Patient-Reported Outcomes of Maxillomandibular Surgery for Obstructive Sleep Apnea Treatment: A Scoping Review
Abstract
:1. Introduction
2. Materials and Methods
2.1. Research Question
2.2. Database Search Protocol
2.3. Analysis of Eligibility Criteria, Selection of Studies and Data Collection
3. Results
3.1. Study Selection
3.2. Characteristics of the Included Studies
4. Discussion
5. Conclusions
Author Contributions
Funding
Data Availability Statement
Conflicts of Interest
References
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Research Question | |
---|---|
Population | Patients diagnosed with OSAS |
Intervention | Patients who underwent orthognathic surgery |
Outcome | Patients’ perspectives (PROMs) |
Data Bases | Search Keys | ||
---|---|---|---|
PubMed | (“Sleep Apnea Syndromes”[Mesh] OR “Sleep Apnea*” OR “Apnea Syndrome, Sleep” OR “Apnea Syndromes, Sleep” OR “Sleep Hypopnea*” OR “Hypopnea, Sleep” OR “Hypopneas, Sleep” OR “Apnea, Sleep” OR “Apneas, Sleep” OR “Hypersomnia with Periodic Respiration” OR “Sleep-Disordered Breathing” OR “Breathing, Sleep-Disorder*” OR “Sleep Disordered Breathing” OR “Sleep-Disorder Breathing” OR “Sleep Disorder Breathing” OR “OSA” OR “OSAS”) AND (“Orthognathic Surgery”[Mesh] OR “Orthognathic Surger*” OR “Surgery, Orthognathic” OR “Surgeries, Orthognathic” OR “Orthognathic Surgical Procedures”[Mesh] OR “Orthognathic Surgical Procedure*” OR “Procedure, Orthognathic Surgical” OR “Procedures, Orthognathic Surgical” OR “Surgical Procedure, Orthognathic” OR “Surgical Procedures, Orthognathic” OR “Jaw Surger*” OR “Surgeries, Jaw” OR “Surgery, Jaw” OR “Maxillo-Mandibular Surger*” OR “Maxillo Mandibular Surger*” OR “Surgeries, Maxillo-Mandibular” OR “Surgery, Maxillo-Mandibular” OR “Surgeries, Maxillofacial Orthognathic” OR “Surgery, Maxillofacial Orthognathic”). Filters: languages—EN, SP, FR, and PT. | ||
All Web of Science Databases | (“Sleep Apnea*” OR “Apnea Syndrome, Sleep” OR “Apnea Syndromes, Sleep” OR “Sleep Hypopnea*” OR “Hypopnea, Sleep” OR “Hypopneas, Sleep” OR “Apnea, Sleep” OR “Apneas, Sleep” OR “Hypersomnia with Periodic Respiration” OR “Sleep-Disordered Breathing” OR “Breathing, Sleep-Disordered” OR “Sleep Disordered Breathing” OR “OSA” OR “OSAS”) AND (“Orthognathic Surger*” OR “Surgery, Orthognathic” OR “Surgeries, Orthognathic” OR “Orthognathic Surgical Procedure*” OR “Procedure, Orthognathic Surgical” OR “Procedures, Orthognathic Surgical” OR “Surgical Procedure, Orthognathic” OR “Surgical Procedures, Orthognathic” OR “Jaw Surger*” OR “Surgeries, Jaw” OR “Surgery, Jaw” OR “Maxillo-Mandibular Surger*” OR “Maxillo Mandibular Surger*” OR “Surgeries, Maxillo-Mandibular” OR “Surgery, Maxillo-Mandibular” OR “Surgeries, Maxillofacial Orthognathic” OR “Surgery, Maxillofacial Orthognathic”) (Topic) and English or French or Spanish or Portuguese (Languages) and Review Article or Abstract or Meeting or Letter or Editorial Material or Patent or Book (Exclude—Document Types). Filters: languages—EN, SP, FR, and PT. | ||
