Effects of mandibular setback surgery using the surgery-first approach versus conventional orthognathic approach on upper airway change and sleep quality

Mattos CT, Vilani GN, Sant’Anna EF, Ruellas AC, Maia LC. Effects of orthognathic surgery on oropharyngeal airway: a meta-analysis. Int J Oral Maxillofac Surg. 2011;40:1347–56.

Article  CAS  PubMed  Google Scholar 

Fernandez-Ferrer L, Montiel-Company JM, Pinho T, Almerich-Silla JM, Bellot-Arcis C. Effects of mandibular setback surgery on upper airway dimensions and their influence on obstructive sleep apnoea - a systematic review. J Cranio Maxill Surg. 2015;43:248–53.

Article  Google Scholar 

Canellas JV, Barros HL, Medeiros PJ, Ritto FG. Sleep-disordered breathing following mandibular setback: a systematic review of the literature. Sleep Breath. 2016;20:387–94.

Article  PubMed  Google Scholar 

He J, Wang Y, Hu H, Liao Q, Zhang W, Xiang X, et al. Impact on the upper airway space of different types of orthognathic surgery for the correction of skeletal class III malocclusion: a systematic review and meta-analysis. Int J Surg. 2017;38:31–40.

Article  PubMed  Google Scholar 

Tan SK, Leung WK, Tang ATH, Zwahlen RA. Effects of mandibular setback with or without maxillary advancement osteotomies on pharyngeal airways: an overview of systematic reviews. PLoS ONE. 2017;12(10).

Larson BE. Orthodontic Preparation for orthognathic surgery. Oral Maxillofac Surg Clin North Am. 2014;26:441–58.

Article  PubMed  Google Scholar 

Haas Junior OL, Guijarro-Martinez R, de Sousa Gil AP, da Silva Meirelles L, Scolari N, Munoz-Pereira ME, et al. Hierarchy of surgical stability in orthognathic surgery: overview of systematic reviews. Int J Oral Maxillofac Surg. 2019;48:1415–33.

Article  CAS  PubMed  Google Scholar 

Yi J, Lu W, Xiao J, Li X, Li Y, Zhao Z. Effect of conventional combined orthodontic-surgical treatment on oral health-related quality of life: a systematic review and meta-analysis. Am J Orthod Dentofac Orthop. 2019;156:29–e435.

Article  Google Scholar 

Brouns VEHW, de Waal A-LML, Bronkhorst EM, Kuijpers-Jagtman AM, Ongkosuwito EM. Oral health-related quality of life before, during, and after orthodontic-orthognathic treatment: a systematic review and meta-analysis. Clin Oral Investig. 2022;26:2223–35.

Article  PubMed  Google Scholar 

Peiro-Guijarro MA, Guijarro-Martinez R, Hernandez-Alfaro F. Surgery first in orthognathic surgery: A systematic review of the literature. Am J Orthod Dentofac Orthop. 2016;149:448–62.

Article  Google Scholar 

Yang L, Xiao Y-d, Liang Y-j, Wang X, Li J-y. Liao G-q. Does the surgery-first approach produce better outcomes in orthognathic surgery? A systematic review and meta-analysis. J Oral Maxillofac Surg. 2017;75:2422–9.

Article  PubMed  Google Scholar 

Huang X, Cen X, Sun W, Xia K, Yu L, Liu J, et al. The impact of surgery-first approach on the oral health-related quality of life: a systematic review and meta-analysis. BMC Oral Health. 2019;19:136.

Article  PubMed  PubMed Central  Google Scholar 

Yao K, Zhu G, Chen M, Zhang B, Wu Y, Li P. Effect of surgery-first orthognathic approach on oral health-related quality of life. Angle Orthod. 2020;90:723–33.

Article  PubMed  PubMed Central  Google Scholar 

Barone S, Morice A, Picard A, Giudice A. Surgery-first orthognathic approach vs conventional orthognathic approach: a systematic review of systematic reviews. J Stomatol Oral Maxillofac Surg. 2021;122:162–72.

Article  PubMed  Google Scholar 

Soverina D, Gasparini G, Pelo S, Doneddu P, Todaro M, Boniello R, et al. Skeletal stability in orthognathic surgery with the surgery first approach: a systematic review. Int J Oral Maxillofac Surg. 2019;48:930–40.

Article  CAS  PubMed  Google Scholar 

Wei H, Liu Z, Zang J, Wang X. Surgery-first/early-orthognathic approach May yield poorer postoperative stability than conventional orthodontics-first approach: a systematic review and meta-analysis. Oral Surg Oral Med Oral Pathol Oral Radiol. 2018;126:107–16.

Article  PubMed  Google Scholar 

Han JJ, Jung S, Park HJ, Oh HK, Kook MS. Evaluation of postoperative mandibular positional changes after mandibular setback surgery in a surgery-first approach: isolated mandibular surgery versus bimaxillary surgery. J Oral Maxillofac Surg. 2019;77:181. e1- e12.

Article  Google Scholar 

Jiang Y, Yang Z, Qi Y, Peng J, Li Z, Liu X, et al. Early and 1-year postsurgical stability and its factors in patients with complicated skeletal class III malocclusion treated by conventional and surgery-first approach: a prospective cohort study. Am J Orthod Dentofac Orthop. 2023;164:728–40.

