{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T18:08:55Z","timestamp":1793383735976,"version":"4.5.0"},"reference-count":37,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T00:00:00Z","timestamp":1635724800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Facial Plastic Surgery &amp; Aesthetic Medicine"],"published-print":{"date-parts":[[2021,11,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Rate of corrective nasal surgery after maxillomandibular advancement (MMA) for obstructive sleep apnea (OSA) has been reported to be 18.7% for functional and aesthetic indications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Describe a comprehensive strategy to optimize nasal outcomes with MMA for OSA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A retrospective review of patients undergoing MMA for OSA in a tertiary referral center was performed, with a comprehensive perioperative intervention to optimize nasal outcomes from January 2014 to February 2018. Outcomes included the Apnea\u2013Hypopnea Index (AHI), oxygen saturation (SpO\n                      <jats:sub>2<\/jats:sub>\n                      ) nadir, corrective nasal surgery needed after MMA, and Nasal Obstruction Symptom Evaluation (NOSE) scores.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      AHI after MMA showed significant reduction (\u221234.65,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), SpO\n                      <jats:sub>2<\/jats:sub>\n                      nadir increased (+6.08,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and NOSE scores decreased (\u22125.96,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Corrective nasal surgery needed after MMA was reported in 6.5% (8 of 122) subjects at a mean of 8.5 months, ranging from 1 to 24.7 months. Six subjects underwent either septoplasty and\/or valve stenosis repair, and two subjects underwent functional and aesthetic rhinoplasty.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>A perioperative strategy was applied since 2014 that showed effectiveness in reducing post-MMA corrective nasal surgery to 6.5%.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/fpsam.2020.0569","type":"journal-article","created":{"date-parts":[[2021,7,21]],"date-time":"2021-07-21T11:55:15Z","timestamp":1626868515000},"page":"437-442","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["A Comprehensive Strategy for Improving Nasal Outcomes After Large Maxillomandibular Advancement for Obstructive Sleep Apnea"],"prefix":"10.1177","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2588-8355","authenticated-orcid":false,"given":"Mohamed","family":"Abdelwahab","sequence":"first","affiliation":[{"name":"Division of Sleep Surgery, Department of Otolaryngology\u2014Head &amp; Neck Surgery, Stanford University School of Medicine, Stanford, CA, USA."},{"name":"Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology\u2014Head &amp; Neck Surgery, Stanford University School of Medicine, Stanford, CA, USA."},{"name":"Department of Otolaryngology\u2014Head &amp; Neck Surgery, Mansoura University Faculty of Medicine, Mansoura, Egypt."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sasikarn","family":"Poomkonsarn","sequence":"additional","affiliation":[{"name":"Division of Sleep Surgery, Department of Otolaryngology\u2014Head &amp; Neck Surgery, Stanford University School of Medicine, Stanford, CA, USA."},{"name":"Center of Excellence in Otolaryngology Head and Neck Surgery, Rajavithi Hospital, College of Medicine, Rangsit University, Bangkok, Thailand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiatong","family":"Ren","sequence":"additional","affiliation":[{"name":"Division of Sleep Surgery, Department of Otolaryngology\u2014Head &amp; Neck Surgery, Stanford University School of Medicine, Stanford, CA, USA."},{"name":"Department of Otolaryngology, Longgang District Central Hospital of Shenzhen, Shantou University Medical College, Shenzhen, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Awad","sequence":"additional","affiliation":[{"name":"Division of Sleep Surgery, Department of Otolaryngology\u2014Head &amp; Neck Surgery, Stanford University School of Medicine, Stanford, CA, USA."},{"name":"Division of Sleep Surgery, Department of Otolaryngology\u2014Head and Neck Surgery, Northwestern University, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robson","family":"Capasso","sequence":"additional","affiliation":[{"name":"Division of Sleep Surgery, Department of Otolaryngology\u2014Head &amp; Neck Surgery, Stanford University School of Medicine, Stanford, CA, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Riley","sequence":"additional","affiliation":[{"name":"Division of Sleep Surgery, Department of Otolaryngology\u2014Head &amp; 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