{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T19:32:07Z","timestamp":1791401527579,"version":"4.3.3"},"reference-count":88,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T00:00:00Z","timestamp":1736208000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To provide an updated evaluation of clinical effectiveness and sequelae of maxillomandibular advancement surgery in obstructive sleep apnea.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>PubMed, Scopus, CINAHL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Review Methods<\/jats:title>\n                    <jats:p>Included studies described patients with obstructive sleep apnea that completed maxillomandibular advancement with any reported sequelae. Meta\u2010analysis of proportions, regressions, and single means with 95% confidence interval were calculated using random and fixed effects models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 380 unique abstracts reviewed, a total of 31 studies (n\u2009=\u20091597) were included in meta\u2010analysis. Maxillomandibular advancement patients showed significant improvements in apnea\u2010hypopnea index (AHI), respiratory disturbance index (RDI), SpO\n                      <jats:sub>2<\/jats:sub>\n                      Nadir, Epworth sleepiness scale (ESS), and body\u2010mass index (BMI) by \u221241.87\/h [\u221249.86 to \u221233.89], \u221246.24\/h [\u221262.18 to \u221230.29], 6.29% [3.42 to 12.08], \u22128.69 [\u221211.54 to \u22125.83], and \u22120.74\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      [\u22121.35 to \u22120.12], respectively. Sequelae with the greatest incidence were early lower facial numbness (83.40%), late lower facial numbness at less and greater than 1 year follow\u2010up (66.51%, 32.73% respectively), and hardware removal (21.99%). There was a positive correlation between both preoperative BMI and length of hospital stay (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.81,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.052) and age and lower facial numbness (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.42,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.196). A negative correlation was found between Change in AHI and time to follow up (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.75,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.087). No major complications nor\u00a0mortality were reported.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Maxillomandibular advancement has the highest success rate for obstructive sleep apnea among current surgical treatments, with most sequelae being transient. Early lower facial numbness should be highlighted preoperatively to ensure informed decision\u2010making. Further research should be geared towards reducing this risk.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.1114","type":"journal-article","created":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T05:09:33Z","timestamp":1736226573000},"page":"1142-1154","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Maxillomandibular Advancement Safety and Effectiveness in Obstructive Sleep Apnea: Systematic Review and Meta\u2010Analysis"],"prefix":"10.1002","volume":"172","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0372-7278","authenticated-orcid":false,"given":"Angelica","family":"Walker","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Medical University of South Carolina Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3501-1802","authenticated-orcid":false,"given":"Mohamed 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