To develop a systematic review of patient perspectives on the treatment of obstructive sleep apnea syndrome (OSAS) after undergoing orthognathic advancement surgery.
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.
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.
Maxillomandibular advancement surgery significantly improves patients’ subjective overall quality of life, improving by 6.36 points in questionnaire ratings and demonstrating long-term stability.
Author notes
Professor, Institute of Orthodontics; and Coimbra Institute for Clinical and Biomedical Research (iCBR), Area of Environment Genetics and Oncobiology (CIMAGO); and Laboratory for Evidence-Based Sciences and Precision Dentistry; and Clinical Academic Center of Coimbra (CACC); and Centre for Mechanical Engineering, Materials and Processes (CEMMPRE), Advanced Production and Intelligent Systems (ARISE), Department of Mechanical Engineering, University of Coimbra, Coimbra, Portugal.
Guest Assistant, Institute of Orthodontics; and Coimbra Institute for Clinical and Biomedical Research (iCBR), Area of Environment Genetics and Oncobiology (CIMAGO); and Laboratory for Evidence-Based Sciences and Precision Dentistry; and Clinical Academic Center of Coimbra (CACC); and Centre for Mechanical Engineering, Materials and Processes (CEMMPRE), Advanced Production and Intelligent Systems (ARISE), Department of Mechanical Engineering, University of Coimbra, Coimbra, Portugal.
Professor, Institute of Orthodontics; and Coimbra Institute for Clinical and Biomedical Research (iCBR), Area of Environment Genetics and Oncobiology (CIMAGO); and Institute of Integrated Clinical Practice; and Laboratory for Evidence-Based Sciences and Precision Dentistry; and Clinical Academic Center of Coimbra (CACC); and Centre for Mechanical Engineering, Materials and Processes (CEMMPRE), Advanced Production and Intelligent Systems (ARISE), Department of Mechanical Engineering, University of Coimbra, Coimbra, Portugal.
Professor, Coimbra Institute for Clinical and Biomedical Research (iCBR), Area of Environment Genetics and Oncobiology (CIMAGO); and Centre for Innovative Biomedicine and Biotechnology (CIBB); and Clinical Academic Center of Coimbra (CACC); and Laboratory of Biostatistics and Medical Informatics; and Laboratory for Evidence-Based Sciences and Precision Dentistry, University of Coimbra, Coimbra, Portugal.
Guest Assistant, Institute of Orthodontics, Faculty of Medicine, University of Coimbra, Coimbra, Portugal.
Postgraduate Student, Institute of Orthodontics, Faculty of Medicine, University of Coimbra, Coimbra, Portugal.
Guest Assistant. Coimbra Institute for Clinical and Biomedical Research (iCBR), Area of Environment Genetics and Oncobiology (CIMAGO); and Institute of Integrated Clinical Practice; Institute of Experimental Pathology; and Laboratory for Evidence-Based Sciences and Precision Dentistry; and Clinical Academic Center of Coimbra (CACC); and Centre for Mechanical Engineering, Materials and Processes (CEMMPRE), Advanced Production and Intelligent Systems (ARISE), Department of Mechanical Engineering, University of Coimbra, Coimbra, Portugal.