Retrospective chart review.
Tertiary sleep surgery center.
Patients with OSA and DFD class 2 versus 3 undergoing MMA at Stanford Sleep Surgery between 2014 and 2021 were matched by preoperative body mass index (BMI), age, and sex. Postoperative outcome was compared with polysomnography measures and patient-reported outcome measures (PROMs).
Twenty-eight matched subjects, 14 in each deformity group were identified and assessed. The mean age (standard deviation) was 34.29 (10.21) and 33.86 (10.23) for classes 2 and 3, respectively. The apnea-hypopnea index (AHI) decreased from 43.42 (28.30) to 9.6 (5.29) (p < .001) and 37.17 (35.77) to 11.81 (15.74) (p = .042) in class 2 and 3 subjects, respectively. The oxygen desaturation index (ODI) changed from 30.48 (24.02) to 6.88 (3.39) (p = .024) and 11.43 (11.40) to 5.44 (7.96) (p = .85) in class 2 and 3 subjects, respectively. The Epworth sleepiness scale changed from 8.93 (5.28) to 3.91 (2.70) (p = .018) and 10.23 (4.38) to 4.22 (3.07) (p = .006) in class 2 and 3 subjects, respectively.
Among age, sex, and BMI-matched subjects, MMA is equally effective in both dentofacial class 2 and 3 groups, both objectively and subjectively. Preoperatively, dentofacial class 2 patients with OSA presented with the more severe disease with higher AHI and ODI. Dentofacial class 3 patients with OSA may require additional attention to improve nasal function outcomes.
方法:回顾性图表回顾。
方法:三级睡眠手术中心。
方法:2014年至2021年在斯坦福睡眠手术中接受MMA的OSA和DFD2级和3级患者与术前体重指数(BMI)相匹配,年龄,和性爱。将术后结果与多导睡眠图测量和患者报告的结果测量(PROM)进行比较。
结果:28个匹配的受试者,对每个畸形组14例进行了鉴定和评估。第2类和第3类的平均年龄(标准偏差)分别为34.29(10.21)和33.86(10.23)。2级和3级受试者的呼吸暂停低通气指数(AHI)从43.42(28.30)降至9.6(5.29)(p<.001),从37.17(35.77)降至11.81(15.74)(p=.042),分别。第2类和第3类受试者的氧去饱和指数(ODI)从30.48(24.02)变为6.88(3.39)(p=.024),从11.43(11.40)变为5.44(7.96)(p=.85),分别。在2级和3级科目中,Epworth嗜睡量表从8.93(5.28)变为3.91(2.70)(p=.018),从10.23(4.38)变为4.22(3.07)(p=.006),分别。
结论:在年龄,性别,和BMI匹配的受试者,MMA在2类和3类牙面组中同样有效,客观和主观。术前,2级OSA患者表现为更严重的疾病,AHI和ODI较高。3级OSA患者可能需要额外注意以改善鼻功能结果。