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

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.

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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