Evidence map›Paper›PMID 31673361›Full record

SynthesisBMJ open respiratory research2019

Impact of surgical maxillomandibular advancement upon pharyngeal airway volume and the apnoea-hypopnoea index in the treatment of obstructive sleep apnoea: systematic review and meta-analysis.

Maria Giralt-Hernando, Adaia Valls-Ontañón, Raquel Guijarro-Martínez, Jorge Masià-Gridilla, Federico Hernández-Alfaro

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMJ open respiratory research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03796078 (Impact of Maxillomandibular Advancement Upon the Pharyngeal Airway Volume and the Apnea-hypopnea Index in the Treatment of Obstructive Sleep Apnea), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
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.

NCT03796078 naunknown statusnot on this map

Impact of Maxillomandibular Advancement Upon the Pharyngeal Airway Volume and the Apnea-hypopnea Index in the Treatment of Obstructive Sleep Apnea

TypeinterventionalSponsorCentro Medico TeknonRan2018 to 2025Enrolled80ConditionsOSA, OSAS, Apnea, Obstructive Sleep, Orthognathic SurgeryArmsMaxillomandibular advancement, monomaxillary surgery (isolated MaxS), monomandibullary surgery (MandS)
3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Trial
  2. Review
  3. Chinese Guidelines for the Diagnosis and Surgical Treatment of Adult Obstructive Sleep Apnea (2024).World journal of otorhinolaryngology - head and neck surgery · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Current Trends in Orthognathic Surgery.Medicina (Kaunas, Lithuania) · 2023
    Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Review
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

5 authors.

Maria Giralt-Hernando *Department of Oral and Maxillofacial Surgery, Universitat Internacional de Catalunya Facultat de Medicina i Ciencies de la Salut, Sant Cugat del Valles, Spain.ORCID 0000-0003-3329-4845
Adaia Valls-Ontañón *Department of Oral and Maxillofacial Surgery, Universitat Internacional de Catalunya Facultat de Medicina i Ciencies de la Salut, Sant Cugat del Valles, Spain.
Raquel Guijarro-MartínezDepartment of Oral and Maxillofacial Surgery, Universitat Internacional de Catalunya Facultat de Medicina i Ciencies de la Salut, Sant Cugat del Valles, Spain.
Jorge Masià-GridillaDepartment of Oral and Maxillofacial Surgery, Universitat Internacional de Catalunya Facultat de Medicina i Ciencies de la Salut, Sant Cugat del Valles, Spain.
Federico Hernández-AlfaroDepartment of Oral and Maxillofacial Surgery, Universitat Internacional de Catalunya Facultat de Medicina i Ciencies de la Salut, Sant Cugat del Valles, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: A systematic review was carried out on the effect of surgical maxillomandibular advancement (MMA) on pharyngeal airway (PA) dimensions and the apnoea-hypopnoea index (AHI) in the treatment of obstructive sleep apnoea (OSA), with the aim of determining whether increased PA in the context of MMA is the main factor conditioning the subsequent decrease in AHI. Methods: A search was made of the PubMed, Embase, Google Scholar and Cochrane databases. A total of 496 studies were identified. The inclusion criteria were a diagnosis of moderate to severe OSA, MMA success evaluated by polysomnography, reporting of the magnitude of MMA achieved, PA increase and a minimum follow-up of 6 months. Results: Following application of the eligibility criteria, eight articles were included. Metaregression analysis showed MMA to significantly increase both pharyngeal airway volume (PAV) (mean 7.35 cm Conclusions: Although subgroup analysis showed MMA to be effective in treating OSA, more randomised trials are needed to individualise the required magnitude and direction of surgical movements in each patient, and to standardise the measurements of linear and nonlinear PAV parameters.

Indexed as

Mandibular AdvancementHumansOrgan SizePharynxSleep Apnea, ObstructiveTreatment Outcomeobstructive sleep apneaobstructive sleep pnea syndromeorthognathic surgeryoximetryupper airway

Identifiers

PMID31673361
PMCPMC6797338

What OpenQuestion holds

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Registered trials

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.