Persistent Daytime Sleepiness after Successful Maxillary-Mandibular Advancement Surgery: A Clinical Case Report

Persistent Daytime Sleepiness after Successful Maxillary-Mandibular Advancement Surgery: A Clinical Case Report

Review Data

Q: Is the topic relevant to the journal area of interest? Is it contemporary and interesting for researchers?

A: Very good


Abstract & Keywords

Q: Are all required components included in the abstract? Are the keywords appropriately chosen?

A: Very good



Q: Is the goal explicitly stated in the Introduction? Is its formulation clear and unambiguous?

A: Excellent



Q: Is the paper's structure coherent? Is it in coherence with the goal of the paper?

A: Very good


Tools and Methods

Q: Are methods the author uses adequate and well used?

A: Very good


Discussion & Conclusion

Q: Is it related to the results presented before? Do you consider them as coherent?

A: Excellent


Comments: The Discussion section, with the help of adequate relevant literature, illustrates the efficacy of maxillary-mandibular advancement (MMA) surgery in a patient suffering from severe obstructive sleep apnea (OSA). It demonstrates the clinical benefits of MMA surgery which improves the craniofacial dysmorphisms and reduces apnea-hypopnea index (AHI). Despite satisfactory AHI and Epworth sleepiness scale (ESS) score reduction, persistent daytime somnolence prevented the patient from resuming his work as a professional driver. The Conclusion stresses on the requirement of further critical assessment of surgical approaches and the need to redefine success for OSA management.



Q: Does the author utilize relevant literature?

A: Very good


Author's knowledge

Q: What is the level of the author’s knowledge? Does the author utilize all recent contributions relevant to the topic?

A: Very good



Q: Is the length of the paper adequate to the significance of the topic? Do you suggest shortening the paper without losing its value?

A: Good


Figures & Tables

Q: Does the author use them suitably? Are legend and notations clear?

A: Very good


Writing style

Q: Is it clear and understandable?

A: Very good


Further comments on the paper

Comments: This case report presents a case of severe obstructive sleep apnea (OSA) in a 40-year-old truck driver and emphasizes on the importance of maxillary-mandibular advancement (MMA) surgery as a second-line therapeutic option for the management of patients with OSA, associated with craniofacial anomalies. The limitations of continuous positive airway pressure (CPAP) and mandibular advancement devices (MAD) lead to the development of MMA surgery which is considered as an effective treatment of severe OSA. This surgical intervention increases the posterior airway space, moves forward the base of the tongue, corrects the skeletal dental anomalies. Although MMA surgery improves the craniofacial profile, dental malocclusion and reduces apnea-hypopnea index (AHI) score, persistent daytime somnolence and residual excessive sleepiness did not permit him to resume his work.


Q: Would you recommend this manuscript for further publication?

A: Yes - Suitable to be published

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Science Repository Team


Author Info

Corresponding Author
I. Dupuy-Bonafé
Département d’Occlusodontie et apnées du sommeil, CSERD, Montpellier, France

Article Info

Article Type
Case Report
Publication history
Received: Fri 05, Feb 2021
Accepted: Sat 17, Apr 2021
Published: Wed 28, Apr 2021
© 2021 I. Dupuy-Bonafé. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository. All rights reserved.
DOI: 10.31487/j.DOBCR.2021.02.02