Long Term Airway Stability In Obstructive Sleep Apnea Patients After Maxillomandibular Advancements
Main Article Content
Keywords
obstructive sleep apnea, maxillomandibular advancement, airway stability
Abstract
Obstructive sleep apnea is an incredibly complex medical disorder to treat because of its prevalence, severe effect on quality of life, academic and professional performance, and implications for increased risk of accidents, comorbidities, and death. Recent study has shed light on a variety of pathophysiological features and clinical traits. This study lends credence to the notion that every patient need individualized therapy based on their unique presentation of clinical symptoms and the underlying aetiology of their condition. Many people who suffer from sleep apnea are sceptical that maxillomandibular advancement may help their airway. Scientific studies have shown that maxillomandibular advancement surgery improves breathing by making the airway bigger (as evaluated by the Epworth sleepiness scale and oximetric indicators).
References
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11. Young T, Peppard PE, Taheri S. Excess weight and sleep-disordered breathing. J Appl Physiol 2005; 99: 1592–1599.
12. Georgoulis M, Yiannakouris N, Kechribari I, et al. Dose-response relationship between weight loss and improvements in obstructive sleep apnea severity after a diet/lifestyle intervention: secondary analyses of the “MIMOSA” randomized clinical trial. J Clin Sleep Med 2022; 18: 1251–1261.
13. Neeland IJ, Eliasson B, Kasai T, et al. The impact of empagliflozin on obstructive sleep apnea and cardiovascular and renal outcomes: an exploratory analysis of the EMPA-REG OUTCOME Trial. Diabetes Care 2020; 43: 3007–3015.
14. Shi Q, Wang Y, Hao Q, et al. Pharmacotherapy for adults with overweight and obesity: a systematic review and network meta-analysis of randomised controlled trials. Lancet 2022; 399: 259–269.
15. Tham LS, Pantalone KM, Dungan K, et al. A model-based simulation of glycaemic control and body weight when switching from semaglutide to 3.0- and 4.5-mg doses of once-weekly dulaglutide. Diabetes Obes Metab 2022; 24: 302–311.
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19. Hsieh, Y. J., Liao, Y. F., Chen, N. H. & Chen, Y. R. Changes in the calibre of the upper airway and the surrounding structures after maxillomandibular advancement for obstructive sleep apnoea. Br. J Oral Maxillofac Surg. 52, 445–451 (2014).
20. Zinser, M. J., Zachow, S. & Sailer, H. F. Bimaxillary ‘rotation advancement’ procedures in patients with obstructive sleep apnea: A 3-dimensional airway analysis of morphological changes. Int J Oral Maxillofac Surg. 42, 569–578 (2013).
21. Faria, A. C. et al. Volumetric analysis of the pharynx in patients with obstructive sleep apnea (OSA) treated with maxillomandibular advancement (MMA). Sleep Breath. 17, 395–401 (2013).
22. Schendel, S. A., Broujerdi, J. A. & Jacobson, R. L. Three-dimensional upper-airway changes with maxillomandibular advancement for obstructive sleep apnea treatment. Am J Orthod Dentofac Orthop. 146, 385–393 (2014).
23. Butterfield, K. J., Marks, P. L. G., McLean, L. & Newton, J. Linear and volumetric airway changes after maxillomandibular advancement for obstructive sleep apnea. J Oral Maxillofac Surg. 73, 1133–1142 (2015).
24. Ronchi, P. et al. Effectiveness of maxillo-mandibular advancement in obstructive sleep apnea patients with and without skeletal anomalies. Int J Oral Maxillofac Surg. 39, 541–547 (2010).
25. Wagner I, Coiffier T, Sequert C, Lachiver X, Fleury B, Chabolle F. Surgical treatment of severe sleep apnea syndrome by maxillomandibular advancing or mental tranposition. Annales d Oto-Laryngologie et de Chirurgie Cervico-Faciale 2000;117:137–46.
26. Patel D, Ash S, Evans J. The role of orthodontics and oral and maxillofacial surgery in the management of obstructive sleep apnoea - a single case report. Br Dent J 2004;196:264–7. 121. 27.Rosen HM. Segmental osteotomies of the maxilla. Clin Plast Surg 1989;16: 785–794
27. Hendler BH, Costello BJ, Silverstein K, Yen D, Goldberg A. A protocol for uvulopalatopharyngoplasty, mortised genioplasty, and maxillomandibular advancement in patients with obstructive sleep apnea: an analysis of 40 cases. J Oral Maxillofac Surg 2001;59:8927.
