Sleep-disordered breathing following mandibular setback: a systematic review of the literature
作者： Joao Vitor dos Santos Canellas , Hugo Leonardo Mendes Barros , Paulo José D’Albuquerque Medeiros , Fabio Gamboa Ritto , None
DOI: 10.1007/S11325-015-1274-Z
关键词: Otorhinolaryngology 、 Pediatrics 、 Airway obstruction 、 Orthognathic surgery 、 Polysomnography 、 Sleep apnea 、 Obstructive sleep apnea 、 Medicine 、 Sleep disorder 、 Respiratory function 、 Dentistry
摘要: A mandibular setback reduces space in the pharyngeal airway, and it has been suggested that might induce sleep-disordered breathing. An evidence-based literature review was conducted to identify effect of on respiratory function during sleep. The authors performed a systematic pertinent published up 2014. structured search performed, with predefined criteria. survey PubMed, ScienceDirect, Cochrane database performed. manual oral maxillofacial surgery-related journals accomplished. Potentially relevant studies then had their full-text publication reviewed. total 1,780 publications were evaluated, through which nine papers (seven case series two case–control studies) selected for final review. No evidence sleep disorder after six months related 223 patients. In one study, patients developed obstructive apnea syndrome surgery, another studies, seven presented an increase apneas/hypopneas events oxygen desaturation index. Most analyzed young thin. There no postoperative surgery. However, should always consider potential reduction upper airway treatment plan. Obese those submitted large amounts setbacks present higher chance develop syndrome.
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