IMPACTO DA CIRURGIA ORTOGNÁTICA NA QUALIDADE DE VIDA DE PACIENTES COM APNEIA OBSTRUTIVA DO SONO: REVISÃO INTEGRATIVA
DOI:
https://doi.org/10.36557/2674-8169.2026v8n6p345-362Palavras-chave:
Apneia Obstrutiva do Sono, Cirurgia Ortognática, Qualidade de VidaResumo
Objetivo: analisar, por meio de uma revisão da literatura o impacto que a cirurgia de avanço maxilomandibular exerce na qualidade de vida relacionada à saúde de indivíduos diagnosticados com apneia obstrutiva do sono. Materiais e Métodos Trata-se de uma revisão integrativa. A pergunta da pesquisa focou em pacientes com a patologia, submetidos à cirurgia ortognática, e os reflexos em sua qualidade de vida. A busca foi realizada nas bases de dados: PubMed, Scopus e Embase. Foram incluídos artigos originais nos idiomas português, inglês e espanhol que avaliassem a qualidade de vida por meio de instrumentos e escalas validadas. A seleção foi feita por dois revisores de forma independente, utilizando ferramentas digitais para organização e remoção de estudos duplicados. Resultados Após a triagem inicial de 407 artigos, 12 estudos foram selecionados para a análise final. Os resultados indicaram que a cirurgia de avanço maxilomandibular contribui significativamente para a melhora da qualidade de vida, especialmente em pacientes com quadros de apneia moderada a grave. Observou-se uma redução consistente na gravidade da doença, evidenciada pela diminuição do Índice de Apneia e Hipopneia, já que o procedimento amplia as vias aéreas e reduz o colapso faríngeo. Além disso, houve uma redução marcante da sonolência diurna excessiva, o que melhora a produtividade e o bem-estar cotidiano dos pacientes. Instrumentos de avaliação mostraram ganhos em dimensões de saúde física, mental, vitalidade e funcionamento social. Os pacientes também relataram altos níveis de satisfação com o tratamento, inclusive nos aspectos estéticos faciais. A cirurgia foi apresentada como uma alternativa eficaz para aqueles que não conseguem aderir ao uso de dispositivos. Conclusão A revisão concluiu que o avanço maxilomandibular está associado a melhorias expressivas na qualidade de vida de pacientes com apneia obstrutiva do sono, reduzindo eventos respiratórios e impactos funcionais. Entretanto, devido à diversidade de métodos e escalas utilizadas nos estudos existentes, os autores ressaltam a necessidade de novas pesquisas com maior padronização e acompanhamento de longo prazo para fortalecer as evidências sobre os benefícios percebidos pelos pacientes.
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Referências
AL-BAYYATI, H. H. R. et al. Patient-reported outcomes of maxillomandibular advancement surgery for obstructive sleep apnea. Sleep Medicine, v. 136, 106858, 2025. Disponível em: https://doi.org/10.1016/j.sleep.2025.106858.
AL-BAYYATI, H. H. R. et al. Patient-Reported Outcomes With Focus on Health-Related Quality of Life in Patients With Obstructive Sleep Apnea Treated With Maxillomandibular Advancement Surgery: A Systematic Review and Meta-Analysis. Journal of Oral and Maxillofacial Surgery, v. 83, p. 543-557, 2025. Disponível em: https://doi.org/10.1016/j.joms.2025.01.010.
ANGUITA, M. et al. Virtual Guided and Customized Orthognathic Surgery in Patients with Obstructive Sleep Apnea Syndrome: Accuracy and Clinical Outcomes. Journal of Clinical Medicine, v. 14, n. 11, 3780, 2025. Disponível em: https://doi.org/10.3390/jcm14113780.
BIRADAR, J. M. et al. Evaluation of Clinical Efficacy of Orthognathic Surgery in the Treatment of Obstructive Sleep Apnea: An Original Research. Journal of Pharmacy and Bioallied Sciences, v. 17, S3557-9, 2025. Disponível em: https://doi.org/10.4103/jpbs.jpbs_426_25.
DIECIDUE, R. J. et al. Comparing Treatment Effectiveness and Patient-Reported Outcome Measures of Four Treatment Options for Obstructive Sleep Apnea. Journal of Oral and Maxillofacial Surgery, v. 82, p. 1537-1548, 2024. Disponível em: https://doi.org/10.1016/j.joms.2024.07.015.
FABER, J.; FABER, C.; FABER, A. P. Obstructive sleep apnea in adults. Dental Press Journal of Orthodontics, v. 24, n. 3, p. 99-109, maio/jun. 2019. Disponível em: https://doi.org/10.1590/2177-6709.24.3.099-109.sar.
FEITOZA, C. C. et al. Surgical treatment of a Pattern I Obstructive Sleep Apnea Syndrome individual - clinical case report. Sleep Science, v. 10, n. 4, p. 168-173, 2017. Disponível em: https://doi.org/10.5935/1984-0063.20170029.
