Evidence map›Paper›PMID 24422007›Full record

ArticleJournal of oral & maxillofacial research2012

Bimaxillary advancement as the initial treatment of obstructive sleep apnea: five years follow-up of the pori experience.

Antti Raunio, Esa Rauhala, Minna Kiviharju, Ossi Lehmijoki, George K B Sándor, Kyösti Oikarinen

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of oral & maxillofacial research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Antti RaunioDepartment of Oral and Maxillofacial Surgery, Institute of Dentistry, University of Oulu, Oulu Finland.
Esa RauhalaDepartment of Oral and Maxillofacial Surgery, Institute of Dentistry, University of Oulu, Oulu Finland.
Minna KiviharjuDepartment of Oral and Maxillofacial Surgery, Institute of Dentistry, University of Oulu, Oulu Finland.
Ossi LehmijokiDepartment of Oral and Maxillofacial Surgery, Institute of Dentistry, University of Oulu, Oulu Finland.
George K B SándorDepartment of Oral and Maxillofacial Surgery, Institute of Dentistry, University of Oulu, Oulu Finland.
Kyösti OikarinenDepartment of Oral and Maxillofacial Surgery, Institute of Dentistry, University of Oulu, Oulu Finland.
University of Oulu · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesBimaxillary advancement surgery has proven to be effective treatment of obstructive sleep apnea syndrome. According to the Stanford protocol upper airway soft tissue surgery or advancement of tongue by chin plastic surgery is first carried out and if obstructive sleep apnea persists, then bimaxillary advancement is done. This study describes the 5 year outcome of 13 obstructive sleep apnea patients in whom the Stanford protocol was omitted and bimaxillary advancement was carried out as initial surgical treatment. MATERIAL AND

methodsPatients were divided in two groups. Group A comprised patients with obstructive sleep apnea (OSAS) confirmed by polysomnography in whom ODI-4 (oxygen desaturation index) was 5 or more. Group B consisted of patients with occlusal problems needing orthognathic surgery and with OSAS symptoms but no clear disease on polysomnography, where the ODI-4 index was less than 5. Both groups were treated with bimaxillary advancement surgery (BAS) as initial therapy.

resultsIn the group A mean ODI-4 was 17.8 (SD 12) before treatment and 3.5 (SD 3.4) at 5-year follow-up (P = 0.018 in paired differences t-test). In group B the ODI-4 remained below 5. In group A mean saturation improved from 94.3% (SD 1.6) to 96.3% (SD 2), P = 0.115 and in group B from 96.3% (SD 1.2) to 97.8% (SD 1.7), P = 0.056 (in paired differences t-test). The static charge sensitive bed evaluation showed improvement in all patients except one.

conclusionsBimaxillary advancement surgery is safe and reliable as an initial surgical treatment of obstructive sleep apnea syndrome.

Indexed as

LeFort osteotomymandiblemaxillofacial orthognathic surgeryobstructive sleep apneasagittal split ramus osteotomy.sleep-disordered breathing

Identifiers

PMID24422007
PMCPMC3886089
OpenAlexW2031848717

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.