Maxillomandibular advancement as the initial treatment of obstructive sleep apnoea: Is the mandibular occlusal plane the key?
Maxillomandibular advancement (MMA) can be effective for managing obstructive sleep apnoea (OSA); however, limited information is available on the predictor surgical variables. This study investigated whether normalization of the mandibular occlusal plane (MOP) was a determinant factor in curing OSA...
Gespeichert in:
| Veröffentlicht in: | International journal of oral and maxillofacial surgery 2017-11, Vol.46 (11), p.1363-1371 |
|---|---|
| Hauptverfasser: | , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1371 |
|---|---|
| container_issue | 11 |
| container_start_page | 1363 |
| container_title | International journal of oral and maxillofacial surgery |
| container_volume | 46 |
| creator | Rubio-Bueno, P. Landete, P. Ardanza, B. Vázquez, L. Soriano, J.B. Wix, R. Capote, A. Zamora, E. Ancochea, J. Naval-Gías, L. |
| description | Maxillomandibular advancement (MMA) can be effective for managing obstructive sleep apnoea (OSA); however, limited information is available on the predictor surgical variables. This study investigated whether normalization of the mandibular occlusal plane (MOP) was a determinant factor in curing OSA. Patients with moderate or severe OSA who underwent MMA were evaluated by preoperative and postoperative three-dimensional (3D) scans and polysomnograms. The postoperative value of MOP and the magnitude of skeletal advancement were the predictor variables; change in the apnoea–hypopnoea index (AHI) was the main outcome variable. Thirty-four subjects with a mean age of 41±14years and 58,8% female were analysed. The Epworth Sleepiness Scale (ESS) was 17.4±5.4 and AHI was 38.3±10.7 per hour before surgery. Postoperative AHI was 6.5±4.3 per hour (P |
| doi_str_mv | 10.1016/j.ijom.2017.07.003 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1925272393</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0901502717315400</els_id><sourcerecordid>1925272393</sourcerecordid><originalsourceid>FETCH-LOGICAL-c356t-41b9e8d5473265c7b52cc3234f3aac7d21f9ba8e7b07a6e91a36b83910ee61323</originalsourceid><addsrcrecordid>eNp9kMFu1DAQhi0EokvhBTggH7lkGdubOEZIqKqgrdSql3K2Js5EeEniYDsreuDdm3QL4oQ0kg_z_b88H2NvBWwFiOrDfuv3YdhKEHoLy4B6xjZCGVMASHjONmBAFCVIfcJepbQHAKNq_ZKdyFpXoITZsN83-Mv3fRhwbH0z9xg5tgccHQ00Zo6J5-_E_eizx57nSJgfF6HjoUk5zi77A_HUE00cpzEQfuRXx9Q_ncG5fk5Lw9TjSI_bH3T_-TV70WGf6M3Te8q-ff1yd35ZXN9eXJ2fXRdOlVUudqIxVLflTitZlU43pXROSbXrFKLTrRSdabAm3YDGioxAVTW1MgKIKrGAp-z9sXeK4edMKdvBJ0f9-pkwJyuMLKWWyqgFlUfUxZBSpM5O0Q8Y760Au2q3e7tqt6t2C8vAGnr31D83A7V_I388L8CnI0DLlQdP0SbnabHc-kgu2zb4__U_ANjOlak</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1925272393</pqid></control><display><type>article</type><title>Maxillomandibular advancement as the initial treatment of obstructive sleep apnoea: Is the mandibular occlusal plane the key?</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Rubio-Bueno, P. ; Landete, P. ; Ardanza, B. ; Vázquez, L. ; Soriano, J.B. ; Wix, R. ; Capote, A. ; Zamora, E. ; Ancochea, J. ; Naval-Gías, L.</creator><creatorcontrib>Rubio-Bueno, P. ; Landete, P. ; Ardanza, B. ; Vázquez, L. ; Soriano, J.B. ; Wix, R. ; Capote, A. ; Zamora, E. ; Ancochea, J. ; Naval-Gías, L.</creatorcontrib><description>Maxillomandibular advancement (MMA) can be effective for managing obstructive sleep apnoea (OSA); however, limited information is available on the predictor surgical variables. This study investigated whether normalization of the mandibular occlusal plane (MOP) was a determinant factor in curing OSA. Patients with moderate or severe OSA who underwent MMA were evaluated by preoperative and postoperative three-dimensional (3D) scans and polysomnograms. The postoperative value of MOP and the magnitude of skeletal advancement were the predictor variables; change in the apnoea–hypopnoea index (AHI) was the main outcome variable. Thirty-four subjects with a mean age of 41±14years and 58,8% female were analysed. The Epworth Sleepiness Scale (ESS) was 17.4±5.4 and AHI was 38.3±10.7 per hour before surgery. Postoperative AHI was 6.5±4.3 per hour (P<0.001) with 52.94% of the patients considered as cured, and 47.06% suffering from a mild residual OSA with ESS 0.8±1.4 (P<0.001). 