Patient-Reported Outcomes of Maxillomandibular Surgery for Obstructive Sleep Apnea Treatment: A Scoping Review

(1) Background: The present scoping review aims to scrutinize all existing patient-reported
outcomes and assess the perspectives of obstructive sleep apnea patients after maxillomandibular surgery. (2) Methods: The review was carried out according to the extensions for scoping reviews using the PRISMA-ScR guidelines. Several databases were used to carry out the initial search. This study included randomized controlled trials, cohort studies, cross-sectional and case-control studies. The included studies considered patients with obstructive sleep apnea who were submitted to orthognathic surgery as the main subjects, and the patient’s perception of quality of life, satisfaction, treatment experience and side effects were assessed. (3) Results: From 1407 examined articles, a total of 16 were included. Most of the included studies used more than one questionnaire to assess quality of life, except for five articles. The most commonly referred instruments were the
Epworth Sleepiness Scale, SF-36, the Functional Outcomes of Sleep and Ottawa Sleep Apnea. The most commonly assessed outcomes were sleep quality, daytime function, facial aesthetics, dental function and emotional health. (4) Conclusions: The number of variables that can be evaluated from a patient’s perspective are endless, as are the tools available to assess them. Not all of these tools, which are generally questionnaires, assess all the various outcomes, and some do not compare the pre- and post-surgical situations. Most of them are generic and lack specificity for obstructive sleep apnea

Contributors

Inês Francisco, Catarina Nunes, Anabela Baptista Paula, Filipa Marques, Madalena Prata Ribeiro, Mariana McEvoy, Mariana Santos, Catarina Oliveira, Carlos Miguel Marto, Gianrico Spagnuolo, Eunice Carrilho, Raquel Travassos and Francisco Vale

Publication

Journal: Journal of Clinical Medicine
Volume: 13
Issue: 5
Pages: -
Year: 2024
DOI: 10.3390/jcm13051232

Further Study Information

Current Stage: Completed
Date:
Funding source(s): This research received no external funding. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.


Health Area

Disease Category: Lungs & airways

Disease Name: Obstructive sleep apnea hypopnea syndrome

Target Population

Age Range: Unknown

Sex: Either

Nature of Intervention: Surgery

Stakeholders Involved

Study Type

- Systematic review of outcomes measured in trials

Method(s)

- Systematic review

For the present scoping review, a search was carried out using several databases, such as Medline (PubMed), all Web of Science databases, Embase and Cochrane. Beyond the described databases, a search was also conducted in the gray literature on the following websites: OpenGrey Europe and ProQuest

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