Sleep-disordered Breathing Following Mandibular Setback: a Systematic Review of the Literature

Overview

Journal Sleep Breath

Publisher Springer

Date 2015 Oct 16

PMID 26467041

Citations 12

Authors

Joao Vitor Dos Santos Canellas

Hugo Leonardo Mendes Barros

Paulo Jose DAlbuquerque Medeiros

Fabio Gamboa Ritto

Affiliations

Soon will be listed here.

Abstract

Introduction: A mandibular setback reduces space in the pharyngeal airway, and it has been suggested that it might induce sleep-disordered breathing.

Objectives: An evidence-based literature review was conducted to identify the effect of mandibular setback on the respiratory function during sleep.

Methods: The authors performed a systematic review of pertinent literature published up to 2014. A structured search of literature was performed, with predefined criteria. A survey of the PubMed, ScienceDirect, and Cochrane database was performed. A manual search of oral and maxillofacial surgery-related journals was accomplished. Potentially relevant studies then had their full-text publication reviewed.

Results: A total of 1,780 publications were evaluated, through which nine papers (seven case series and two case-control studies) were selected for the final review. No evidence of sleep disorder after six months was related in 223 patients. In one study, two patients developed obstructive sleep apnea syndrome after surgery, and in another two studies, seven patients presented an increase of obstructive apneas/hypopneas events and oxygen desaturation index. Most of the patients analyzed were young and thin.

Conclusion: There was no evidence of postoperative sleep apnea syndrome after a mandibular setback surgery. However, one should always consider a potential reduction of the upper airway space during the treatment plan. Obese patients and those submitted to large amounts of mandibular setbacks present a higher chance to develop obstructive sleep apnea syndrome.

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Upper Airway Changes and OSAS Risk in Patients after Mandibular Setback Surgery to Treat III Class Skeletal Malocclusion.

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Sahoo N, Agarwal S, Datana S, Bhandari S J Maxillofac Oral Surg. 2021; 20(4):628-634.

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