Abstract
Obstructive sleep apnoea syndrome (OSAS), which is characterised by repetitive episodes
of pharyngeal collapse during sleep, is gaining much attention because of the important
deleterious consequences it might have on the patient’s health. We therefore organised
a retrospective longitudinal study to report the long-term follow-up of maxillomandibular
advancement (MMA) as a treatment for OSAS. A total of 19 patients with severe OSAS
was treated during the period 2007–2016. They were followed up six months postoperatively
(T1) and after a mean follow up of 6.7 (range 4-10) years (T2, between November 2017
and February 2018) for the polysomnography variables, and the Epworth sleeping scale
(ESS) and body mass index (BMI) were recorded. All polysomnographic variables improved
significantly from baseline to T1 and from baseline to T2. The ESS significantly improved
from baseline to T2. Nearly all patients at T1 and over two-thirds at T2 had a 50%
reduction of the apnoea/hypopnoea index when compared with baseline, and a value lower
than 20 of the same index. The BMI did not change significantly from T0 to T2. Our
long-term follow-up has documented the stability of the outcomes of the MMA for the
treatment OSAS.
Keywords
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Article info
Publication history
Published online: February 27, 2020
Accepted:
December 26,
2019
Identification
Copyright
© 2020 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
