入和排除标准。结果显示,除了一篇评估成人年龄组的系统综述外,大多数研究都是针对儿科年龄组的:结论:已发表的文章中,没有一篇是根据标准评估程序对所有外科手术进行比较的,也没有一篇是在主要研究中遵循所有报告指南的。为了更好地实施,有必要进一步开展多中心研究,并制定独特的报告标准和术前术后指南。未来的研究应侧重于对比策略、联合疗法和长期效果评估:在线版本包含补充材料,可在 10.1007/s12663-023-02051-x 上获取。
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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来源期刊
Journal of Maxillofacial & Oral Surgery
Journal of Maxillofacial & Oral Surgery DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
1.90
自引率
0.00%
发文量
138
期刊介绍: This journal offers comprehensive coverage of new techniques, important developments and innovative ideas in Oral and Maxillofacial Surgery. Practice-applicable articles help develop the methods used to handle dentoalveolar surgery, facial injuries and deformities, TMJ disorders, oral cancer, jaw reconstruction, anesthesia and analgesia. The journal also includes specifics on new instruments, diagnostic equipment’s and modern therapeutic drugs and devices. Journal of Oral and Maxillofacial Surgery is recommended for first or priority subscription by the Dental Section of the Medical Library Association. Specific topics covered recently have included: ? distraction osteogenesis ? synthetic bone substitutes ? fibroblast growth factors ? fetal wound healing ? skull base surgery ? computer-assisted surgery ? vascularized bone grafts Benefits to authorsWe also provide many author benefits, such as free PDFs, a liberal copyright policy, special discounts on Elsevier publications and much more. Please click here for more information on our author services.
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