Positive airway pressure settings do not predict outcomes of maxillomandibular advancement surgery in the treatment of obstructive sleep apnea.

ABSTRACT:

Purpose

The purpose of this study was to determine if the therapeutic continuous positive airway pressure (CPAP) setting identified during pre-surgical CPAP titration polysomnogram (PSG) is predictive of surgical success after MMA in adults with OSA.

Methods

This multi-institutional retrospective study evaluated adults treated for OSA with MMA between 2000 and 2020 at Michigan Medicine and Massachusetts General Hospital. Patients included were those with a diagnosis of moderate-severe OSA (AHI > 15), a pre-operative CPAP titration PSG, and available pre-operative and postoperative PSGs. The primary predictor variable was the recommended CPAP setting from the pre-op titration PSG. Secondary predictor variables included preoperative oxygen saturation nadir, and hypoxic burden.

SUBMITTER: M Nathan J 

PROVIDER: S-EPMC12181112 | biostudies-literature | 2025 Jun

REPOSITORIES: biostudies-literature