Embase | (“sleep apnea*”: ti,ab,kw OR “apnea syndrome, sleep”: ti,ab,kw OR “apnea syndromes, sleep’”: ti,ab,kw OR “sleep hypopnea*”:ti,ab,kw OR “hypopnea, sleep”: ti,ab,kw OR “hypopneas, sleep”: ti,ab,kw OR “apnea, sleep”: ti,ab,kw OR “apneas, sleep”: ti,ab,kw OR “hypersomnia with periodic respiration”: ti,ab,kw OR “sleep disordered breathing”/exp OR “sleep-disordered breathing”: ti,ab,kw OR “breathing, sleep disordered”: ti,ab,kw OR osa: ti,ab,kw OR osas: ti,ab,kw) AND (“orthognathic surgery”/exp OR “orthognathic surger*”: ti,ab,kw OR “surgery, orthognathic”: ti,ab,kw OR “surgeries, orthognathic”: ti,ab,kw OR “orthognathic surgical procedure*”: ti,ab,kw OR “procedure, orthognathic surgical”: ti,ab,kw OR “procedures, orthognathic surgical”: ti,ab,kw OR “surgical procedure, orthognathic”: ti,ab,kw OR “surgical procedures, orthognathic”: ti,ab,kw OR “jaw surger*”: ti,ab,kw OR “surgeries, jaw”: ti,ab,kw OR “surgery, jaw”: ti,ab,kw OR “maxillomandibular surger*”: ti,ab,kw OR “maxillo mandibular surger*”: ti,ab,kw OR “surgeries, maxillo-mandibular”: ti,ab,kw OR “surgery, maxillo-mandibular”: ti,ab,kw OR “maxillofacial orthognathic surger*”: ti,ab,kw OR “orthognathic surgeries, maxillofacial”: ti,ab,kw OR “orthognathic surgery, maxillofacial”: ti,ab,kw OR “surgeries, maxillofacial orthognathic”: ti,ab,kw OR “surgery, maxillofacial orthognathic”: ti,ab,kw) AND ([english]/lim OR [french]/lim OR [portuguese]/lim OR [spanish]/lim) AND ([article]/lim OR [article in press]/lim OR [data papers]/lim OR [letter]/lim) Filters: languages—EN, SP, FR, and PT. | ||
Cochrane | ID | Search | Hits |
#1 | MeSH descriptor: [Sleep Apnea Syndromes] explode all trees | 3389 | |
#2 | “sleep apnea” | 8129 | |
#3 | “sleep apneas” | 111 | |
#4 | “apnea syndrome, sleep” | 14 | |
#5 | “apnea syndromes, sleep” | 869 | |
#6 | “sleep hypopnea” | 0 | |
#7 | “sleep hypopneas” | 1 | |
#8 | “hypopnea, sleep” | 7 | |
#9 | “hypopneas, sleep” | 0 | |
#10 | “apnea, sleep” | 412 | |
#11 | “apneas, sleep” | 3 | |
#12 | hypersomnia with periodic respiration | 0 | |
#13 | “sleep-disordered breathing” | 3381 | |
#14 | “breathing, sleep-disordered” | 4 | |
#15 | “sleep disordered breathing” | 3381 | |
#16 | OSA | 3950 | |
#17 | OSAS | 709 | |
#18 | MeSH descriptor: [Orthognathic Surgery] explode all trees | 64 | |
#19 | “orthognathic surgery” | 601 | |
#20 | “orthognathic surgeries” | 29 | |
#21 | “surgery, orthognathic” | 40 | |
#22 | “surgeries, orthognathic” | 0 | |
#23 | MeSH descriptor: [Orthognathic Surgical Procedures] explode all trees | 279 | |
#24 | “orthognathic surgical procedure” | 5 | |
#25 | “orthognathic surgical procedures” | 199 | |
#26 | “procedure, orthognathic surgical” | 0 | |
#27 | “procedures, orthognathic surgical” | 8 | |
#28 | “surgical procedure, orthognathic” | 0 | |
#29 | “surgical procedures, orthognathic” | 7 | |
#30 | “jaw surgery” | 65 | |
#31 | “jaw surgeries” | 4 | |
#32 | “surgeries, jaw” | 2 | |
#33 | “surgery, jaw” | 11 | |
#34 | “maxillo-mandibular surgery” | 0 | |
#35 | “maxillo-mandibular surgeries” | 0 | |
#36 | “maxillo mandibular surgery” | 0 | |
#37 | “maxillo mandibular surgeries” | 0 | |
#38 | “surgeries, maxillo-mandibular” | 0 | |
#39 | “surgery, maxillo-mandibular” | 0 | |
#40 | “maxillofacial orthognathic surgery” | 1 | |
#41 | “maxillofacial orthognathic surgeries” | 0 | |
#42 | “orthognathic surgeries, maxillofacial” | 0 | |
#43 | “orthognathic surgery, maxillofacial” | 3 | |
#44 | “surgeries, maxillofacial orthognathic” | 0 | |
#45 | “surgery, maxillofacial orthognathic” | 0 | |
#46 | (#1 OR #2 OR #3 OR #4 OR #5 OR #6 OR #7 OR #8 OR #9 OR #10 OR #11 OR #12 OR #13 OR #14 OR #15 OR #16 OR #17) AND (#18 OR #19 OR #20 OR #21 OR #22 OR #23 OR #24 OR #25 OR #26 OR #27 OR #28 OR #29 OR #30 OR #31 OR #32 OR #33 OR #34 OR #35 OR #36 OR #37 #38 OR #39 OR #40 OR #41 OR #42 OR #43 OR #44 OR #45) |
Author/ Year | Study Design | Sample Size | Mean Age of Patients | Sex | Instruments | Outcomes |
---|---|---|---|---|---|---|
Cillo et al., 2020 [30] | Retrospective cohort | 27 | 59.1 ± 11.7 years old | M = 15 F = 12 | Ottawa Sleep Apnea | Sleep quality |