3D changes revealed a volume increase of 106.3±38.8%. The mandible was advanced 10.4±3.9mm and maxilla 4.9±3.2mm. MOP postoperative value was concluded to be the best predictor variable. Treatment planning should include MOP normalization and a mandibular advancement between 6 and 10mm. The maxillary advancement would depend on the desired aesthetic changes and final occlusion.</description><identifier>ISSN: 0901-5027</identifier><identifier>EISSN: 1399-0020</identifier><identifier>DOI: 10.1016/j.ijom.2017.07.003</identifier><identifier>PMID: 28760319</identifier><language>eng</language><publisher>Denmark: Elsevier Ltd</publisher><subject>Adult ; Aged ; Cephalometry ; counterclockwise rotation occlusal plane ; Dentistry ; Electroencephalography ; Electromyography ; Electrooculography ; Female ; Humans ; Imaging, Three-Dimensional ; Male ; Mandibular Advancement ; mandibular distraction osteogenesis ; mandibular occlusal plane ; Maxilla - surgery ; maxillofacial surgery ; maxillomandibular advancement ; Middle Aged ; obstructive sleep apnoea syndrome ; orthognathic surgery ; Polysomnography ; Prospective Studies ; Sleep Apnea, Obstructive - diagnostic imaging ; Sleep Apnea, Obstructive - surgery ; sleep-disordered breathing ; Surgery, Computer-Assisted ; Tomography, X-Ray Computed ; Treatment Outcome</subject><ispartof>International journal of oral and maxillofacial surgery, 2017-11, Vol.46 (11), p.1363-1371</ispartof><rights>2017 International Association of Oral and Maxillofacial Surgeons</rights><rights>Copyright © 2017 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-41b9e8d5473265c7b52cc3234f3aac7d21f9ba8e7b07a6e91a36b83910ee61323</citedby><cites>FETCH-LOGICAL-c356t-41b9e8d5473265c7b52cc3234f3aac7d21f9ba8e7b07a6e91a36b83910ee61323</cites><orcidid>0000-0002-5631-6202 ; 0000-0002-9631-9408 ; 0000-0001-7451-4133</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ijom.2017.07.003$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,45974</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28760319$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rubio-Bueno, P.</creatorcontrib><creatorcontrib>Landete, P.</creatorcontrib><creatorcontrib>Ardanza, B.</creatorcontrib><creatorcontrib>Vázquez, L.</creatorcontrib><creatorcontrib>Soriano, J.B.</creatorcontrib><creatorcontrib>Wix, R.</creatorcontrib><creatorcontrib>Capote, A.</creatorcontrib><creatorcontrib>Zamora, E.</creatorcontrib><creatorcontrib>Ancochea, J.</creatorcontrib><creatorcontrib>Naval-Gías, L.</creatorcontrib><title>Maxillomandibular advancement as the initial treatment of obstructive sleep apnoea: Is the mandibular occlusal plane the key?</title><title>International journal of oral and maxillofacial surgery</title><addtitle>Int J Oral Maxillofac Surg</addtitle><description>Maxillomandibular advancement (MMA) can be effective for managing obstructive sleep apnoea (OSA); however, limited information is available on the predictor surgical variables. This study investigated whether normalization of the mandibular occlusal plane (MOP) was a determinant factor in curing OSA. Patients with moderate or severe OSA who underwent MMA were evaluated by preoperative and postoperative three-dimensional (3D) scans and polysomnograms. The postoperative value of MOP and the magnitude of skeletal advancement were the predictor variables; change in the apnoea–hypopnoea index (AHI) was the main outcome variable. Thirty-four subjects with a mean age of 41±14years and 58,8% female were analysed. The Epworth Sleepiness Scale (ESS) was 17.4±5.4 and AHI was 38.3±10.7 per hour before surgery. Postoperative AHI was 6.5±4.3 per hour (P<0.001) with 52.94% of the patients considered as cured, and 47.06% suffering from a mild residual OSA with ESS 0.8±1.4 (P<0.001). 3D changes revealed a volume increase of 106.3±38.8%. The mandible was advanced 10.4±3.9mm and maxilla 4.9±3.2mm. MOP postoperative value was concluded to be the best predictor variable. Treatment planning should include MOP normalization and a mandibular advancement between 6 and 10mm. The maxillary advancement would depend on the desired aesthetic changes and final occlusion.