Cargando…

How does mandibular advancement with or without maxillary procedures affect pharyngeal airways? An overview of systematic reviews

BACKGROUND: Mandibular advancement surgery may positively affect pharyngeal airways and therefore potentially beneficial to obstructive sleep apnea (OSA). OBJECTIVE: To collect evidence from published systematic reviews that have evaluated pharyngeal airway changes related to mandibular advancement...

Descripción completa

Detalles Bibliográficos
Autores principales: Tan, Su Keng, Leung, Wai Keung, Tang, Alexander Tin Hong, Zwahlen, Roger A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5531493/
https://www.ncbi.nlm.nih.gov/pubmed/28749983
http://dx.doi.org/10.1371/journal.pone.0181146
_version_ 1783253371142012928
author Tan, Su Keng
Leung, Wai Keung
Tang, Alexander Tin Hong
Zwahlen, Roger A.
author_facet Tan, Su Keng
Leung, Wai Keung
Tang, Alexander Tin Hong
Zwahlen, Roger A.
author_sort Tan, Su Keng
collection PubMed
description BACKGROUND: Mandibular advancement surgery may positively affect pharyngeal airways and therefore potentially beneficial to obstructive sleep apnea (OSA). OBJECTIVE: To collect evidence from published systematic reviews that have evaluated pharyngeal airway changes related to mandibular advancement with or without maxillary procedures. METHODOLOGY: PubMed, EMBASE, Web of Science, and Cochrane Library were searched without limiting language or timeline. Eligible systematic reviews evaluating changes in pharyngeal airway dimensions and respiratory parameters after mandibular advancement with or without maxillary surgery were identified and included. RESULTS: This overview has included eleven systematic reviews. Maxillomandibular advancement (MMA) increases linear, cross-sectional plane and volumetric measurements of pharyngeal airways significantly (p<0.0001), while reducing the apnea-hypopnea index (AHI) and the respiratory disturbance index (RDI) significantly (p<0.0001). Two systematic reviews included primary studies that have evaluated single-jaw mandibular advancement, but did not discuss their effect onto pharyngeal airways. Based on the included primary studies of those systematic reviews, single-jaw mandibular advancement was reported to significantly increase pharyngeal airway dimensions (p<0.05); however, conclusive long-term results were lacking. CONCLUSION: MMA increases pharyngeal airway dimensions and is beneficial to patients suffering from OSA. However, more evidence is still needed to draw definite conclusion related to the effect of single-jaw mandibular advancement osteotomies on pharyngeal airways.
format Online
Article
Text
id pubmed-5531493
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-55314932017-08-07 How does mandibular advancement with or without maxillary procedures affect pharyngeal airways? An overview of systematic reviews Tan, Su Keng Leung, Wai Keung Tang, Alexander Tin Hong Zwahlen, Roger A. PLoS One Research Article BACKGROUND: Mandibular advancement surgery may positively affect pharyngeal airways and therefore potentially beneficial to obstructive sleep apnea (OSA). OBJECTIVE: To collect evidence from published systematic reviews that have evaluated pharyngeal airway changes related to mandibular advancement with or without maxillary procedures. METHODOLOGY: PubMed, EMBASE, Web of Science, and Cochrane Library were searched without limiting language or timeline. Eligible systematic reviews evaluating changes in pharyngeal airway dimensions and respiratory parameters after mandibular advancement with or without maxillary surgery were identified and included. RESULTS: This overview has included eleven systematic reviews. Maxillomandibular advancement (MMA) increases linear, cross-sectional plane and volumetric measurements of pharyngeal airways significantly (p<0.0001), while reducing the apnea-hypopnea index (AHI) and the respiratory disturbance index (RDI) significantly (p<0.0001). Two systematic reviews included primary studies that have evaluated single-jaw mandibular advancement, but did not discuss their effect onto pharyngeal airways. Based on the included primary studies of those systematic reviews, single-jaw mandibular advancement was reported to significantly increase pharyngeal airway dimensions (p<0.05); however, conclusive long-term results were lacking. CONCLUSION: MMA increases pharyngeal airway dimensions and is beneficial to patients suffering from OSA. However, more evidence is still needed to draw definite conclusion related to the effect of single-jaw mandibular advancement osteotomies on pharyngeal airways. Public Library of Science 2017-07-27 /pmc/articles/PMC5531493/ /pubmed/28749983 http://dx.doi.org/10.1371/journal.pone.0181146 Text en © 2017 Tan et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Tan, Su Keng
Leung, Wai Keung
Tang, Alexander Tin Hong
Zwahlen, Roger A.
How does mandibular advancement with or without maxillary procedures affect pharyngeal airways? An overview of systematic reviews
title How does mandibular advancement with or without maxillary procedures affect pharyngeal airways? An overview of systematic reviews
title_full How does mandibular advancement with or without maxillary procedures affect pharyngeal airways? An overview of systematic reviews
title_fullStr How does mandibular advancement with or without maxillary procedures affect pharyngeal airways? An overview of systematic reviews
title_full_unstemmed How does mandibular advancement with or without maxillary procedures affect pharyngeal airways? An overview of systematic reviews
title_short How does mandibular advancement with or without maxillary procedures affect pharyngeal airways? An overview of systematic reviews
title_sort how does mandibular advancement with or without maxillary procedures affect pharyngeal airways? an overview of systematic reviews
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5531493/
https://www.ncbi.nlm.nih.gov/pubmed/28749983
http://dx.doi.org/10.1371/journal.pone.0181146
work_keys_str_mv AT tansukeng howdoesmandibularadvancementwithorwithoutmaxillaryproceduresaffectpharyngealairwaysanoverviewofsystematicreviews
AT leungwaikeung howdoesmandibularadvancementwithorwithoutmaxillaryproceduresaffectpharyngealairwaysanoverviewofsystematicreviews
AT tangalexandertinhong howdoesmandibularadvancementwithorwithoutmaxillaryproceduresaffectpharyngealairwaysanoverviewofsystematicreviews
AT zwahlenrogera howdoesmandibularadvancementwithorwithoutmaxillaryproceduresaffectpharyngealairwaysanoverviewofsystematicreviews