Changing practice: Trends in skeletal surgery for obstructive sleep apnea.

Autor: Awad M; Stanford Hospital and Clinics, Department of Otolaryngology-Head and Neck Surgery, Division of Sleep Surgery, Stanford, CA, 95304, USA. Electronic address: michaelawad@gmail.com., Gouveia C; Stanford Hospital and Clinics, Department of Otolaryngology-Head and Neck Surgery, Division of Sleep Surgery, Stanford, CA, 95304, USA., Zaghi S; The Breathe Institute, 10921 Wilshire Blvd Suite #912, Los Angeles, CA, 90024, USA., Camacho M; Division of Sleep Surgery, Tripler Army Medical Center, Department of Otolaryngology, Honololu, United States., Liu SY; Stanford Hospital and Clinics, Department of Otolaryngology-Head and Neck Surgery, Division of Sleep Surgery, Stanford, CA, 95304, USA.
Jazyk: angličtina
Zdroj: Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery [J Craniomaxillofac Surg] 2019 Aug; Vol. 47 (8), pp. 1185-1189. Date of Electronic Publication: 2018 Dec 18.
DOI: 10.1016/j.jcms.2018.11.005
Abstrakt: Objectives/hypothesis: The objective of this study was to systematically review the English literature for articles that have described skeletal surgeries in the treatment of obstructive sleep apnea in both adults and children. From these articles trends and patterns in the treatment of OSA with skeletal procedures are described.
Study Design: Three databases including MEDLINE, Google Scholar and the Cochrane Library were searched through May 1, 2018.
Methods: The systematic and independent literature reviews were performed and the determination of included studies was made by consensus. Relevant studies were examined based on six categories of skeletal surgery: 1) Hyoid Advancement 2) Genioplasty/Genioglossus Advancement 3) Maxillary Expansion 4) Maxillomandibular Advancement 5) Mandibular Distraction and 6) Maxillomandibular Expansion.
Results: 1875 studies were analyzed for inclusion of which 414 were ultimately included in our analysis. A steady increase in the publication of articles pertaining to maxillary expansion and maxillomandibular advancement was identified. Research interest in hyoid advancement and genioplasty/genioglossus advancement has declined in the past decade.
Conclusions: Changing trends in skeletal surgery for OSA offer exciting and efficacious therapeutic surgical modalities. MMA is the most widely studied and efficacious multi-level surgery for OSA today. Newer modalities such as adult maxillary expansion offer encouraging early results with minimal complication rates, and further study should be directed in this area.
(Copyright © 2018 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: