Maxillomandibular advancement surgery may be an effective treatment for patients with obstructive sleep apnoea


This  is a critical summary  prepared by ADA Centre for Evidence-Based Dentistry  of a systematic review originally published  in 2010.

The original review looked at which surgical modifications of the upper airway were most effective  in reducing the apnoea-hypopnoea index (AHI) for patietns suffering with obstructive sleep apnoea (OSA). OSA is relatively common occurring in 2-4% of the adult population.

The summariser  noted that the review well thought out but relied on the AHI as its main outcome measure a point acknowledged by the review authors as a limitation.  The review overall suggested that maxillomandibular advancement surgery may be an effective treatment for patients with OSA but the available evidence is limited.

Go to the ADA critical summary

Go to the PubMed abstract of the original review

Related reviews

Sundaram S, Bridgman SA, Lim J, Lasserson TJ. Surgery for obstructive sleep apnoea. Cochrane Database Syst Rev. 2005 Oct 19;(4):CD001004. Review. PubMed PMID: 16235277.

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Derek Richards

Derek Richards is the Director of the Centre for Evidence-based Dentistry, Editor of the Evidence-based Dentistry Journal, Consultant in Dental Public Health with Forth Valley Health Board and Honorary Senior Lecturer at Dundee & Glasgow Dental Schools. He helped to establish both the Centre for Evidence-based Dentistry and the Evidence-based Dentistry Journal. He has been involved with teaching EBD and a wide range of evidence-based initiatives both nationally and internationally since 1994.

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