ArticleOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2025
Persistent OSA After Maxillomandibular Advancement: Insights From Drug-Induced Sleep Endoscopy.
Article in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveTo examine drug-induced sleep endoscopy (DISE) findings in individuals with persistent obstructive sleep apnea (OSA) after maxillomandibular advancement (MMA). STUDY
designCross-sectional.
settingAcademic medical center.
methodsDISE using propofol for unconscious sedation was performed in adult study participants with OSA after MMA and possible other procedures, defined by a postoperative apnea-hypopnea index ≥ 5 events/h. The pattern of obstruction during DISE in the supine body position was characterized using the VOTE Classification.
resultsTwenty-four study participants underwent DISE examinations. Age was 46.4 ± 10.5 years, and 12% (3/24) were female. Body mass index was 26.4 ± 4.7 kg/m
conclusionAmong individuals with OSA following MMA, upper airway obstruction occurs due to multiple potential anatomic structures. Tongue-related obstruction is common, and epiglottis-related obstruction is more common than in those without previous pharyngeal OSA surgery.
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