Daytime function | ||||||
Physical health | ||||||
Emotional health | ||||||
Sexual desires | ||||||
Functional desires | ||||||
Dental function | ||||||
Personal Satisfaction | ||||||
Cillo et al., 2019 [29] | Retrospective cohort | 27 | 59.8 years old | M = 15 F = 12 | Modified survey from Cunningham et al. using seven-point visual analog scale | Chewing |
Swallowing food | ||||||
Swallowing fluids | ||||||
Smiling | ||||||
Spitting | ||||||
Kissing | ||||||
Eating | ||||||
Drooling | ||||||
Speaking | ||||||
Perioral neurosensory | ||||||
Dattilo, Drooger, et al., 2004 [27] | Prospective cohort | 57 | 47.2 years old | M = 43 F = 14 | Epworth Sleepiness Scale | Probability of falling asleep in a variety of situations (sitting, reading, watching TV and driving) |
Rossi et al., 2022 [32] | Retrospective cohort | 18 | 44.39 ± 9.43 years old | M = 17 F = 1 | - Rustemeyer’s questionnaire - Post-operative quality-of-life questions specific for OSA | Rustemeyer’s questionnaire: -Facial aesthetics -Chewing function -Well-being Post-operative quality-of-life questions specific for OSA: -Quality of sleep -Day time function/activity -Emotional situation -Physical OSAS symptoms -Work activity |
Rossi et al., 2022 [33] | Retrospective case-control | 61 (21-OSA) | 34.75 ± 11.33 | M = 33 F = 29 | - Rustemeyer’s questionnaire (only after surgery) - SF-36 questionnaire (pre- and post-operatively) | Rustemeyer’s questionnaire: -Facial aesthetics -Chewing function -Well-being SF-36 questionnaire: -Emotional well-being -General health -Health transition -Physical functioning -Role limitations due to physical health -Role limitations due to Emotional problems -Energy/fatigue -Social functioning -Bodily Pain |
Boyd et al., 2019 [39] | Prospective cohort | 30 | 45.9 ± 9.8 years | M = 19 F = 11 | - Epworth Sleepiness Scale - Functional Outcomes of Sleep Questionnaire - SF-36 questionnaire | Epworth Sleepiness Scale: -Sleepiness Functional Outcomes of Sleep Questionnaire: -General productivity -Social outcome -Activity level -Vigilance -Intimate relationship and sexual activity SF-36 questionnaire: -Physical function -Role physical -Role emotional -Vitality -Mental health -Social function -Bodily pain -General health -Health change |
Butterfield et al., 2016 [36] | Retrospective cohort | 22 | 45.9 ± 11.6 years | M = 19 F = 3 | - Ottawa Sleep Apnea | Sleep quality |
Daytime function | ||||||
Physical health | ||||||
Mental and emotional health | ||||||
Sexual health | ||||||
Recovery | ||||||
Dental function | ||||||
Martin et al., 2022 [34] | Cohort | 10 | 49.9 years | M = 7 F = 3 | - Patient-reported outcome measures questionnaire (five-point Likert scale) - Epworth Sleepiness score - 10-point visual analogue scale | Patient-Reported Outcome Measurements (PROMs) questionnaire (five-point Likert scale): -Sleep quality -Daytime sleepiness -Energy levels -Appearance -Daily activities -Mood Epworth Sleepiness score: -Daytime sleepiness 10-point visual analogue scale: -Quality of life |
Pottel et al., 2019 [40] | Retrospective cohort | 12 | 43.5 years | M = 10 F = 2 | - OSAS questionnaire - The Epworth Sleepiness Scale | OSAS questionnaire: -Headache -Daytime sleepiness -Night-time awakening -Concentration -Frequent nocturnal diuresis -Snoring -Sexual activity -Facial aesthetic -Self-confidence Epworth Sleepiness Scale: -Daytime sleepiness |
