Tratamiento quirúrgico de la apnea obstructiva del sueño: cirugía maxilofacial
Resumen Introducción y objetivo: En la cirugía esquelética para tratamiento de la apnea obstructiva del sueño destacan dos técnicas principalmente: el avance maxilomandibular (MMA), asociado o no al avance geniogloso, y las técnicas de expansión maxilar, como la distracción osteogénica. Síntesis: Presentamos un resumen de las técnicas y resultados de cirugía maxilofacial en la apnea obstructiva de sueño. Conclusiones: Al actuar sobre el marco óseo, el ensanchamiento de la vía aérea superior de la cirugía esquelética ha demostrado ser estable y duradero en el tiempo, retrasando o dificultando el colapso de las partes blandas asociadas. Esta efectividad contrastada en el tratamiento de la AOS, con reducciones sostenidas del índice de apnea-hipopnea a largo plazo, han logrado su incorporación al consenso terapéutico.
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Martínez Garza A, Cervantes Alanis A, Zabala Parra SI. Obstructive sleep apnea surgical treatment: maxillomandibular surgery. En: Lugo Saldaña R. Surgical Management in Snoring and Sleep-disordered Breathing. New Delhi: Jaypee. 2017. p. 140-156.
Mediano O, González Mangado N, Montserrat JM, Alonso-Álvarez ML, Almendros I, Alonso-Fernández A, et al.; el Spanish Sleep Network. International Consensus Document on Obstructive Sleep Apnea. Arch Bronconeumol. 2021 Mar 24:S0300-2896(21)00115-0. English, Spanish. doi: 10.1016/j.arbres.2021.03.017.
Shokri A, Ramezani K, Afshar A, Poorolajal J, Ramezani N. Upper Airway Changes Following Different Orthognathic Surgeries, Evaluated by Cone Beam Computed Tomography: A Systematic Review and Meta-analysis. J Craniofac Surg. 2021 Mar-Apr 01;32(2):e147-e152.
Liu SL, Guilleminault C, Yoon JS. Hoekema A, de Lange J. Distraction osteogenesis maxillary expansion. En: Verse T, de Vries N. Current Concepts of Sleep Apnea Surgery. Stuttgart: Thieme; 2019. pp. 239-242.
Liu SY, Guilleminault C, Huon LK, Yoon A. Distraction Osteogenesis Maxillary Expansion (DOME) for Adult Obstructive Sleep Apnea Patients with High Arched Palate. Otolaryngol Head Neck Surg. 2017 Aug;157(2):345-348.
Yoon A, Guilleminault C, Zaghi S, Liu SY. Distraction Osteogenesis Maxillary Expansion (DOME) for adult obstructive sleep apnea patients with narrow maxilla and nasal floor. Sleep Med. 2020 Jan;65:172-176.
Iwasaki T, Yoon A, Guilleminault C, Yamasaki Y, Liu SY. How does distraction osteogenesis maxillary expansion (DOME) reduce severity of obstructive sleep apnea? Sleep Breath. 2020 Mar;24(1):287-296.
Abdullatif J, Certal V, Zaghi S, Song SA, Chang ET, Gillespie MB, Camacho M. Maxillary expansion and maxillomandibular expansion for adult OSA: A systematic review and meta-analysis. J Craniomaxillofac Surg. 2016 May;44(5):574-8.
den Herder C, van Tinteren H, de Vries N. Hyoidthyroidpexia: a surgical treatment for sleep apnea syndrome. Laryngoscope. 2005 Apr;115(4):740-5.
Song SA, Wei JM, Buttram J, Tolisano AM, Chang ET, Liu SY, Certal V, Camacho M. Hyoid surgery alone for obstructive sleep apnea: A systematic review and meta-analysis. Laryngoscope. 2016 Jul;126(7):1702-8.
Cheng A. Genioglossus and Genioplasty Advancement. Atlas Oral Maxillofac Surg Clin North Am. 2019 Mar;27(1):23-28.
Rojas R, Chateau R, Gaete C, Muñoz C. Genioglossus muscle advancement and simultaneous sliding genioplasty in the management of sleep apnoea. Int J Oral Maxillofac Surg. 2018 May;47(5):638-641.
Song SA, Chang ET, Certal V, Del Do M, Zaghi S, Liu SY, Capasso R, Camacho M. Genial tubercle advancement and genioplasty for obstructive sleep apnea: A systematic review and meta-analysis. Laryngoscope. 2017 Apr;127(4):984-992.
Liu SY, Wayne Riley R, Pogrel A, Guilleminault C. Sleep Surgery in the Era of Precision Medicine. Atlas Oral Maxillofac Surg Clin North Am. 2019 Mar;27(1):1-5.
Liu SY, Awad M, Riley RW. Maxillomandibular Advancement: Contemporary Approach at Stanford. Atlas Oral Maxillofac Surg Clin North Am. 2019 Mar;27(1):29-36.
