Does surgically assisted maxillary expansion improve obstructive sleep apnoea in adults? A systematic review and meta-analysis.

Autor: Oliveira LT; Department of Dentistry, Pontifical Catholic University of Minas Gerais, Belo Horizonte, MG, Brazil., Abreu LG; Department of Paediatric Dentistry, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil., Silveira GS; Department of Dentistry, Pontifical Catholic University of Minas Gerais, Belo Horizonte, MG, Brazil. giordanisilveira@gmail.com., de Araújo VE; Department of Dentistry, Pontifical Catholic University of Minas Gerais, Belo Horizonte, MG, Brazil., Oliveira DD; Department of Dentistry, Pontifical Catholic University of Minas Gerais, Belo Horizonte, MG, Brazil.
Jazyk: angličtina
Zdroj: Evidence-based dentistry [Evid Based Dent] 2022 Dec 08. Date of Electronic Publication: 2022 Dec 08.
DOI: 10.1038/s41432-022-0829-7
Abstrakt: Introduction The aim of this systematic review and meta-analysis was to evaluate the effects of maxillary expansion on adults with obstructive sleep apnoea (OSA).Methods Electronic searches up to July 2021 in eight electronic databases were conducted. Study selection, data extraction, risk of bias evaluation using ROBINS-I, quality of evidence assessment using GRADE and meta-analyses were performed.Results The electronic searches yielded 1,007 studies. Following the application of the eligibility criteria, 15 articles were fully read and five studies were included. The studies evaluated the effects of surgically assisted rapid maxillary expansion in adults with OSA. The meta-analysis demonstrated an improvement in Apnoea-Hypopnea Index (AHI) (MD = -9.91, CI = -14.57 to -5.25), Oxygen Desaturation Index (ODI) (MD = -7.95, CI = -12.23 to -3.67), and Epworth Sleepiness Scale (ESS) (MD = -4.40, CI = -6.39 to -2.40). ROBINS-I indicated serious, no information and critical risk of bias for the included studies. The quality of the evidence was very low.Conclusion The findings herein suggest that maxillary expansion could improve OSA in adults in the short term.
(© 2022. The Author(s), under exclusive licence to the British Dental Association.)
Databáze: MEDLINE
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