</description><subject>Adult</subject><subject>Aged</subject><subject>Cephalometry</subject><subject>counterclockwise rotation occlusal plane</subject><subject>Dentistry</subject><subject>Electroencephalography</subject><subject>Electromyography</subject><subject>Electrooculography</subject><subject>Female</subject><subject>Humans</subject><subject>Imaging, Three-Dimensional</subject><subject>Male</subject><subject>Mandibular Advancement</subject><subject>mandibular distraction osteogenesis</subject><subject>mandibular occlusal plane</subject><subject>Maxilla - surgery</subject><subject>maxillofacial surgery</subject><subject>maxillomandibular advancement</subject><subject>Middle Aged</subject><subject>obstructive sleep apnoea syndrome</subject><subject>orthognathic surgery</subject><subject>Polysomnography</subject><subject>Prospective Studies</subject><subject>Sleep Apnea, Obstructive - diagnostic imaging</subject><subject>Sleep Apnea, Obstructive - surgery</subject><subject>sleep-disordered breathing</subject><subject>Surgery, Computer-Assisted</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><issn>0901-5027</issn><issn>1399-0020</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMFu1DAQhi0EokvhBTggH7lkGdubOEZIqKqgrdSql3K2Js5EeEniYDsreuDdm3QL4oQ0kg_z_b88H2NvBWwFiOrDfuv3YdhKEHoLy4B6xjZCGVMASHjONmBAFCVIfcJepbQHAKNq_ZKdyFpXoITZsN83-Mv3fRhwbH0z9xg5tgccHQ00Zo6J5-_E_eizx57nSJgfF6HjoUk5zi77A_HUE00cpzEQfuRXx9Q_ncG5fk5Lw9TjSI_bH3T_-TV70WGf6M3Te8q-ff1yd35ZXN9eXJ2fXRdOlVUudqIxVLflTitZlU43pXROSbXrFKLTrRSdabAm3YDGioxAVTW1MgKIKrGAp-z9sXeK4edMKdvBJ0f9-pkwJyuMLKWWyqgFlUfUxZBSpM5O0Q8Y760Au2q3e7tqt6t2C8vAGnr31D83A7V_I388L8CnI0DLlQdP0SbnabHc-kgu2zb4__U_ANjOlak</recordid><startdate>201711</startdate><enddate>201711</enddate><creator>Rubio-Bueno, P.</creator><creator>Landete, P.</creator><creator>Ardanza, B.</creator><creator>Vázquez, L.</creator><creator>Soriano, J.B.</creator><creator>Wix, R.</creator><creator>Capote, A.</creator><creator>Zamora, E.</creator><creator>Ancochea, J.</creator><creator>Naval-Gías, L.</creator><general>Elsevier Ltd</general><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><orcidid>https://orcid.org/0000-0002-5631-6202</orcidid><orcidid>https://orcid.org/0000-0002-9631-9408</orcidid><orcidid>https://orcid.org/0000-0001-7451-4133</orcidid></search><sort><creationdate>201711</creationdate><title>Maxillomandibular advancement as the initial treatment of obstructive sleep apnoea: Is the mandibular occlusal plane the key?</title><author>Rubio-Bueno, P. ; Landete, P. ; Ardanza, B. ; Vázquez, L. ; Soriano, J.B. ; Wix, R. ; Capote, A. ; Zamora, E. ; Ancochea, J. ; Naval-Gías, L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-41b9e8d5473265c7b52cc3234f3aac7d21f9ba8e7b07a6e91a36b83910ee61323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Cephalometry</topic><topic>counterclockwise rotation occlusal plane</topic><topic>Dentistry</topic><topic>Electroencephalography</topic><topic>Electromyography</topic><topic>Electrooculography</topic><topic>Female</topic><topic>Humans</topic><topic>Imaging, Three-Dimensional</topic><topic>Male</topic><topic>Mandibular Advancement</topic><topic>mandibular distraction osteogenesis</topic><topic>mandibular occlusal plane</topic><topic>Maxilla - surgery</topic><topic>maxillofacial surgery</topic><topic>maxillomandibular advancement</topic><topic>Middle Aged</topic><topic>obstructive sleep apnoea syndrome</topic><topic>orthognathic surgery</topic><topic>Polysomnography</topic><topic>Prospective Studies</topic><topic>Sleep Apnea, Obstructive - diagnostic imaging</topic><topic>Sleep Apnea, Obstructive - surgery</topic><topic>sleep-disordered breathing</topic><topic>Surgery, Computer-Assisted</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rubio-Bueno, P.</creatorcontrib><creatorcontrib>Landete, P.</creatorcontrib><creatorcontrib>Ardanza, B.</creatorcontrib><creatorcontrib>Vázquez, L.</creatorcontrib><creatorcontrib>Soriano, J.B.</creatorcontrib><creatorcontrib>Wix, R.</creatorcontrib><creatorcontrib>Capote, A.</creatorcontrib><creatorcontrib>Zamora, E.</creatorcontrib><creatorcontrib>Ancochea, J.</creatorcontrib><creatorcontrib>Naval-Gías, L.