FRANCISCO, I. et al. Evaluation of quality of life after orthognathic surgery in obstructive sleep apnea syndrome: a systematic review. Angle Orthodontist, v. 95, n. 1, p. 104-125, 2025. Disponível em: https://doi.org/10.2319/020624-99.1104.
FRANCISCO, I. et al. Patient-Reported Outcomes of Maxillomandibular Surgery for Obstructive Sleep Apnea Treatment: A Scoping Review. Journal of Clinical Medicine, v. 13, n. 5, p. 1232, 2024. Disponível em: https://doi.org/10.3390/jcm13051232.
HOUPPERMANS, P. et al. Maxillomandibular advancement in edentulous patients as a treatment option for obstructive sleep apnea: report of two cases and a proposed treatment protocol. Heliyon, v. 6, e03873, 2020. Disponível em: https://doi.org/10.1016/j.heliyon.2020.e03873.
JAMAL, B. T.; IBRAHIM, E. A. Satisfaction With Facial Aesthetic Appearance Following Maxillomandibular Advancement (MMA) for Obstructive Sleep Apnea (OSA): A Meta-Analysis. Cureus, v. 15, n. 2, p. e35568, fev. 2023. Disponível em: https://doi.org/10.7759/cureus.35568.
KENT, D. et al. Referral of adults with obstructive sleep apnea for surgical consultation: an American Academy of Sleep Medicine systematic review, meta-analysis, and GRADE assessment. Journal of Clinical Sleep Medicine, v. 17, n. 12, p. 2507-2531, 2021.
KUIK, K. et al. Subjective Efficiency Evaluation after Maxillomandibular Advancement Surgery in Obstructive Sleep Apnea Patients. Journal of Clinical Medicine, v. 12, 4023, 2023. Disponível em: https://doi.org/10.3390/jcm12124023.
MARTIN, M. J. et al. Patient-reported outcome measures following maxillomandibular advancement surgery in patients with obstructive sleep apnoea syndrome. British Journal of Oral and Maxillofacial Surgery, v. 60, n. 7, p. 963–968, 2022. Disponível em: https://doi.org/10.1016/j.bjoms.2022.03.006.
ROSSI, D. S. et al. Analysis and comparison of quality of life and patients’ satisfaction between dental-skeletal dysmorphisms and obstructive sleep apnea (OSA) patients following orthognathic surgery. European Review for Medical and Pharmacological Sciences, v. 26, (3 Suppl), p. 62-77, 2022.
ROSSI, D. S. et al. Post-Operative Patients’ Satisfaction and Quality of Life Assessment in Adult Patients with Obstructive Sleep Apnea Syndrome (OSAS). International Journal of Environmental Research and Public Health, v. 19, 6273, 2022. Disponível em: https://doi.org/10.3390/ijerph19106273.
SAILO, J. L. et al. Assessment of Outcomes of Obstructive Sleep Apnea Management Involving OMFS and ENT Surgical Procedures: A Retrospective Study. Journal of Pharmacy and Bioallied Sciences, v. 17, S2466-8, 2025. Disponível em: https://doi.org/10.4103/jpbs.jpbs_1849_24.
STILO, G. et al. Mood, Behavioral Impairment, and Sleep Breathing Disorders in Obstructive Sleep Apnea Syndrome Patients Treated with Maxillomandibular Advancement: Reflection on a Case Series and Review of Literature. Journal of Personalized Medicine, v. 13, n. 10, p. 1425, 2023. Disponível em: https://doi.org/10.3390/jpm13101425.
SYSTERMANS, S. et al. Chirurgie d’avancée maxillo-mandibulaire dans le cadre d’un SAHOS sévère. Revue Médicale de Liège, v. 73, n. 12, p. 620-625, 2018
AL-BAYYATI, H. H. R. et al. Patient-reported outcomes of maxillomandibular advancement surgery for obstructive sleep apnea. Sleep Medicine, v. 136, 106858, 2025. Disponível em: https://doi.org/10.1016/j.sleep.2025.106858.
AL-BAYYATI, H. H. R. et al. Patient-Reported Outcomes With Focus on Health-Related Quality of Life in Patients With Obstructive Sleep Apnea Treated With Maxillomandibular Advancement Surgery: A Systematic Review and Meta-Analysis. Journal of Oral and Maxillofacial Surgery, v. 83, p. 543-557, 2025. Disponível em: https://doi.org/10.1016/j.joms.2025.01.010.
ANGUITA, M. et al. Virtual Guided and Customized Orthognathic Surgery in Patients with Obstructive Sleep Apnea Syndrome: Accuracy and Clinical Outcomes. Journal of Clinical Medicine, v. 14, n. 11, 3780, 2025. Disponível em: https://doi.org/10.3390/jcm14113780.
BIRADAR, J. M. et al. Evaluation of Clinical Efficacy of Orthognathic Surgery in the Treatment of Obstructive Sleep Apnea: An Original Research. Journal of Pharmacy and Bioallied Sciences, v. 17, S3557-9, 2025. Disponível em: https://doi.org/10.4103/jpbs.jpbs_426_25.