28. Sruthi H., Navaneethan R., Rengalakshmi S. AUTHOR FULL NAMES: Sruthi, H. ; Navaneethan, R. ; Rengalakshmi, Sri Comparison of linear measurements of tongue and lower airway in skeletal class II with various growth pattern research article (2021) https://www.scopus.com/inward/record.uri?eid=2-s2.0-85113777188&partnerID=40&md5=11f74d234136cfb0f5fadd9b67103f39
29. Agarwal, Yash & Naidu, Giridhar & Nagi, Ravleen & Jain, Supreet & Choudhary, Manjari. (2020). Digital cephalometric analysis of
pharyngeal airway space changes in oral submucous fibrosis patients: A cross sectional observational study, JIAOMR. Journal of Indian Academy of Oral Medicine and Radiology. 32. 10.4103/jiaomr.jiaomr_85_20.
30. Vijayakumar Jain, S., Muthusekhar, M. R., Baig, M. F., Senthilnathan, P., Loganathan, S., Abdul Wahab, P. U., Madhulakshmi, M., & Vohra, Y. (2019). Evaluation of Three-Dimensional Changes in Pharyngeal Airway Following Isolated Lefort One Osteotomy for the Correction of Vertical Maxillary Excess: A Prospective Study. Journal of maxillofacial and oral surgery, 18(1), 139–146. https://doi.org/10.1007/s12663-018-1113-4
31. George, A. M., Felicita, A. S., Milling Tania, S. D., & Priyadharsini, J. V. (2021). Systematic review on the genetic factors associated with skeletal Class II malocclusion. Indian journal of dental research : official publication of Indian Society for Dental Research, 32(3), 399–406. https://doi.org/10.4103/ijdr.IJDR_59_20
32. Jain, Ravindrakumar. (2021). Age and Gender Association of Class III Malocclusion among Subjects Reporting to a University Hospital in Chennai City - A Retrospective Study. International Journal of Dentistry and Oral Science. 4128-4132. 10.19070/2377-8075-21000843.
33. Raaj T., Balasubramaniam A., Sri Sakthi D. AUTHOR FULL NAMES: Raaj, Thiviya (57218530064); Balasubramaniam, Arthi (56938159500); Sri Sakthi, D. (57196459141) Prevalence of dental malocclusion and orthodontic treatment needs among patients visiting private dental college-a retrospective study (2021) https://www.scopus.com/inward/record.uri?eid=2-s2.0-85111455389&partnerID=40&md5=85e805dc57b1597b8f5fdaef6b3be4e6
2. Senaratna, C.V.; Perret, J.L.; Lodge, C.J.; Lowe, A.J.; Campbell, B.E.; Matheson, M.C.; Hamilton, G.S.; Dharmage, S.C. Prevalence of obstructive sleep apnea in the general population: A systematic review. Sleep Med. Rev. 2017, 34, 70–81. [CrossRef] [PubMed]
3. Bagai, K. Obstructive sleep apnea, stroke, and cardiovascular diseases. Neurologist 2010, 16, 329–339. [CrossRef] [PubMed]
4. Knauert, M.; Naik, S.; Gillespie, M.B.; Kryger, M. Clinical consequences and economic costs of untreated obstructive sleep apnea syndrome. World J. Otorhinolaryngol. Head Neck Surg. 2015, 1, 17–27. [CrossRef]
5. Sharifian, M.R.; Zarrinkamar, M.; Alimardani, M.S.; Bakhshaee, M.; Asadpour, H.; Morovatdar, N.; Amini, M. Drug Induced Sleep Endoscopy in Obstructive Sleep Apnea. Tanaffos 2018, 17, 122–126.
