title: [Subjective outcomes after modified maxillomandibular advancement for the treatment of obstructive sleep apnea syndrome].
abstract: OBJECTIVE
  To evaluate subjective outcomes after modified maxillomandibular advancement(MMMA) for the treatment of obstructive sleep apnea-hypopnea syndrome (OSAHS).
  
  
  METHODS
  In the study, 15 patients underwent MMMA for the treatment of OSAHS and received presurgical and postsurgical polysomnography. A questionnaire was done pre- and postoperatively. The questionnaire included the Epworth sleepiness scale (ESS), snoring, witnessed apneas, CPAP use, and satisfaction of the treatment.
  
  
  RESULTS
  The preoperative polysomnography results of the patients were as follows: apnea-hypopnea index, 40.5±12.8 per hour; lowest oxygen saturation, 73.0%±7.4%; the postoperative polysomnography results were as follows: apnea-hypopnea index, 6.5±3.5 per hour; lowest oxygen saturation, 90.8%±2.1%.Preoperatively, the mean ESS score of the patients was 17.6. Postoperatively, the mean ESS score decreased to 4.3. CPAP was in nine patients before surgery and postoperatively no patients continued. All the patients were satisfied with the treatment and wanted to recommend the treatment to other patients with OSAHS.
  
  
  CONCLUSIONS
  The review demonstrated that AHI,LSAT,EDS,snoring and witnessed apneas were improved greatly after MMMA technique for the treatment of OSAHS.
authors: Department of Oral and Maxillofacial Surgery, Peking University School, Beijing, China.
authors: Yang
authors: Y
authors: Li
authors: Biao
authors: B
authors: Yi
authors: Xing
authors: X
authors: Wang
authors: Zi-li
authors: ZL
authors: Li
authors: Cheng
authors: C
authors: Liang
authors: Xiao-xia
authors: XX
authors: Wang
mesh_terms: D006970:Disorders of Excessive Somnolence / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D019186:Mandibular Advancement / Q000379:methods*; D008437:Maxilla / Q000601:surgery*; D017060:Patient Satisfaction; D017286:Polysomnography; D057566:Self Report; D020181:Sleep Apnea, Obstructive / Q000601:surgery*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome