PDF(Pubmed)
Abstract：
The primary aim of this study was to assess the association between clinical efficacy outcomes (i.e., polysomnography (PSG) results) of maxillomandibular advancement (MMA) and surgeons\' experience. The second aim was to assess the association between the occurrence of postoperative complications of MMA and surgeons\' experiences. Patients treated with MMA for moderate to severe obstructive sleep apnea (OSA) were enrolled in this retrospective study. The patient population was divided into two groups based on two different surgeons performing MMA. The associations between surgeons\' experience on the one hand and PSG results and postoperative complications on the other hand were investigated. A total of 75 patients were included. There was no significant difference in baseline characteristics between the two groups. The reductions in apnea-hypopnea index and oxygen desaturation index were both significantly greater in group-B than group-A (p = 0.015 and 0.002, respectively). The overall success rate after MMA was 64.0%. There was a negative correlation between surgeon experience and surgical success (odds ratio: 0.963 [0.93, 1.00], p = 0.031). No significant association was found between surgeon experience and surgical cure. Additionally, there was no significant association between surgeon experience and the occurrence of postoperative complications. Within the limitations of this study, it is concluded that surgeon experience may have little to no influence on the clinical efficacy and safety of MMA surgery in OSA patients.
摘要：
这项研究的主要目的是评估临床疗效结果之间的关联(即，多导睡眠图（PSG）结果）上颌下颌前移（MMA）和外科医生的经验。第二个目的是评估MMA术后并发症的发生与外科医生经验之间的关联。这项回顾性研究招募了接受MMA治疗中度至重度阻塞性睡眠呼吸暂停（OSA）的患者。根据两名执行MMA的不同外科医生将患者人群分为两组。研究了外科医生的经验与PSG结果和术后并发症之间的关系。共纳入75例患者。两组之间的基线特征没有显着差异。B组的呼吸暂停低通气指数和氧饱和度下降指数均明显大于A组（分别为p=0.015和0.002）。MMA术后总成功率为64.0%。手术经验与手术成功呈负相关(比值比:0.963[0.93,1.00],p=0.031)。在外科医生经验和手术治愈之间没有发现显着关联。此外,手术经验与术后并发症的发生无显著关联.在这项研究的局限性内，结论是，外科医生的经验可能对OSA患者MMA手术的临床疗效和安全性几乎没有影响。
