Subjective Efficiency Evaluation after Maxillomandibular Advancement Surgery in Obstructive Sleep Apnea Patients
Purpose: To investigate subjective efficiency outcomes after maxillomandibular advancement (MMA) surgery in obstructive sleep apnea (OSA) patients. Material and Methods: A prospective cohort study was carried out between December 2016 and May 2021, including 30 severe or treatment-refractory OSA pat...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-06-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/12/4023 |
| _version_ | 1797594146661203968 |
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| author | Karel Kuik Misha L. Tan Jean-Pierre T. F. Ho Jerôme A. H. Lindeboom Jan de Lange |
| author_facet | Karel Kuik Misha L. Tan Jean-Pierre T. F. Ho Jerôme A. H. Lindeboom Jan de Lange |
| author_sort | Karel Kuik |
| collection | DOAJ |
| description | Purpose: To investigate subjective efficiency outcomes after maxillomandibular advancement (MMA) surgery in obstructive sleep apnea (OSA) patients. Material and Methods: A prospective cohort study was carried out between December 2016 and May 2021, including 30 severe or treatment-refractory OSA patients treated by MMA surgery. All patients answered four validated questionnaires: the Epworth Sleepiness Scale (ESS), Functional Outcomes of Sleep Questionnaire (FOSQ), Mandibular Function Impairment Questionnaire (MFIQ), and EQ-5D-3L (i.e., EQ-5D and EQ-VAS). They also answered one custom-made questionnaire (AMCSQ). Questionnaires were requested to be filled out 1 week before surgery and at least 6 months after surgery. Results: The total preoperative and postoperative scores on the questionnaires were compared. The mean total ESS (<i>p</i> < 0.01), FOSQ (<i>p</i> < 0.01), EQ-5D (<i>p</i> < 0.05), and EQ-VAS (<i>p</i> < 0.01) scores showed significant improvement, which was in accordance with an improvement in the mean postoperative apnea/hypopnea index score (<i>p</i> < 0.01). In contrast, the mean total MFIQ score (<i>p</i> < 0.01) indicated a decline in mandibular function. Conclusion: This study confirms the hypothesis that MMA surgery in OSA patients improves outcomes, both objectively and subjectively, with the exception of postoperative mandibular function. |
| first_indexed | 2024-03-11T02:18:26Z |
| format | Article |
| id | doaj.art-739482b929bf444fbcd24cec581c77c1 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T02:18:26Z |
| publishDate | 2023-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-739482b929bf444fbcd24cec581c77c12023-11-18T10:59:54ZengMDPI AGJournal of Clinical Medicine2077-03832023-06-011212402310.3390/jcm12124023Subjective Efficiency Evaluation after Maxillomandibular Advancement Surgery in Obstructive Sleep Apnea PatientsKarel Kuik0Misha L. Tan1Jean-Pierre T. F. Ho2Jerôme A. H. Lindeboom3Jan de Lange4Department of Oral Maxillofacial Surgery, Amsterdam University Medical Center, Location AMC, 1105 AZ Amsterdam, The NetherlandsDepartment of Oral Maxillofacial Surgery, Amsterdam University Medical Center, Location AMC, 1105 AZ Amsterdam, The NetherlandsDepartment of Oral Maxillofacial Surgery, Amsterdam University Medical Center, Location AMC, 1105 AZ Amsterdam, The NetherlandsDepartment of Oral Maxillofacial Surgery, Amsterdam University Medical Center, Location AMC, 1105 AZ Amsterdam, The NetherlandsDepartment of Oral Maxillofacial Surgery, Amsterdam University Medical Center, Location AMC, 1105 AZ Amsterdam, The NetherlandsPurpose: To investigate subjective efficiency outcomes after maxillomandibular advancement (MMA) surgery in obstructive sleep apnea (OSA) patients. Material and Methods: A prospective cohort study was carried out between December 2016 and May 2021, including 30 severe or treatment-refractory OSA patients treated by MMA surgery. All patients answered four validated questionnaires: the Epworth Sleepiness Scale (ESS), Functional Outcomes of Sleep Questionnaire (FOSQ), Mandibular Function Impairment Questionnaire (MFIQ), and EQ-5D-3L (i.e., EQ-5D and EQ-VAS). They also answered one custom-made questionnaire (AMCSQ). Questionnaires were requested to be filled out 1 week before surgery and at least 6 months after surgery. Results: The total preoperative and postoperative scores on the questionnaires were compared. The mean total ESS (<i>p</i> < 0.01), FOSQ (<i>p</i> < 0.01), EQ-5D (<i>p</i> < 0.05), and EQ-VAS (<i>p</i> < 0.01) scores showed significant improvement, which was in accordance with an improvement in the mean postoperative apnea/hypopnea index score (<i>p</i> < 0.01). In contrast, the mean total MFIQ score (<i>p</i> < 0.01) indicated a decline in mandibular function. Conclusion: This study confirms the hypothesis that MMA surgery in OSA patients improves outcomes, both objectively and subjectively, with the exception of postoperative mandibular function.https://www.mdpi.com/2077-0383/12/12/4023maxillomandibular advancementobstructive sleep apneaquality of life |
| spellingShingle | Karel Kuik Misha L. Tan Jean-Pierre T. F. Ho Jerôme A. H. Lindeboom Jan de Lange Subjective Efficiency Evaluation after Maxillomandibular Advancement Surgery in Obstructive Sleep Apnea Patients Journal of Clinical Medicine maxillomandibular advancement obstructive sleep apnea quality of life |
| title | Subjective Efficiency Evaluation after Maxillomandibular Advancement Surgery in Obstructive Sleep Apnea Patients |
| title_full | Subjective Efficiency Evaluation after Maxillomandibular Advancement Surgery in Obstructive Sleep Apnea Patients |
| title_fullStr | Subjective Efficiency Evaluation after Maxillomandibular Advancement Surgery in Obstructive Sleep Apnea Patients |
| title_full_unstemmed | Subjective Efficiency Evaluation after Maxillomandibular Advancement Surgery in Obstructive Sleep Apnea Patients |
| title_short | Subjective Efficiency Evaluation after Maxillomandibular Advancement Surgery in Obstructive Sleep Apnea Patients |
| title_sort | subjective efficiency evaluation after maxillomandibular advancement surgery in obstructive sleep apnea patients |
| topic | maxillomandibular advancement obstructive sleep apnea quality of life |
| url | https://www.mdpi.com/2077-0383/12/12/4023 |
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