Francisco Inês, Travassos Raquel, Baptista Paula Anabela, Oliveiros Bárbara, Marques Filipa, Prata Ribeiro Madalena, McEvoy Mariana, Santos Mariana, Oliveira Catarina, Marto Carlos Miguel, Carrilho Eunice, Nunes Catarina, Vale Francisco
Angle Orthod. 2025 Jan 1;95(1):104-125. doi: 10.2319/020624-99.1.
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.
对正颌前徙手术后阻塞性睡眠呼吸暂停综合征（OSAS）患者的治疗观点进行系统评价。
本系统评价遵循系统评价和Meta分析的首选报告项目（PRISMA）指南，并采用患者、干预措施、对照和结局（PICO）方法来制定研究问题。使用以下数据库进行文献检索：Cochrane图书馆（试验库）、通过MEDLINE检索的PubMed、Embase和科学网（所有数据库）。采用纽卡斯尔-渥太华量表评估研究质量。
最初，从不同数据库检索到1407篇文章，并对其进行初步审查。随后，选择17篇文章进行全面质量分析，6项研究进行定量分析。大多数研究被归类为高质量。上颌下颌前徙手术似乎能提高中重度成人OSAS患者的满意度。
上颌下颌前徙手术显著改善患者主观总体生活质量，问卷评分提高6.36分，并显示出长期稳定性。
