Loading…
Effectiveness of maxillo-mandibular advancement in obstructive sleep apnea patients with and without skeletal anomalies
Abstract This study evaluates the effectiveness of maxillo-mandibular advancement (MMA) in patients with obstructive sleep apnea syndrome (OSAS), even those without skeletal anomalies, indicating the possibility of extending this procedure to more patients. Two groups with different skeletal pattern...
Saved in:
Published in: | International journal of oral and maxillofacial surgery 2010-06, Vol.39 (6), p.541-547 |
---|---|
Main Authors: | , , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | cdi_FETCH-LOGICAL-c440t-dadcd1b31d36d20d6ec271327ed032db70eacf7e65a065cdbcf14ff5911055b43 |
---|---|
cites | cdi_FETCH-LOGICAL-c440t-dadcd1b31d36d20d6ec271327ed032db70eacf7e65a065cdbcf14ff5911055b43 |
container_end_page | 547 |
container_issue | 6 |
container_start_page | 541 |
container_title | International journal of oral and maxillofacial surgery |
container_volume | 39 |
creator | Ronchi, P Novelli, G Colombo, L Valsecchi, S Oldani, A Zucconi, M Paddeu, A |
description | Abstract This study evaluates the effectiveness of maxillo-mandibular advancement (MMA) in patients with obstructive sleep apnea syndrome (OSAS), even those without skeletal anomalies, indicating the possibility of extending this procedure to more patients. Two groups with different skeletal patterns were studied pre- and post-surgery. Group 1 (11 patients) had severe or moderate OSAS and maxillo-mandibular hypoplasia and/or mandibular deformities (SNA angle 78° or less or SNA angle > 78° but with SNB < 65° and severe skeletal class II malocclusion). Group 2 (11 patients) had severe or moderate OSAS without maxillo-mandibular hypoplasia or deformity (SNA angle > 80°, dental class I occlusion). Analysis comprised: apnea hypopnea index (AHI), posterior airway space (PAS), SNA and SNB angles, Epworth sleepiness scale (ESS), body mass index (BMI), and a subjective standardized questionnaire about aesthetic appearance. All patients had increased PAS width and complete remission of objective and subjective OSAS symptoms evaluated by AHI and ESS. Results in both groups are comparable. Data were analysed using t -test; p < 0.005 was statistically significant. All patients were satisfied with the functional and aesthetic results. MMA is effective in patients with severe or moderate OSAS, even in those without skeletal and/or occlusal anomalies and can be considered in more patients. |
doi_str_mv | 10.1016/j.ijom.2010.03.006 |
format | article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_733336776</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0901502710000998</els_id><sourcerecordid>733336776</sourcerecordid><originalsourceid>FETCH-LOGICAL-c440t-dadcd1b31d36d20d6ec271327ed032db70eacf7e65a065cdbcf14ff5911055b43</originalsourceid><addsrcrecordid>eNp9kkuLFTEQhYMoznX0D7iQbMRVXytJP6ZBBBnGBwy4UNchnVRjetKdNtV9x_n3pudeFVyYTUJxTqX46jD2XMBegKhfD3s_xHEvIRdA7QHqB2wnVNsWABIesh20IIoKZHPGnhANANCqi-YxO5NQqlIJsWO3V32PdvEHnJCIx56P5qcPIRajmZzv1mASN-5gJosjTgv3E48dLWm9N3EKiDM384SGz2bxWUL81i_febbfP-K6cLrBgIsJuRhHEzzSU_aoN4Hw2ek-Z9_eX329_Fhcf_7w6fLddWHLEpbCGWed6JRwqnYSXI1WNkLJBh0o6boG0Ni-wboyUFfWdbYXZd9XrRBQVV2pztmrY985xR8r0qJHTxZDMBPGlXSj8qmbps5KeVTaFIkS9npOfjTpTgvQG2896I233nhrUDrzzqYXp_ZrN6L7Y_kNOAtengSGrAl9yiA9_dXJVuSVbHO-Oeowwzh4TJpshmnR-ZT3o130_5_j7T92G_zk8483eIc0xDVNGbMWmqQG_WVLxhYMAVso2gv1C1NCtlc</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>733336776</pqid></control><display><type>article</type><title>Effectiveness of maxillo-mandibular advancement in obstructive sleep apnea patients with and without skeletal anomalies</title><source>ScienceDirect Journals</source><creator>Ronchi, P ; Novelli, G ; Colombo, L ; Valsecchi, S ; Oldani, A ; Zucconi, M ; Paddeu, A</creator><creatorcontrib>Ronchi, P ; Novelli, G ; Colombo, L ; Valsecchi, S ; Oldani, A ; Zucconi, M ; Paddeu, A</creatorcontrib><description>Abstract This study evaluates the effectiveness of maxillo-mandibular advancement (MMA) in patients with obstructive sleep apnea syndrome (OSAS), even those without skeletal anomalies, indicating the possibility of extending this procedure to more patients. Two groups with different skeletal patterns were studied pre- and post-surgery. Group 1 (11 patients) had severe or moderate OSAS and maxillo-mandibular