6. Li, K.K. Surgical management of obstructive sleep apnea. Clin. Chest Med. 2003, 24, 365–370. [CrossRef]
7. Steffen, A.; Heiser, C.; Galetke, W.; Herkenrath, S.D.; Maurer, J.T.; Günther, E.; Stuck, B.A.; Woehrle, H.; Löhler, J.; Randerath, W. Hypoglossal nerve stimulation for obstructive sleep apnea: Updated position paper of the German Society of Oto-RhinoLaryngology, Head and Neck Surgery. Eur. Arch. Oto-Rhino-Laryngol. 2022, 279, 61–66. [CrossRef]
8. Vanderveken, O.M.; Beyers, J.; Op de Beeck, S.; Dieltjens, M.; Willemen, M.; Verbraecken, J.A.; De Backer, W.A.; Van de Heyning, P.H. Development of a Clinical Pathway and Technical Aspects of Upper Airway Stimulation Therapy for Obstructive Sleep Apnea. Front. Neurosci. 2017, 11, 523. [CrossRef]
9. Woodson, B.T.; Strohl, K.P.; Soose, R.J.; Gillespie, M.B.; Maurer, J.T.; de Vries, N.; Padhya, T.A.; Badr, M.S.; Lin, H.S.; Vanderveken, O.M.; et al. Upper Airway Stimulation for Obstructive Sleep Apnea: 5-Year Outcomes. Otolaryngol. Head Neck Surg. 2018, 159, 194–202. [CrossRef] [PubMed]
10. Ling IT, James AL, Hillman DR. Interrelationships between body mass, oxygen desaturation, and apnea-hypopnea indices in a sleep clinic population. Sleep 2012; 35: 89–96.
11. Young T, Peppard PE, Taheri S. Excess weight and sleep-disordered breathing. J Appl Physiol 2005; 99: 1592–1599.
12. Georgoulis M, Yiannakouris N, Kechribari I, et al. Dose-response relationship between weight loss and improvements in obstructive sleep apnea severity after a diet/lifestyle intervention: secondary analyses of the “MIMOSA” randomized clinical trial. J Clin Sleep Med 2022; 18: 1251–1261.
13. Neeland IJ, Eliasson B, Kasai T, et al. The impact of empagliflozin on obstructive sleep apnea and cardiovascular and renal outcomes: an exploratory analysis of the EMPA-REG OUTCOME Trial. Diabetes Care 2020; 43: 3007–3015.
14. Shi Q, Wang Y, Hao Q, et al. Pharmacotherapy for adults with overweight and obesity: a systematic review and network meta-analysis of randomised controlled trials. Lancet 2022; 399: 259–269.
15. Tham LS, Pantalone KM, Dungan K, et al. A model-based simulation of glycaemic control and body weight when switching from semaglutide to 3.0- and 4.5-mg doses of once-weekly dulaglutide. Diabetes Obes Metab 2022; 24: 302–311.
16. Sampol G, Muñoz X, Sagalés MT, et al. Long-term efficacy of dietary weight loss in sleep apnoea/hypopnoea syndrome. Eur Respir J 1998; 12: 1156–1159. 17. Abramson, Z. R., Susarla, S., Tagoni, J. R. & Kaban, L. Three-dimensional computed tomographic analysis of airway anatomy. J Oral Maxillofac Surg. 68, 363–393 (2010). 18. Hernández-Alfaro, F., Guijarro-Martínez, R. & Mareque-Bueno, J. Effect of mono- and bimaxillary advancement on pharyngeal airway volume: Cone-beam computed tomography evaluation. J Oral Maxillofac Surg. 69, 1–6 (2011).
19. Hsieh, Y. J., Liao, Y. F., Chen, N. H. & Chen, Y. R. Changes in the calibre of the upper airway and the surrounding structures after maxillomandibular advancement for obstructive sleep apnoea. Br. J Oral Maxillofac Surg. 52, 445–451 (2014).
20. Zinser, M. J., Zachow, S. & Sailer, H. F. Bimaxillary ‘rotation advancement’ procedures in patients with obstructive sleep apnea: A 3-dimensional airway analysis of morphological changes. Int J Oral Maxillofac Surg. 42, 569–578 (2013).
21. Faria, A. C. et al. Volumetric analysis of the pharynx in patients with obstructive sleep apnea (OSA) treated with maxillomandibular advancement (MMA). Sleep Breath. 17, 395–401 (2013).
22. Schendel, S. A., Broujerdi, J. A. & Jacobson, R. L. Three-dimensional upper-airway changes with maxillomandibular advancement for obstructive sleep apnea treatment. Am J Orthod Dentofac Orthop. 146, 385–393 (2014).
