Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

The Incidence of Obstructive Sleep Apnea in Patients with Dento-Skeletal Malformation

Version 1 : Received: 21 May 2024 / Approved: 21 May 2024 / Online: 22 May 2024 (03:10:35 CEST)

How to cite: D’Amato, G.; Todaro, M.; Saponaro, G.; De Angelis, P.; Moro, A.; Azzuni, F.; Capasso, B.; Gasparini, G. The Incidence of Obstructive Sleep Apnea in Patients with Dento-Skeletal Malformation. Preprints 2024, 2024051376. https://doi.org/10.20944/preprints202405.1376.v1 D’Amato, G.; Todaro, M.; Saponaro, G.; De Angelis, P.; Moro, A.; Azzuni, F.; Capasso, B.; Gasparini, G. The Incidence of Obstructive Sleep Apnea in Patients with Dento-Skeletal Malformation. Preprints 2024, 2024051376. https://doi.org/10.20944/preprints202405.1376.v1

Abstract

Purpose: The aim of this article is to analyze the incidence of undiagnosed obstructive sleep apnea OSA in patients affected by dento-skeletal malformation. We also evaluated the patterns most affected by the condition and calculated the post surgical changes. Methods: We conducted a retrospective cohort study on 71 patients including 35 men and 36 women. Patients were evaluated with Polysomnography before surgery and at least 6 months after surgery to assess any improvement or worsening of the apnea hypopnea index AHI index. Regarding AHI evaluation criteria an AHI > 5 was considered indicative of OSA, 4 5, com-pared to 20.5% described in the Italian population. Conclusion: In patients who receive orthognathic surgery the presence of Obstructive Sleep Apnea is significantly higher than in the general population. When planning the surgical correction of a dentoskeletal malformation, the surgeon must aim not only to the aesthetics results, but also to a proper stomatognathic and respiratory function, this cannot be done without taking poly-somnography information into account.

Keywords

obstructive sleep apnea; polysomnography; orthognatic surgery; dento-skeletal malformation; maxillary; mandible

Subject

Medicine and Pharmacology, Dentistry and Oral Surgery

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