hypoplasia and/or mandibular deformities (SNA angle 78° or less or SNA angle > 78° but with SNB < 65° and severe skeletal class II malocclusion). Group 2 (11 patients) had severe or moderate OSAS without maxillo-mandibular hypoplasia or deformity (SNA angle > 80°, dental class I occlusion). Analysis comprised: apnea hypopnea index (AHI), posterior airway space (PAS), SNA and SNB angles, Epworth sleepiness scale (ESS), body mass index (BMI), and a subjective standardized questionnaire about aesthetic appearance. All patients had increased PAS width and complete remission of objective and subjective OSAS symptoms evaluated by AHI and ESS. Results in both groups are comparable. Data were analysed using t -test; p < 0.005 was statistically significant. All patients were satisfied with the functional and aesthetic results. MMA is effective in patients with severe or moderate OSAS, even in those without skeletal and/or occlusal anomalies and can be considered in more patients.</description><identifier>ISSN: 0901-5027</identifier><identifier>EISSN: 1399-0020</identifier><identifier>DOI: 10.1016/j.ijom.2010.03.006</identifier><identifier>PMID: 20434311</identifier><identifier>CODEN: IJOSE9</identifier><language>eng</language><publisher>Kidlington: Elsevier Ltd</publisher><subject>Adult ; Biological and medical sciences ; Cephalometry ; Chin - surgery ; Dentistry ; Female ; Humans ; Jaw Fixation Techniques - instrumentation ; Male ; Malocclusion, Angle Class II - complications ; Malocclusion, Angle Class II - surgery ; Mandibular Advancement ; Maxilla - surgery ; maxillo-mandibular advancement ; Medical sciences ; Micrognathism - complications ; Micrognathism - surgery ; Middle Aged ; Nose - surgery ; OSAS ; Otorhinolaryngology. Stomatology ; Patient Satisfaction ; Pharynx - anatomy & histology ; Pharynx - diagnostic imaging ; Pneumology ; Radiography ; Respiratory system : syndromes and miscellaneous diseases ; Retrospective Studies ; Sleep Apnea, Obstructive - complications ; Sleep Apnea, Obstructive - surgery ; Surgery ; Surveys and Questionnaires ; Treatment Outcome</subject><ispartof>International journal of oral and maxillofacial surgery, 2010-06, Vol.39 (6), p.541-547</ispartof><rights>International Association of Oral and Maxillofacial Surgeons</rights><rights>2010 International Association of Oral and Maxillofacial Surgeons</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c440t-dadcd1b31d36d20d6ec271327ed032db70eacf7e65a065cdbcf14ff5911055b43</citedby><cites>FETCH-LOGICAL-c440t-dadcd1b31d36d20d6ec271327ed032db70eacf7e65a065cdbcf14ff5911055b43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22913874$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20434311$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ronchi, P</creatorcontrib><creatorcontrib>Novelli, G</creatorcontrib><creatorcontrib>Colombo, L</creatorcontrib><creatorcontrib>Valsecchi, S</creatorcontrib><creatorcontrib>Oldani, A</creatorcontrib><creatorcontrib>Zucconi, M</creatorcontrib><creatorcontrib>Paddeu, A</creatorcontrib><title>Effectiveness of maxillo-mandibular advancement in obstructive sleep apnea patients with and without skeletal anomalies</title><title>International journal of oral and maxillofacial surgery</title><addtitle>Int J Oral Maxillofac Surg</addtitle><description>Abstract This study evaluates the effectiveness of maxillo-mandibular advancement (MMA) in patients with obstructive sleep apnea syndrome (OSAS), even those without skeletal anomalies, indicating the possibility of extending this procedure to more patients. Two groups with different skeletal patterns were studied pre- and post-surgery. Group 1 (11 patients) had severe or moderate OSAS and maxillo-mandibular hypoplasia and/or mandibular deformities (SNA angle 78° or less or SNA angle > 78° but with SNB < 65° and severe skeletal class II malocclusion). Group 2 (11 patients) had severe or moderate OSAS without maxillo-mandibular hypoplasia or deformity (SNA angle > 80°, dental class I occlusion). Analysis comprised: apnea hypopnea index (AHI), posterior airway space (PAS), SNA and SNB angles, Epworth sleepiness scale (ESS), body mass index (BMI), and a subjective standardized questionnaire about aesthetic appearance. All patients had increased PAS width and complete remission of objective and subjective OSAS symptoms evaluated by AHI and ESS. Results in both groups are comparable. Data were analysed using t -test; p < 0.005 was statistically significant. All patients were satisfied with the functional and aesthetic results. MMA is effective in patients with severe or moderate OSAS, even in those without skeletal and/or occlusal anomalies and can be considered in more patients.