Liu SY, Awad M, Riley R, Capasso R. The Role of the Revised Stanford Protocol in Today's Precision Medicine. Sleep Med Clin. 2019 Mar;14(1):99-107.
Rojo-Sanchis C, Almerich-Silla JM, Paredes-Gallardo V, Montiel-Company JM, Bellot-Arcís C. Impact of Bimaxillary Advancement Surgery on the Upper Airway and on Obstructive Sleep Apnea Syndrome: a Meta-Analysis. Sci Rep. 2018 Apr 10;8(1):5756.
Camacho M, Noller MW, Del Do M, Wei JM, Gouveia CJ, Zaghi S, Boyd SB, Guilleminault C. Long-term Results for Maxillomandibular Advancement to Treat Obstructive Sleep Apnea: A Meta-analysis. Otolaryngol Head Neck Surg. 2019 Apr;160(4):580-593.
Holty JE, Guilleminault C. Maxillomandibular advancement for the treatment of obstructive sleep apnea: a systematic review and meta-analysis. Sleep Med Rev. 2010 Oct;14(5):287-97.
Cillo JE Jr, Dattilo DJ. Maxillomandibular Advancement for Severe Obstructive Sleep Apnea Is a Highly Skeletally Stable Long-Term Procedure. J Oral Maxillofac Surg. 2019 Jun;77(6):1231-1236.
Zaghi S, Holty JE, Certal V, Abdullatif J, Guilleminault C, Powell NB, Riley RW, Camacho M. Maxillomandibular Advancement for Treatment of Obstructive Sleep Apnea: A Meta-analysis. JAMA Otolaryngol Head Neck Surg. 2016 Jan;142(1):58-66.
John CR, Gandhi S, Sakharia AR, James TT. Maxillomandibular advancement is a successful treatment for obstructive sleep apnoea: a systematic review and meta-analysis. Int J Oral Maxillofac Surg. 2018 Dec;47(12):1561-1571.
Camacho M, Chang ET, Neighbors CLP, Noller MW, Mack D, Capasso R, Kushida CA. Thirty-five alternatives to positive airway pressure therapy for obstructive sleep apnea: an overview of meta-analyses. Expert Rev Respir Med. 2018 Nov;12(11):919-929.
Zhou A, Li H, Wang X, Zhang J, Zhang Y, He J, Liu S. Preliminary comparison of the efficacy of several surgical treatments based on maxillomandibular advancement procedures in adult patients with obstructive sleep apnoea: a systematic review and network meta-analysis. Eur Arch Otorhinolaryngol. 2021 Feb;278(2):543-555.
Hoekema A, de Lange J. Maxilofacial surgeries. En: Verse T, de Vries N. Current Concepts of Sleep Apnea Surgery. Stuttgart: Thieme; 2019. pp. 230-238.
Martínez Garza A, Cervantes Alanis A, Zabala Parra SI. Obstructive sleep apnea surgical treatment: maxillomandibular surgery. En: Lugo Saldaña R. Surgical Management in Snoring and Sleep-disordered Breathing. New Delhi: Jaypee. 2017. p. 140-156.
Mediano O, González Mangado N, Montserrat JM, Alonso-Álvarez ML, Almendros I, Alonso-Fernández A, et al.; el Spanish Sleep Network. International Consensus Document on Obstructive Sleep Apnea. Arch Bronconeumol. 2021 Mar 24:S0300-2896(21)00115-0. English, Spanish. doi: 10.1016/j.arbres.2021.03.017.
Shokri A, Ramezani K, Afshar A, Poorolajal J, Ramezani N. Upper Airway Changes Following Different Orthognathic Surgeries, Evaluated by Cone Beam Computed Tomography: A Systematic Review and Meta-analysis. J Craniofac Surg. 2021 Mar-Apr 01;32(2):e147-e152.
Liu SL, Guilleminault C, Yoon JS. Hoekema A, de Lange J. Distraction osteogenesis maxillary expansion. En: Verse T, de Vries N. Current Concepts of Sleep Apnea Surgery. Stuttgart: Thieme; 2019. pp. 239-242.
Liu SY, Guilleminault C, Huon LK, Yoon A. Distraction Osteogenesis Maxillary Expansion (DOME) for Adult Obstructive Sleep Apnea Patients with High Arched Palate. Otolaryngol Head Neck Surg. 2017 Aug;157(2):345-348.
Yoon A, Guilleminault C, Zaghi S, Liu SY. Distraction Osteogenesis Maxillary Expansion (DOME) for adult obstructive sleep apnea patients with narrow maxilla and nasal floor. Sleep Med. 2020 Jan;65:172-176.
Iwasaki T, Yoon A, Guilleminault C, Yamasaki Y, Liu SY. How does distraction osteogenesis maxillary expansion (DOME) reduce severity of obstructive sleep apnea? Sleep Breath. 2020 Mar;24(1):287-296.
