EFFICIENCY OF DISTRACTION OSTEOGENESIS MAXILLARY EXPANSION IN TREATMENT OF OBSTRUCTIVE SLEEP APNEA : A SYSTEMATIC REVIEW AND META ANALYSIS

• Mihir Laxmikant Ghag,*  
• Ravindranath V.K. V.K.,  
• Anjali Gourishankar Gheware,  
• Amol Chandrakant Mhatre

Abstract

One type of sleep disturbance known as obstructive sleep apnea syndrome (OSA syndrome) is defined by partial or complete obstruction of the upper airway and the ensuing halt of airflow during sleep, which frequently results in arousals and oxygen desaturation . The genesis of the disease is a heterogeneous collection of symptoms that can range from excessive daytime sleepiness to snoring and co-occur with severe neurological, behavioural, and hemodynamic consequences.The main objective of this systematic review was to assess the efficiency of the Distraction Osteogenesis Maxillary Expansion (DOME) in treatment of obstructive sleep apnea.The title and the abstract of each study were reviewed and critically assessed by two independent reviewers. articles, binding to apply the selection criteria were the integration of the searched outcomes to delete duplicate entries, examination of titles and abstracts to delete clearly irrelevant articles, recovery of the full text of potentially relevant articles ,binding and gathering of multiple articles of the very same study, examination of the articles’ full text to verify the degree of compliance that the studies had with the eligibility criteria and deciding about the study’s inclusion and proceeding with data gathering. Four studies were included in this review whose general characteristics are explained in detail. The included studies were conducted in different parts of world with three in USA and one in Japan. Among the included studies, two were prospective clinical studies and two were retrospective studies. A total of 147 participants were included in this review of which 82 were males and 65 were females. All the included participants were diagnosed with OSA on the basis of attended polysomnography. Outcomes such as Epworth Sleepiness scale score,Nasal obstruction symptom evaluation (NOSE) score, airway measurements, apnea- hypopnea index (AHI), etc. were evaluated in these studies. The conclusions of studies indicated that DOME treatment was effective in improving the outcome parameters and thus reduced the severity of OSA.

Keywords

Obstructive sleep apnea, Distraction Osteogenesis Maxillary Expansion,airway ,maxillary expansion