</creatorcontrib><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>Rubio-Bueno, P.</au><au>Landete, P.</au><au>Ardanza, B.</au><au>Vázquez, L.</au><au>Soriano, J.B.</au><au>Wix, R.</au><au>Capote, A.</au><au>Zamora, E.</au><au>Ancochea, J.</au><au>Naval-Gías, L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Maxillomandibular advancement as the initial treatment of obstructive sleep apnoea: Is the mandibular occlusal plane the key?</atitle><jtitle>International journal of oral and maxillofacial surgery</jtitle><addtitle>Int J Oral Maxillofac Surg</addtitle><date>2017-11</date><risdate>2017</risdate><volume>46</volume><issue>11</issue><spage>1363</spage><epage>1371</epage><pages>1363-1371</pages><issn>0901-5027</issn><eissn>1399-0020</eissn><abstract>Maxillomandibular advancement (MMA) can be effective for managing obstructive sleep apnoea (OSA); however, limited information is available on the predictor surgical variables. This study investigated whether normalization of the mandibular occlusal plane (MOP) was a determinant factor in curing OSA. Patients with moderate or severe OSA who underwent MMA were evaluated by preoperative and postoperative three-dimensional (3D) scans and polysomnograms. The postoperative value of MOP and the magnitude of skeletal advancement were the predictor variables; change in the apnoea–hypopnoea index (AHI) was the main outcome variable. Thirty-four subjects with a mean age of 41±14years and 58,8% female were analysed. The Epworth Sleepiness Scale (ESS) was 17.4±5.4 and AHI was 38.3±10.7 per hour before surgery. Postoperative AHI was 6.5±4.3 per hour (P<0.001) with 52.94% of the patients considered as cured, and 47.06% suffering from a mild residual OSA with ESS 0.8±1.4 (P<0.001). 3D changes revealed a volume increase of 106.3±38.8%. The mandible was advanced 10.4±3.9mm and maxilla 4.9±3.2mm. MOP postoperative value was concluded to be the best predictor variable. Treatment planning should include MOP normalization and a mandibular advancement between 6 and 10mm. The maxillary advancement would depend on the desired aesthetic changes and final occlusion.</abstract><cop>Denmark</cop><pub>Elsevier Ltd</pub><pmid>28760319</pmid><doi>10.1016/j.ijom.2017.07.003</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-5631-6202</orcidid><orcidid>https://orcid.org/0000-0002-9631-9408</orcidid><orcidid>https://orcid.org/0000-0001-7451-4133</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0901-5027 |
| ispartof | International journal of oral and maxillofacial surgery, 2017-11, Vol.46 (11), p.1363-1371 |
| issn | 0901-5027 1399-0020 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1925272393 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Aged Cephalometry counterclockwise rotation occlusal plane Dentistry Electroencephalography Electromyography Electrooculography Female Humans Imaging, Three-Dimensional Male Mandibular Advancement mandibular distraction osteogenesis mandibular occlusal plane Maxilla - surgery maxillofacial surgery maxillomandibular advancement Middle Aged obstructive sleep apnoea syndrome orthognathic surgery Polysomnography Prospective Studies Sleep Apnea, Obstructive - diagnostic imaging Sleep Apnea, Obstructive - surgery sleep-disordered breathing Surgery, Computer-Assisted Tomography, X-Ray Computed Treatment Outcome |
| title | Maxillomandibular advancement as the initial treatment of obstructive sleep apnoea: Is the mandibular occlusal plane the key? |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-23T03%3A02%3A32IST&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=Maxillomandibular%20advancement%20as%20the%20initial%20treatment%20of%20obstructive%20sleep%20apnoea:%20Is%20the%20mandibular%20occlusal%20plane%20the%20key?&rft.jtitle=International%20journal%20of%20oral%20and%20maxillofacial%20surgery&rft.au=Rubio-Bueno,%20P.&rft.date=2017-11&rft.volume=46&rft.issue=11&rft.spage=1363&rft.epage=1371&rft.pages=1363-1371&rft.issn=0901-5027&rft.eissn=1399-0020&rft_id=info:doi/10.1016/j.ijom.2017.07.003&rft_dat=%3Cproquest_cross%3E1925272393%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1925272393&rft_id=info:pmid/28760319&rft_els_id=S0901502717315400&rfr_iscdi=true |