Abdullatif J, Certal V, Zaghi S, Song SA, Chang ET, Gillespie MB, Camacho M. Maxillary expansion and maxillomandibular expansion for adult OSA: A systematic review and meta-analysis. J Craniomaxillofac Surg. 2016 May;44(5):574-8.
den Herder C, van Tinteren H, de Vries N. Hyoidthyroidpexia: a surgical treatment for sleep apnea syndrome. Laryngoscope. 2005 Apr;115(4):740-5.
Song SA, Wei JM, Buttram J, Tolisano AM, Chang ET, Liu SY, Certal V, Camacho M. Hyoid surgery alone for obstructive sleep apnea: A systematic review and meta-analysis. Laryngoscope. 2016 Jul;126(7):1702-8.
Cheng A. Genioglossus and Genioplasty Advancement. Atlas Oral Maxillofac Surg Clin North Am. 2019 Mar;27(1):23-28.
Rojas R, Chateau R, Gaete C, Muñoz C. Genioglossus muscle advancement and simultaneous sliding genioplasty in the management of sleep apnoea. Int J Oral Maxillofac Surg. 2018 May;47(5):638-641.
Song SA, Chang ET, Certal V, Del Do M, Zaghi S, Liu SY, Capasso R, Camacho M. Genial tubercle advancement and genioplasty for obstructive sleep apnea: A systematic review and meta-analysis. Laryngoscope. 2017 Apr;127(4):984-992.
Liu SY, Wayne Riley R, Pogrel A, Guilleminault C. Sleep Surgery in the Era of Precision Medicine. Atlas Oral Maxillofac Surg Clin North Am. 2019 Mar;27(1):1-5.
Liu SY, Awad M, Riley RW. Maxillomandibular Advancement: Contemporary Approach at Stanford. Atlas Oral Maxillofac Surg Clin North Am. 2019 Mar;27(1):29-36.
Liu SY, Awad M, Riley R, Capasso R. The Role of the Revised Stanford Protocol in Today's Precision Medicine. Sleep Med Clin. 2019 Mar;14(1):99-107.
Rojo-Sanchis C, Almerich-Silla JM, Paredes-Gallardo V, Montiel-Company JM, Bellot-Arcís C. Impact of Bimaxillary Advancement Surgery on the Upper Airway and on Obstructive Sleep Apnea Syndrome: a Meta-Analysis. Sci Rep. 2018 Apr 10;8(1):5756.
Camacho M, Noller MW, Del Do M, Wei JM, Gouveia CJ, Zaghi S, Boyd SB, Guilleminault C. Long-term Results for Maxillomandibular Advancement to Treat Obstructive Sleep Apnea: A Meta-analysis. Otolaryngol Head Neck Surg. 2019 Apr;160(4):580-593.
Holty JE, Guilleminault C. Maxillomandibular advancement for the treatment of obstructive sleep apnea: a systematic review and meta-analysis. Sleep Med Rev. 2010 Oct;14(5):287-97.
Cillo JE Jr, Dattilo DJ. Maxillomandibular Advancement for Severe Obstructive Sleep Apnea Is a Highly Skeletally Stable Long-Term Procedure. J Oral Maxillofac Surg. 2019 Jun;77(6):1231-1236.
Zaghi S, Holty JE, Certal V, Abdullatif J, Guilleminault C, Powell NB, Riley RW, Camacho M. Maxillomandibular Advancement for Treatment of Obstructive Sleep Apnea: A Meta-analysis. JAMA Otolaryngol Head Neck Surg. 2016 Jan;142(1):58-66.
John CR, Gandhi S, Sakharia AR, James TT. Maxillomandibular advancement is a successful treatment for obstructive sleep apnoea: a systematic review and meta-analysis. Int J Oral Maxillofac Surg. 2018 Dec;47(12):1561-1571.
Camacho M, Chang ET, Neighbors CLP, Noller MW, Mack D, Capasso R, Kushida CA. Thirty-five alternatives to positive airway pressure therapy for obstructive sleep apnea: an overview of meta-analyses. Expert Rev Respir Med. 2018 Nov;12(11):919-929.
Zhou A, Li H, Wang X, Zhang J, Zhang Y, He J, Liu S. Preliminary comparison of the efficacy of several surgical treatments based on maxillomandibular advancement procedures in adult patients with obstructive sleep apnoea: a systematic review and network meta-analysis. Eur Arch Otorhinolaryngol. 2021 Feb;278(2):543-555.
Plaza-Mayor, G., Maniegas-Lozano, L., O’Connor-Reina, C., Baptista-Jardin, P. M., Martínez-Ruiz de Apodaca, P., Marco-Garrido, A., & Carrasco-Llatas, M. (2023). Tratamiento quirúrgico de la apnea obstructiva del sueño: cirugía maxilofacial. Revista ORL, e30980. https://doi.org/10.14201/orl.30980
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