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cephalometry</subject><subject>Chin - surgery</subject><subject>Dentistry</subject><subject>Female</subject><subject>Humans</subject><subject>Jaw Fixation Techniques - instrumentation</subject><subject>Male</subject><subject>Malocclusion, Angle Class II - complications</subject><subject>Malocclusion, Angle Class II - surgery</subject><subject>Mandibular Advancement</subject><subject>Maxilla - surgery</subject><subject>maxillo-mandibular advancement</subject><subject>Medical sciences</subject><subject>Micrognathism - complications</subject><subject>Micrognathism - surgery</subject><subject>Middle Aged</subject><subject>Nose - surgery</subject><subject>OSAS</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Patient Satisfaction</subject><subject>Pharynx - anatomy & histology</subject><subject>Pharynx - diagnostic imaging</subject><subject>Pneumology</subject><subject>Radiography</subject><subject>Respiratory system : syndromes and miscellaneous diseases</subject><subject>Retrospective Studies</subject><subject>Sleep Apnea, Obstructive - complications</subject><subject>Sleep Apnea, Obstructive - surgery</subject><subject>Surgery</subject><subject>Surveys and Questionnaires</subject><subject>Treatment Outcome</subject><issn>0901-5027</issn><issn>1399-0020</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><recordid>eNp9kkuLFTEQhYMoznX0D7iQbMRVXytJP6ZBBBnGBwy4UNchnVRjetKdNtV9x_n3pudeFVyYTUJxTqX46jD2XMBegKhfD3s_xHEvIRdA7QHqB2wnVNsWABIesh20IIoKZHPGnhANANCqi-YxO5NQqlIJsWO3V32PdvEHnJCIx56P5qcPIRajmZzv1mASN-5gJosjTgv3E48dLWm9N3EKiDM384SGz2bxWUL81i_febbfP-K6cLrBgIsJuRhHEzzSU_aoN4Hw2ek-Z9_eX329_Fhcf_7w6fLddWHLEpbCGWed6JRwqnYSXI1WNkLJBh0o6boG0Ni-wboyUFfWdbYXZd9XrRBQVV2pztmrY985xR8r0qJHTxZDMBPGlXSj8qmbps5KeVTaFIkS9npOfjTpTgvQG2896I233nhrUDrzzqYXp_ZrN6L7Y_kNOAtengSGrAl9yiA9_dXJVuSVbHO-Oeowwzh4TJpshmnR-ZT3o130_5_j7T92G_zk8483eIc0xDVNGbMWmqQG_WVLxhYMAVso2gv1C1NCtlc</recordid><startdate>20100601</startdate><enddate>20100601</enddate><creator>Ronchi, P</creator><creator>Novelli, G</creator><creator>Colombo, L</creator><creator>Valsecchi, S</creator><creator>Oldani, A</creator><creator>Zucconi, M</creator><creator>Paddeu, A</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20100601</creationdate><title>Effectiveness of maxillo-mandibular advancement in obstructive sleep apnea patients with and without skeletal anomalies</title><author>Ronchi, P ; Novelli, G ; Colombo, L ; Valsecchi, S ; Oldani, A ; Zucconi, M ; Paddeu, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440t-dadcd1b31d36d20d6ec271327ed032db70eacf7e65a065cdbcf14ff5911055b43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cephalometry</topic><topic>Chin - surgery</topic><topic>Dentistry</topic><topic>Female</topic><topic>Humans</topic><topic>Jaw Fixation Techniques - instrumentation</topic><topic>Male</topic><topic>Malocclusion, Angle Class II - complications</topic><topic>Malocclusion, Angle Class II - surgery</topic><topic>Mandibular Advancement</topic><topic>Maxilla - surgery</topic><topic>maxillo-mandibular advancement</topic><topic>Medical sciences</topic><topic>Micrognathism - complications</topic><topic>Micrognathism - surgery</topic><topic>Middle Aged</topic><topic>Nose - surgery</topic><topic>OSAS</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Patient Satisfaction</topic><topic>Pharynx - anatomy & histology</topic><topic>Pharynx - diagnostic imaging</topic><topic>Pneumology</topic><topic>Radiography</topic><topic>Respiratory system : syndromes and miscellaneous diseases</topic><topic>Retrospective Studies</topic><topic>Sleep Apnea, Obstructive - complications</topic><topic>Sleep Apnea, Obstructive - surgery</topic><topic>Surgery</topic><topic>Surveys and Questionnaires</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ronchi, P</creatorcontrib><creatorcontrib>Novelli, G</creatorcontrib><creatorcontrib>Colombo, L</creatorcontrib><creatorcontrib>Valsecchi, S</creatorcontrib><creatorcontrib>Oldani, A</creatorcontrib><creatorcontrib>Zucconi, M</creatorcontrib><creatorcontrib>Paddeu, A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of