23. Butterfield, K. J., Marks, P. L. G., McLean, L. & Newton, J. Linear and volumetric airway changes after maxillomandibular advancement for obstructive sleep apnea. J Oral Maxillofac Surg. 73, 1133–1142 (2015).
24. Ronchi, P. et al. Effectiveness of maxillo-mandibular advancement in obstructive sleep apnea patients with and without skeletal anomalies. Int J Oral Maxillofac Surg. 39, 541–547 (2010).
25. Wagner I, Coiffier T, Sequert C, Lachiver X, Fleury B, Chabolle F. Surgical treatment of severe sleep apnea syndrome by maxillomandibular advancing or mental tranposition. Annales d Oto-Laryngologie et de Chirurgie Cervico-Faciale 2000;117:137–46.
26. Patel D, Ash S, Evans J. The role of orthodontics and oral and maxillofacial surgery in the management of obstructive sleep apnoea - a single case report. Br Dent J 2004;196:264–7. 121. 27.Rosen HM. Segmental osteotomies of the maxilla. Clin Plast Surg 1989;16: 785–794
27. Hendler BH, Costello BJ, Silverstein K, Yen D, Goldberg A. A protocol for uvulopalatopharyngoplasty, mortised genioplasty, and maxillomandibular advancement in patients with obstructive sleep apnea: an analysis of 40 cases. J Oral Maxillofac Surg 2001;59:8927.
28. Sruthi H., Navaneethan R., Rengalakshmi S. AUTHOR FULL NAMES: Sruthi, H. ; Navaneethan, R. ; Rengalakshmi, Sri Comparison of linear measurements of tongue and lower airway in skeletal class II with various growth pattern research article (2021) https://www.scopus.com/inward/record.uri?eid=2-s2.0-85113777188&partnerID=40&md5=11f74d234136cfb0f5fadd9b67103f39
29. Agarwal, Yash & Naidu, Giridhar & Nagi, Ravleen & Jain, Supreet & Choudhary, Manjari. (2020). Digital cephalometric analysis of
pharyngeal airway space changes in oral submucous fibrosis patients: A cross sectional observational study, JIAOMR. Journal of Indian Academy of Oral Medicine and Radiology. 32. 10.4103/jiaomr.jiaomr_85_20.
30. Vijayakumar Jain, S., Muthusekhar, M. R., Baig, M. F., Senthilnathan, P., Loganathan, S., Abdul Wahab, P. U., Madhulakshmi, M., & Vohra, Y. (2019). Evaluation of Three-Dimensional Changes in Pharyngeal Airway Following Isolated Lefort One Osteotomy for the Correction of Vertical Maxillary Excess: A Prospective Study. Journal of maxillofacial and oral surgery, 18(1), 139–146. https://doi.org/10.1007/s12663-018-1113-4
31. George, A. M., Felicita, A. S., Milling Tania, S. D., & Priyadharsini, J. V. (2021). Systematic review on the genetic factors associated with skeletal Class II malocclusion. Indian journal of dental research : official publication of Indian Society for Dental Research, 32(3), 399–406. https://doi.org/10.4103/ijdr.IJDR_59_20
32. Jain, Ravindrakumar. (2021). Age and Gender Association of Class III Malocclusion among Subjects Reporting to a University Hospital in Chennai City - A Retrospective Study. International Journal of Dentistry and Oral Science. 4128-4132. 10.19070/2377-8075-21000843.
33. Raaj T., Balasubramaniam A., Sri Sakthi D. AUTHOR FULL NAMES: Raaj, Thiviya (57218530064); Balasubramaniam, Arthi (56938159500); Sri Sakthi, D. (57196459141) Prevalence of dental malocclusion and orthodontic treatment needs among patients visiting private dental college-a retrospective study (2021) https://www.scopus.com/inward/record.uri?eid=2-s2.0-85111455389&partnerID=40&md5=85e805dc57b1597b8f5fdaef6b3be4e6
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Jun 24, 2023
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Shrishty Bhardwaj, Sneha Pendem, & Hemavathy O R Muralidoss. (2023). Long Term Airway Stability In Obstructive Sleep Apnea Patients After Maxillomandibular Advancements. Journal of Population Therapeutics and Clinical Pharmacology, 30(16), 215–220. https://doi.org/10.47750/jptcp.2023.30.16.028
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