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Quality of Life Assessment After Maxillomandibular Advancement Surgery for Obstructive Sleep Apnea.
Butterfield, Kevin J; Marks, Patricia L G; McLean, Laurie; Newton, Jack.
Afiliación
  • Butterfield KJ; Chief, Division of Dentistry/Oral and Maxillofacial Surgery, Ottawa Hospital, and Assistant Professor, Department of Otolaryngology, University of Ottawa School of Medicine, Ottawa, Ontario, Canada. Electronic address: kbutterfield@argyleassociates.com.
  • Marks PL; Medical Student, University of Toronto, Toronto, Ontario, Canada.
  • McLean L; Assistant Professor, Department of Otolaryngology, University of Ottawa School of Medicine, Ottawa, Ontario, Canada.
  • Newton J; Research Assistant, Division of Dentistry/Oral and Maxillofacial Surgery, Ottawa Hospital, Ottawa, Ontario, Canada.
J Oral Maxillofac Surg ; 74(6): 1228-37, 2016 Jun.
Article en En | MEDLINE | ID: mdl-26917205
PURPOSE: Although maxillomandibular advancement (MMA) surgery is highly efficacious for the management of obstructive sleep apnea (OSA), little information exists regarding the subjective effect of this treatment modality. The present study was undertaken to investigate the effect of MMA on patient-perceived quality of life (QOL) in OSA. PATIENTS AND METHODS: A retrospective cohort study of patients treated with MMA for OSA from May 2010 to April 2015 was performed. The primary outcome measure was a change in the QOL detected using the Ottawa Sleep Apnea Questionnaire (OSA-Q), which assesses the MMA-related changes in QOL with a 5-point Likert scale. The secondary outcome measure was a change in the apnea hypopnea index (AHI). RESULTS: Twenty-two patients participated in the present study. The mean maxillary and mandibular advancement were 8.36 and 11.08 mm, respectively. The AHI decreased from 42.4 to 6.9 events per hour postoperatively (P < .001). The QOL improved significantly after MMA (OSA-Q score 3.98 ± 0.35; P < 001). The sleep quality (4.35 ± 0.63), daytime function (4.13 ± 0.46), physical health (4.19 ± 0.45), mental and emotional health (4.02 ± 0.55), and sexual health (3.78 ± 0.62) categories all improved postoperatively (P < .001). The MMA-related side effects did not adversely affect the QOL. CONCLUSIONS: MMA for OSA significantly improves patient's subjective overall QOL, with few MMA-related side effects.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Avance Mandibular / Apnea Obstructiva del Sueño Tipo de estudio: Observational_studies Aspecto: Patient_preference Límite: Female / Humans / Male / Middle aged Idioma: En Revista: J Oral Maxillofac Surg Año: 2016 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Avance Mandibular / Apnea Obstructiva del Sueño Tipo de estudio: Observational_studies Aspecto: Patient_preference Límite: Female / Humans / Male / Middle aged Idioma: En Revista: J Oral Maxillofac Surg Año: 2016 Tipo del documento: Article Pais de publicación: Estados Unidos