In patients with obstructive sleep apnea (OSA), is surgery effective for reducing symptoms?
In patients with obstructive sleep apnea (OSA), is surgery effective for reducing symptoms? Evidence-Based Answer: Surgery is not clearly beneficial for OSA (SOR: B, systematic review of heterogeneous RCTs). Maxillomandibular advancement (MMA) may be more effective than palatopharyngeal procedures in reducing the apnea-hypopnea index (AHI) (SOR: B, meta-analysis of observational studies). Autotitrated continuous positive airway pressure (APAP) and MMA appear to provide significant reductions in the AHI and degree of daytime sleepiness; however, neither proved superior to the other (SOR: B, single RCT).
Evidence Based Practice 18(11): E1-E2