上颌骨和下颌骨前徙术治疗阻塞性睡眠呼吸暂停患者的面部美观和主观损害评估。

Facial esthetics and subjective impairment assessed after maxillomandibular advancement surgery for patients with obstructive sleep apnea.

机构信息

Department of Oral and Maxillofacial Surgery of the Amsterdam UMC and Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam, Amsterdam, The Netherlands.

出版信息

Cranio. 2023 Jan;41(1):16-21. doi: 10.1080/08869634.2020.1801223. Epub 2020 Jul 31.

DOI:10.1080/08869634.2020.1801223

PMID:32734849

Abstract

OBJECTIVE

To assess facial esthetics and quality of life (QoL) as measure of success or failure after maxillomandibular advancement (MMA) surgery for obstructive sleep apnea (OSA).

METHODS

Visual analog scales (VAS) on facial esthetics and QoL survey, including EQ-5D3L, Epworth Sleepiness Scale (ESS), and Functional Outcome of Sleep Questionnaire (FOSQ) were collected. Outcomes were analyzed for surgical-success/failure after MMA.

RESULTS

Forty-one patients returned completed surveys (response: 66%). Mean VAS on facial esthetics was 57 ± 22 mm preoperative and 51 ± 24 mm postoperative (p = 0.217). When MMA was considered a surgical-failure, VAS was significantly more negative (40 ± 22 mm; p = 0.026). EQ-5D-3L showed an overall mean score of 73.2 ± 15.7, ESS was 6.3 ± 5.4, and FOSQ was 16.0 ± 3.3.

CONCLUSION

No significant alteration of facial esthetics were reported after MMA; however, lower QoL was associated with surgical-failure; whereas, in surgical-success, QoL were higher.

摘要

目的

评估面型美观和生活质量（QoL），作为评价阻塞性睡眠呼吸暂停（OSA）患者行下颌骨前徙（MMA）手术后成功或失败的指标。

方法

采用视觉模拟量表（VAS）对面型美观和生活质量进行评估，包括 EQ-5D3L、嗜睡量表（ESS）和睡眠功能结局问卷（FOSQ）。对 MMA 手术后的手术成功/失败进行结果分析。

结果

41 例患者返回了完整的调查问卷（应答率：66%）。术前面部美观 VAS 平均值为 57 ± 22mm，术后为 51 ± 24mm（p = 0.217）。当 MMA 被认为是手术失败时，VAS 明显更差（40 ± 22mm；p = 0.026）。EQ-5D-3L 总体平均评分为 73.2 ± 15.7，ESS 为 6.3 ± 5.4，FOSQ 为 16.0 ± 3.3。