Maxillomandibular advancement versus multilevel surgery for treatment of obstructive sleep apnea: A systematic review and meta-analysis

Multilevel surgery (MLS) and maxillomandibular advancement (MMA) are two established options in surgical management of obstructive sleep apnea (OSA), which target different levels airway obstruction. The objective this review was to comparatively evaluate the clinical efficacy safety MMA MLS treatment OSA. MEDLINE Embase databases were searched for studies on and/or OSA patients. Twenty 39 identified. patients who underwent showed significant improvements AHI, LSAT, ODI, ESS by ?46.2/h, 13.5%, ?30.3/h, ?8.5, respectively. pooled rates success cure 85.0% 46.3%, Patients ?24.7/h, 8.7%, ?19.1/h, ?5.8, 65.1% 28.1%, major complication 3.2% 1.1%, respectively, rate minor higher than that MLS. We conclude both effective Compared MLS, may be more improving However, is higher.