Clinical, esthetic, and quality of life outcomes after telegnathic surgery in Caucasian OSAS patients

ABSTRACT

Objective: To carry out both an objective and subjective assessment of the facial esthetics, clinical outcome, and quality of life evaluation in 25 OSAS patients treated with telegnathic surgery.

Methods: Patients were analyzed using AHI, Legan and Burstone and airway cephalometric analysis for the objective study together with youthful and esthetic perception and SF-36 health surveys for the subjective part.

Results: Facial convexity, nasolabial and lower face-throat angle, upper lip protrusion, and vertical height-depth ratio improved the facial and neck esthetics, while the maxillary and mandibular prognathism increased. Eighty-eight percent considered an esthetic change on their facial profile and 52% a more youthful profile. FS-36 survey (pre- 48.86 and post-surgery 71.74) and AHI (pre- 41.32 and post-surgery 7.80) scores improved significantly.

Discussion: Results after telegnathic surgery were both esthetically and clinically satisfactory. The FS-36 survey should be considered for monitoring treatment in OSAS patients.

KEYWORDS:

• Facial profile
• telegnathic surgery
• maxillomandibular advancement
• SF-36 health survey
• OSAS
• sleep apnea

Acknowledgments

The authors would like to acknowledge the support from the Statistical Consulting Unit of Scientific and Technological Resources of University of Oviedo, Spain.

Disclosure statement

The authors report no conflict of interest.

Additional information

Funding

The authors report no financial support.