We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Patient Referral and Acceptance of Maxillomandibular Advancement for Obstructive Sleep Apnea.
- Authors
Rodin, Julianna; Fiorella, Michele; Crippen, Meghan; Best, Keisha; Taub, Daniel; Champion, Allen; Boon, Maurits; Huntley, Colin
- Abstract
Objective: Maxillomandibular advancement (MMA) is an effective surgical treatment for obstructive sleep apnea (OSA); however, it is unclear how many patients who are referred for MMA actually undergo surgery. This study aims to determine follow‐up rates for patients referred for MMA and the reasons behind their choices. Methods: Via retrospective review, we assessed consecutive patients with OSA intolerant to continuous positive airway pressure (CPAP) who underwent drug induced sleep endoscopy (DISE) between 2018 and 2020 at our institution. Patients recommended for MMA based on DISE and other findings were included. Patients were then contacted and administered an IRB‐approved survey in present time. Results: One hundred and fifty nine patients were referred to oral maxillofacial surgery (OMFS) for MMA consult. Seventy seven patients (48%) followed up with OMFS and 29 (18%) underwent MMA. Sixty two (40%) patients resumed CPAP. Fifty eight patients (36.5%) were lost to follow up. Seventy three patients (46%) completed our survey. Of those patients, 37 (51%) followed up with OMFS and 17 (23%) underwent MMA. Patients who did not follow up with OMFS cited the invasiveness of the surgery (39%), recovery time (17%), or both (31%) as reasons. Those who pursued consultation cited inability to tolerate CPAP (73%), not being a candidate for inspire (14%), and desire to learn about alternative treatments (14%) as reasons. Of those who did not undergo MMA, 28.6% are not using OSA treatment. Conclusion: Less than half of patients referred for MMA followed up, and less than half of those patients underwent MMA. Most patients cited concerns about the invasiveness of the surgery and recovery process. Level of Evidence: 4 Laryngoscope, 134:2964–2969, 2024
- Subjects
SLEEP apnea syndromes; MEDICAL referrals; CONTINUOUS positive airway pressure; HYPNOTICS
- Publication
Laryngoscope, 2024, Vol 134, Issue 6, p2964
- ISSN
0023-852X
- Publication type
Article
- DOI
10.1002/lary.31152