Outcome assessment of patients undergoing maxillofacial procedures for the treatment of sleep apnea: Comparison of subjective and objective results
Outcome assessment of patients undergoing maxillofacial procedures for the treatment of sleep apnea: Comparison of subjective and objective results
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DOI：
10.1016/j.joms.2003.03.002
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发表时间：
2004-02-01
影响因子：
1.9
通讯作者：
Drooger, SA
中科院分区：
文献类型：
--
作者：
Dattilo, DJ;Drooger, SA
目的：本研究的目的是比较埃普沃思嗜睡量表（ESS）的主观结果与57例接受I期和II期手术矫正阻塞性睡眠呼吸暂停（OSA）的患者的夜间睡眠研究（OSS）的客观结果。42例患者在I期类别（舌骨悬吊，腭手术，和/或颏舌肌进步）和15例患者在II期类别（上下颌进步）进行了检查。所有患者在术前和术后至少8周时均有OSS和ESS完成。每个测试的结果进行了评估，以检查OSS的结果的改善之间的任何关系的变化在ESS.Results：使用公认的标准，第一阶段手术产生了80%的成功率和第二阶段手术产生了大于95%的成功率在呼吸紊乱指数和ESS。1）I期和II期手术都能有效治疗OSA。2)使用客观和主观评估，II期似乎在治疗OSA方面更有效。3)ESS评分的改善和白天过度嗜睡似乎与接受OSA手术矫正的患者的OSS评分的改善平行。(C)2004年美国口腔颌面外科医师协会。
Purpose: The purpose of this study was to compare the subjective findings of the Epworth Sleepiness Scale (ESS) to the objective findings of the overnight sleep study (OSS) in 57 patients who underwent phase I and phase II surgery for the correction of obstructive sleep apnea (OSA).Patients and Methods: Forty-two patients in phase I category (hyoid suspension, palatal surgery, and/or genioglossus advancement) and 15 patients in phase II category (maxillomandibular advancement) were examined. All patients had an OSS and completion of an ESS preoperatively and at a minimum of 8 weeks postoperatively. The results of each test were evaluated to examine any relationship between the improvements of the findings of the OSS to the changes in the ESS.Results: Using accepted criteria, phase I surgery produced an 80% success rate and phase II surgery produced a greater than 95% success rate in both the respiratory disturbance index and the ESS.Conclusions: 1) Both phase I and phase II procedures are effective in treating OSA. 2) Phase II appears to be more effective in treating OSA using both objective and subjective evaluations. 3) Improvement in ESS scores and excessive daytime sleepiness seems to parallel the improvement in OSS scores in patients undergoing surgical correction of OSA. (C) 2004 American Association of Oral and Maxillofacial Surgeons.