Non-sleep related outcomes of maxillomandibular advancement, a systematic review

IF 11.2 1区 医学 Q1 CLINICAL NEUROLOGY
Joshua Yang , Misha L. Tan , Jean-Pierre T.F. Ho , Boudewijn R.A.M. Rosenmöller , Faridi S. Jamaludin , Tom C.T. van Riet , Jan de Lange
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Abstract

Maxillomandibular advancement has been shown to be an effective treatment for obstructive sleep apnea; however, the literature focuses mainly on sleep-related parameters such as apnea-hypopnea index, respiratory disturbance index and Epworth sleepiness scale. Other factors that may be important to patients, such as esthetics, patient satisfaction, nasality, swallowing problems and so forth have been reported in the literature but have not been systematically studied. Together with an information specialist, an extensive search in Medline, Embase and Scopus yielded 1592 unique articles. Titles and abstracts were screened by two blinded reviewers. In total, 75 articles were deemed eligible for full-text screening and 38 articles were included for qualitative synthesis. The most common categories of non-sleep related outcomes found were surgical accuracy, facial esthetics, functional outcomes, quality of life, patient satisfaction, and emotional health. All categories were reported using heterogenous methods, such that meta-analysis could not be performed. There was lack of consistent methods to assess these outcomes. This work is the first to systematically review non-sleep related outcomes of maxillomandibular advancement. Despite growing interest in evaluating surgical outcomes through patient subjective experiences, this review points to the need of standardized, validated methods to report these outcomes.

上下颌前突矫正术的非睡眠相关结果,系统性综述
上下颌前突矫正术已被证明是治疗阻塞性睡眠呼吸暂停的有效方法;然而,文献主要关注睡眠相关参数,如呼吸暂停-低通气指数、呼吸紊乱指数和埃普沃思嗜睡量表。其他可能对患者很重要的因素,如美观、患者满意度、鼻塞、吞咽困难等,也有文献报道,但尚未进行系统研究。在一位信息专家的协助下,我们在 Medline、Embase 和 Scopus 中进行了广泛搜索,共搜索到 1592 篇文章。两名盲审员对文章标题和摘要进行了筛选。共有 75 篇文章被认为符合全文筛选条件,38 篇文章被纳入定性综合研究。最常见的非睡眠相关结果类别是手术准确性、面部美学、功能性结果、生活质量、患者满意度和情绪健康。所有类别均采用不同的方法进行报告,因此无法进行荟萃分析。评估这些结果缺乏一致的方法。这项研究首次系统地回顾了上颌下颌前突术的非睡眠相关结果。尽管人们对通过患者的主观体验来评估手术效果的兴趣日益浓厚,但本综述指出需要标准化的、经过验证的方法来报告这些效果。
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来源期刊
Sleep Medicine Reviews
Sleep Medicine Reviews 医学-临床神经学
CiteScore
20.10
自引率
3.80%
发文量
107
期刊介绍: Sleep Medicine Reviews offers global coverage of sleep disorders, exploring their origins, diagnosis, treatment, and implications for related conditions at both individual and public health levels. Articles comprehensively review clinical information from peer-reviewed journals across various disciplines in sleep medicine, encompassing pulmonology, psychiatry, psychology, physiology, otolaryngology, pediatrics, geriatrics, cardiology, dentistry, nursing, neurology, and general medicine. The journal features narrative reviews, systematic reviews, and editorials addressing areas of controversy, debate, and future research within the field.
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