Article  Google Scholar 

Agarwal SS, Datana S, Sahoo NK, Bhandari SK. Evaluation of airway dimensions following mandibular setback with surgery-first orthognathic versus conventional orthognathic approach. J Maxillofac Oral Surg. 2021;20:296–303.

Article  CAS  PubMed  Google Scholar 

Kongsong W, Waite PD, Sittitavornwong S, Schibler M, Alshahrani F. The correlation of maxillomandibular advancement and airway volume change in obstructive sleep apnea using cone beam computed tomography. Int J Oral Maxillofac Surg. 2021;50:940–7.

Article  CAS  PubMed  Google Scholar 

Kongsong W, Waite PD, Alshahrani F. Comparison of airway changes after maxillomandibular advancement with or without genial tubercle advancement in obstructive sleep apnea using cone-beam computed tomography. Am J Orthod Dentofac Orthop. 2022;162:616–25.

Article  Google Scholar 

Banhiran W, Assanasen P, Nopmaneejumruslers C, Metheetrairut C. Epworth sleepiness scale in obstructive sleep disordered breathing: the reliability and validity of the Thai version. Sleep Breath. 2011;15:571–7.

Article  PubMed  Google Scholar 

Banhiran W, Durongphan A, Saleesing C, Chongkolwatana C. Diagnostic properties of the STOP-Bang and its modified version in screening for obstructive sleep apnea in Thai patients. J Med Assoc Thai. 2014;97:644–54.

PubMed  Google Scholar 

Yavari N, Samieirad S, Labafchi A, Rezaeetalab F, Eshghpour M. Is there an increase in the risk of obstructive sleep apnea after isolated mandibular setback surgery? An evaluation using the STOP-BANG questionnaire. J Oral Maxillofac Surg. 2020;78:2061–9.

Article  PubMed  Google Scholar 

Chang JL, Goldberg AN, Alt JA, Mohammed A, Ashbrook L, Auckley D, et al. International consensus statement on obstructive sleep apnea. Int Forum Allergy Rhinol. 2023;13:1061–482.

Article  PubMed  PubMed Central  Google Scholar 

Demetriades N, Chang DJ, Laskarides C, Papageorge M. Effects of mandibular retropositioning, with or without maxillary advancement, on the oro-naso-pharyngeal airway and development of sleep-related breathing disorders. J Oral Maxillofac Surg. 2010;68:2431–6.

Article  PubMed  Google Scholar 

Hasebe D, Kobayashi T, Hasegawa M, Iwamoto T, Kato K, Izumi N, et al. Changes in oropharyngeal airway and respiratory function during sleep after orthognathic surgery in patients with mandibular prognathism. Int J Oral Maxillofac Surg. 2011;40:584–92.

Article  CAS  PubMed  Google Scholar 

Kobayashi T, Funayama A, Hasebe D, Kato Y, Yoshizawa M, Saito C. Changes in overnight arterial oxygen saturation after mandibular setback. Br J Oral Maxillofac Surg. 2013;51:312–8.

Article  PubMed  Google Scholar 

Jeon JY, Kim TS, Kim SY, Park CJ, Hwang KG. Does the pharyngeal airway recover after sagittal split Ramus osteotomy for mandibular prognathism? J Oral Maxillofac Surg. 2016;74:162–9.

Article  PubMed  Google Scholar 

Chen F, Terada K, Hua Y, Saito I. Effects of bimaxillary surgery and mandibular setback surgery on pharyngeal airway measurements in patients with class III skeletal deformities. Am J Orthod Dentofac Orthop. 2007;131:372–7.

Article  Google Scholar 

Uesugi T, Kobayashi T, Hasebe D, Tanaka R, Ike M, Saito C. Effects of orthognathic surgery on pharyngeal airway and respiratory function during sleep in patients with mandibular prognathism. Int J Oral Maxillofac Surg. 2014;43:1082–90.

Article  CAS  PubMed  Google Scholar 

Canellas JV, Barros HL, Medeiros PJ, Ritto FG. Effects of surgical correction of class III malocclusion on the pharyngeal airway and its influence on sleep Apnoea. Int J Oral Maxillofac Surg. 2016;45:1508–12.

Article  PubMed  Google Scholar 

Gandedkar NH, Chng CK, Por YC, Yeow VKL, Ow ATC, Seah TE. Influence of bimaxillary surgery on pharyngeal airway in class III deformities and effect on sleep apnea: a STOP-BANG questionnaire and cone-beam computed tomography study. J Oral Maxillofac Surg. 2017;75:2411–21.

Article  PubMed  Google Scholar 

Engboonmeskul T, Leepong N, Chalidapongse P. Effect of surgical mandibular setback on the occurrence of obstructive sleep apnea. J Oral Biol Craniofac Res. 2020;10:597–602.

Article  PubMed  PubMed Central  Google Scholar 

Tepecik T, Ertaş Ü, Akgün M. Effects of bimaxillary orthognathic surgery on pharyngeal airway and respiratory function at sleep in patients with class III skeletal relationship. J Cranio Maxill Surg. 2018;46:645–53.

Comments (0)

No login
gif