oral and maxillofacial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ronchi, P</au><au>Novelli, G</au><au>Colombo, L</au><au>Valsecchi, S</au><au>Oldani, A</au><au>Zucconi, M</au><au>Paddeu, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effectiveness of maxillo-mandibular advancement in obstructive sleep apnea patients with and without skeletal anomalies</atitle><jtitle>International journal of oral and maxillofacial surgery</jtitle><addtitle>Int J Oral Maxillofac Surg</addtitle><date>2010-06-01</date><risdate>2010</risdate><volume>39</volume><issue>6</issue><spage>541</spage><epage>547</epage><pages>541-547</pages><issn>0901-5027</issn><eissn>1399-0020</eissn><coden>IJOSE9</coden><abstract>Abstract This study evaluates the effectiveness of maxillo-mandibular advancement (MMA) in patients with obstructive sleep apnea syndrome (OSAS), even those without skeletal anomalies, indicating the possibility of extending this procedure to more patients. Two groups with different skeletal patterns were studied pre- and post-surgery. Group 1 (11 patients) had severe or moderate OSAS and maxillo-mandibular hypoplasia and/or mandibular deformities (SNA angle 78° or less or SNA angle > 78° but with SNB < 65° and severe skeletal class II malocclusion). Group 2 (11 patients) had severe or moderate OSAS without maxillo-mandibular hypoplasia or deformity (SNA angle > 80°, dental class I occlusion). Analysis comprised: apnea hypopnea index (AHI), posterior airway space (PAS), SNA and SNB angles, Epworth sleepiness scale (ESS), body mass index (BMI), and a subjective standardized questionnaire about aesthetic appearance. All patients had increased PAS width and complete remission of objective and subjective OSAS symptoms evaluated by AHI and ESS. Results in both groups are comparable. Data were analysed using t -test; p < 0.005 was statistically significant. All patients were satisfied with the functional and aesthetic results. MMA is effective in patients with severe or moderate OSAS, even in those without skeletal and/or occlusal anomalies and can be considered in more patients.</abstract><cop>Kidlington</cop><pub>Elsevier Ltd</pub><pmid>20434311</pmid><doi>10.1016/j.ijom.2010.03.006</doi><tpages>7</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0901-5027 |
ispartof | International journal of oral and maxillofacial surgery, 2010-06, Vol.39 (6), p.541-547 |
issn | 0901-5027 1399-0020 |
language | eng |
recordid | cdi_proquest_miscellaneous_733336776 |
source | ScienceDirect Journals |
subjects | Adult Biological and medical sciences Cephalometry Chin - surgery Dentistry Female Humans Jaw Fixation Techniques - instrumentation Male Malocclusion, Angle Class II - complications Malocclusion, Angle Class II - surgery Mandibular Advancement Maxilla - surgery maxillo-mandibular advancement Medical sciences Micrognathism - complications Micrognathism - surgery Middle Aged Nose - surgery OSAS Otorhinolaryngology. Stomatology Patient Satisfaction Pharynx - anatomy & histology Pharynx - diagnostic imaging Pneumology Radiography Respiratory system : syndromes and miscellaneous diseases Retrospective Studies Sleep Apnea, Obstructive - complications Sleep Apnea, Obstructive - surgery Surgery Surveys and Questionnaires Treatment Outcome |
title | Effectiveness of maxillo-mandibular advancement in obstructive sleep apnea patients with and without skeletal anomalies |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T22%3A40%3A28IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Effectiveness%20of%20maxillo-mandibular%20advancement%20in%20obstructive%20sleep%20apnea%20patients%20with%20and%20without%20skeletal%20anomalies&rft.jtitle=International%20journal%20of%20oral%20and%20maxillofacial%20surgery&rft.au=Ronchi,%20P&rft.date=2010-06-01&rft.volume=39&rft.issue=6&rft.spage=541&rft.epage=547&rft.pages=541-547&rft.issn=0901-5027&rft.eissn=1399-0020&rft.coden=IJOSE9&rft_id=info:doi/10.1016/j.ijom.2010.03.006&rft_dat=%3Cproquest_cross%3E733336776%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c440t-dadcd1b31d36d20d6ec271327ed032db70eacf7e65a065cdbcf14ff5911055b43%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=733336776&rft_id=info:pmid/20434311&rfr_iscdi=true |