Goodday, RH et al., 2016 [35] | Retrospective cohort | 13 | 38.6 ± 8.4 | NR | - Epworth Sleepiness Scale - General satisfaction survey | Epworth Sleepiness Scale: -Daytime sleepiness General satisfaction survey: -Recommendation -Benefit |
Lin, CH et al., 2020 [20] | Cohort | 53 | 35.66 ± 11.66 | M = 40 F = 13 | - Epworth Sleepiness Scale - Pittsburgh Sleep Quality Index - Insomnia Severity Index - Beck Anxiety Inventory - Beck Depression Index - Short form of quality of life (SF-36) | Epworth Sleepiness Scale: -Daytime sleepiness Pittsburgh Sleep Quality Index: -Quality and patterns of sleep Insomnia Severity Index: -Insomnia Beck Anxiety Inventory: -Anxiety Beck Depression Index: -Depression Short form of quality of life (SF-36): -Physical functioning -Role physical -Bodily pain -General Health -Vitality -Social Functioning -Role emotional -Mental Health |
Ruiter MHT et al., 2020 [31] | Cohort | 41 | 55 ± 10 | M = 35 F= 20 | - EQ-5D-3L - Epworth Sleepiness Scale - Functional Outcomes of Sleep - Visual Analog Scale | EQ-5D-3L: -Mobility -Self-care -Daily activities -Pain/discomfort -Mood Epworth Sleepiness Scale: -Daytime sleepiness Functional Outcomes of Sleep: -Activity level -Vigilance -Intimacy and sexual relationships -General productivity -Social outcomes Visual Analog Scale: Facial appearance |
González, MB et al., 2020 [42] | Retrospective cohort | 25 | 46.68 | M = 23 F = 2 | SF-36 questionnaire | Facial appearance through two questions: - “Do you consider your esthetic change to be positive after surgery?” - “Do you consider your facial profile to be more youthful after surgery?” |
Beranger T et al., 2017 [37] | Retrospective cohort | 23 | 45.7 | M = 15 F = 8 | Epworth Sleepiness Scale | - Facial appearance (modifications of the face, modifications smile, more smiley and youthful appearance) |
Boyd, SB et al., 2015 [41] | Cohort | 30 | 50.5 ± 9.6 | M = 24 F = 6 | - Epworth Sleepiness Scale - Functional Outcome of Sleep Questionnaire - Sleep Apnea Quality of Life Index | Epworth Sleepiness Scale: -Sleepiness Sleep Apnea Quality of Life Index: -Daily functioning -Social interactions -Emotional functioning -Symptoms -Treatment-related symptoms |
Abdelwahab, M et al., 2023 [28] | Prospective cohort | 31 | 38 ± 11 | M = 28 F = 3 | - Standardized Cosmesis and Health Nasal Outcomes Survey - Visual analog scale for nasal function and cosmesis (VAS-F and VAS-C) - Epworth sleepiness scale | Function (obstruction) Cosmesis Epworth sleepiness scale: -Daytime sleepiness |
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Francisco, I.; Nunes, C.; Baptista Paula, A.; Marques, F.; Prata Ribeiro, M.; McEvoy, M.; Santos, M.; Oliveira, C.; Marto, C.M.; Spagnuolo, G.; et al. Patient-Reported Outcomes of Maxillomandibular Surgery for Obstructive Sleep Apnea Treatment: A Scoping Review. J. Clin. Med. 2024, 13, 1232. https://doi.org/10.3390/jcm13051232
Francisco I, Nunes C, Baptista Paula A, Marques F, Prata Ribeiro M, McEvoy M, Santos M, Oliveira C, Marto CM, Spagnuolo G, et al. Patient-Reported Outcomes of Maxillomandibular Surgery for Obstructive Sleep Apnea Treatment: A Scoping Review. Journal of Clinical Medicine. 2024; 13(5):1232. https://doi.org/10.3390/jcm13051232
Chicago/Turabian StyleFrancisco, Inês, Catarina Nunes, Anabela Baptista Paula, Filipa Marques, Madalena Prata Ribeiro, Mariana McEvoy, Mariana Santos, Catarina Oliveira, Carlos Miguel Marto, Gianrico Spagnuolo, and et al. 2024. "Patient-Reported Outcomes of Maxillomandibular Surgery for Obstructive Sleep Apnea Treatment: A Scoping Review" Journal of Clinical Medicine 13, no. 5: 1232. https://doi.org/10.3390/jcm13051232