Post-Operative Patients’ Satisfaction and Quality of Life Assessment in Adult Patients with Obstructive Sleep Apnea Syndrome (OSAS)

Diego Sergio Rossi, Funda Goker, Federico Cullati, Alessandro Baj, Daniele Pignatelli, Aldo Bruno Gianni and Massimo Del Fabbro
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Diego Sergio Rossi: Dental and Maxillo-Facial Surgery Unit, IRCCS Ca Granda Ospedale Maggiore Policlinico di Milano, Via Francesco Sforza 35, 20122 Milan, Italy
Funda Goker: Department of Biomedical, Surgical and Dental Sciences, University of Milan, 20122 Milan, Italy
Federico Cullati: Dental and Maxillo-Facial Surgery Unit, IRCCS Ca Granda Ospedale Maggiore Policlinico di Milano, Via Francesco Sforza 35, 20122 Milan, Italy
Alessandro Baj: Dental and Maxillo-Facial Surgery Unit, IRCCS Ca Granda Ospedale Maggiore Policlinico di Milano, Via Francesco Sforza 35, 20122 Milan, Italy
Daniele Pignatelli: School of Medicine, University of Milan, 20122 Milan, Italy
Aldo Bruno Gianni: Dental and Maxillo-Facial Surgery Unit, IRCCS Ca Granda Ospedale Maggiore Policlinico di Milano, Via Francesco Sforza 35, 20122 Milan, Italy
Massimo Del Fabbro: Department of Biomedical, Surgical and Dental Sciences, University of Milan, 20122 Milan, Italy

IJERPH, 2022, vol. 19, issue 10, 1-18

Abstract: Background: The treatment for severe OSAS includes maxillomandibular advancement surgical option in selected cases. The aim of this study was to evaluate the post-operative impact of bimaxillary surgery on satisfaction and consequently the quality of life of these patients. Methods: This study included 18 patients with severe OSAS who received maxillomandibular advancement surgery. Patients were divided into Group A (operated by CAD/CAM) and Group B (conventional surgery). The impact of bimaxillary surgery on satisfaction and quality of life of these patients was evaluated by utilizing post-operative life quality and Rustemeyer’s patient-satisfaction-based survey. Results: A total of 18 adult OSAS patients (Group A: 11 patients, Group B: 7 patients) with a mean age of 44.39 years (SD ± 9.43) were included. Mean follow-up period was 32.64 months (SD ± 21.91). No intra-operative complications were seen in any patients. Post-operative complication was seen in one patient and the mandible did not integrate. According to the results, overall post-operative satisfaction score was 79.72% (SD ± 9.96). There was no significant difference among those in Group A and Group B. Conclusions: Maxillomandibular advancement surgery seems to be beneficial in terms of patients’ satisfaction in severe adult OSAS patients and can be considered as a valuable option in selected cases.

Keywords: OSAS; orthognathic surgery; maxillomandibular advancement surgery; bi-maxillary surgery (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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