DIECIDUE, R. J. et al. Comparing Treatment Effectiveness and Patient-Reported Outcome Measures of Four Treatment Options for Obstructive Sleep Apnea. Journal of Oral and Maxillofacial Surgery, v. 82, p. 1537-1548, 2024. Disponível em: https://doi.org/10.1016/j.joms.2024.07.015.
FABER, J.; FABER, C.; FABER, A. P. Obstructive sleep apnea in adults. Dental Press Journal of Orthodontics, v. 24, n. 3, p. 99-109, maio/jun. 2019. Disponível em: https://doi.org/10.1590/2177-6709.24.3.099-109.sar.
FEITOZA, C. C. et al. Surgical treatment of a Pattern I Obstructive Sleep Apnea Syndrome individual - clinical case report. Sleep Science, v. 10, n. 4, p. 168-173, 2017. Disponível em: https://doi.org/10.5935/1984-0063.20170029.
FRANCISCO, I. et al. Evaluation of quality of life after orthognathic surgery in obstructive sleep apnea syndrome: a systematic review. Angle Orthodontist, v. 95, n. 1, p. 104-125, 2025. Disponível em: https://doi.org/10.2319/020624-99.1104.
FRANCISCO, I. et al. Patient-Reported Outcomes of Maxillomandibular Surgery for Obstructive Sleep Apnea Treatment: A Scoping Review. Journal of Clinical Medicine, v. 13, n. 5, p. 1232, 2024. Disponível em: https://doi.org/10.3390/jcm13051232.
HOUPPERMANS, P. et al. Maxillomandibular advancement in edentulous patients as a treatment option for obstructive sleep apnea: report of two cases and a proposed treatment protocol. Heliyon, v. 6, e03873, 2020. Disponível em: https://doi.org/10.1016/j.heliyon.2020.e03873.
JAMAL, B. T.; IBRAHIM, E. A. Satisfaction With Facial Aesthetic Appearance Following Maxillomandibular Advancement (MMA) for Obstructive Sleep Apnea (OSA): A Meta-Analysis. Cureus, v. 15, n. 2, p. e35568, fev. 2023. Disponível em: https://doi.org/10.7759/cureus.35568.
KENT, D. et al. Referral of adults with obstructive sleep apnea for surgical consultation: an American Academy of Sleep Medicine systematic review, meta-analysis, and GRADE assessment. Journal of Clinical Sleep Medicine, v. 17, n. 12, p. 2507-2531, 2021.
KUIK, K. et al. Subjective Efficiency Evaluation after Maxillomandibular Advancement Surgery in Obstructive Sleep Apnea Patients. Journal of Clinical Medicine, v. 12, 4023, 2023. Disponível em: https://doi.org/10.3390/jcm12124023.
MARTIN, M. J. et al. Patient-reported outcome measures following maxillomandibular advancement surgery in patients with obstructive sleep apnoea syndrome. British Journal of Oral and Maxillofacial Surgery, v. 60, n. 7, p. 963–968, 2022. Disponível em: https://doi.org/10.1016/j.bjoms.2022.03.006.
ROSSI, D. S. et al. Analysis and comparison of quality of life and patients’ satisfaction between dental-skeletal dysmorphisms and obstructive sleep apnea (OSA) patients following orthognathic surgery. European Review for Medical and Pharmacological Sciences, v. 26, (3 Suppl), p. 62-77, 2022.
ROSSI, D. S. et al. Post-Operative Patients’ Satisfaction and Quality of Life Assessment in Adult Patients with Obstructive Sleep Apnea Syndrome (OSAS). International Journal of Environmental Research and Public Health, v. 19, 6273, 2022. Disponível em: https://doi.org/10.3390/ijerph19106273.
SAILO, J. L. et al. Assessment of Outcomes of Obstructive Sleep Apnea Management Involving OMFS and ENT Surgical Procedures: A Retrospective Study. Journal of Pharmacy and Bioallied Sciences, v. 17, S2466-8, 2025. Disponível em: https://doi.org/10.4103/jpbs.jpbs_1849_24.
STILO, G. et al. Mood, Behavioral Impairment, and Sleep Breathing Disorders in Obstructive Sleep Apnea Syndrome Patients Treated with Maxillomandibular Advancement: Reflection on a Case Series and Review of Literature. Journal of Personalized Medicine, v. 13, n. 10, p. 1425, 2023. Disponível em: https://doi.org/10.3390/jpm13101425.
SYSTERMANS, S. et al. Chirurgie d’avancée maxillo-mandibulaire dans le cadre d’un SAHOS sévère. Revue Médicale de Liège, v. 73, n. 12, p. 620-625, 2018
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Copyright (c) 2026 Fraila Ariele Costa da Silva, Samaya da Silva Morais , Caio Cesar Silva França , Erik Neiva Ribeiro de Carvalho Reis , Elesbão Ferreira Viana Júnior
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
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