An evaluation of cone beam computed tomography in verifying the level of collapse in obstructive sleep apnea patients.

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Cranio-The Journal of Craniomandibular & Sleep Practice Pub Date : 2025-05-01 Epub Date: 2022-12-20 DOI:10.1080/08869634.2022.2145713

Wael Aboelmaaty, Marco Isaac

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引用次数: 0

Abstract

Objective: To assess the accuracy of cone beam computed tomography (CBCT) in verifying the level of collapse in obstructive sleep apnea (OSA) patients.

Methods: A prospective analysis of 30 patients with confirmed OSA was selected. Drug-induced sleep endoscopy (DISE) was performed for all cases to determine the level of collapse clinically. Two groups of patients were imaged with CBCT, one at end of expiration and the other at end of inspiration. Virtual endoscopy was performed on CBCT software. The level of collapse was recorded from both groups and compared to DISE findings.

Results: No statistical difference was discovered in the level of collapse observed from DISE or CBCT in most cases. Virtual endoscopy was found to have no role in determining collapse at tongue and lateral wall levels.

Conclusion: Using CBCT helped predict the air blockage level in patients with sleep apnea, which helps in surgical treatment planning measures.

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评估锥形束计算机断层扫描在验证阻塞性睡眠呼吸暂停患者塌陷程度方面的作用。

目的评估锥形束计算机断层扫描（CBCT）在验证阻塞性睡眠呼吸暂停（OSA）患者塌陷程度方面的准确性：方法：对 30 名确诊为 OSA 的患者进行前瞻性分析。对所有病例进行药物诱导睡眠内窥镜检查（DISE），以临床确定塌陷程度。两组患者分别在呼气末和吸气末接受 CBCT 扫描。在 CBCT 软件上进行虚拟内窥镜检查。记录两组患者的塌陷程度，并与 DISE 结果进行比较：结果：在大多数病例中，DISE 和 CBCT 观察到的塌陷程度没有统计学差异。结果：在大多数病例中，DISE 和 CBCT 观察到的塌陷程度没有统计学差异；虚拟内窥镜检查在确定舌部和侧壁塌陷程度方面没有作用：结论：使用 CBCT 有助于预测睡眠呼吸暂停患者的气道堵塞程度，从而有助于制定手术治疗计划。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cranio-The Journal of Craniomandibular & Sleep Practice DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.50

自引率

12.50%

发文量

审稿时长

>12 weeks

期刊介绍： CRANIO: The Journal of Craniomandibular & Sleep Practice is the oldest and largest journal in the world devoted to temporomandibular disorders, and now also includes articles on all aspects of sleep medicine. The Journal is multidisciplinary in its scope, with editorial board members from all areas of medicine and dentistry, including general dentists, oral surgeons, orthopaedists, radiologists, chiropractors, professors and behavioural scientists, physical therapists, acupuncturists, osteopathic and ear, nose and throat physicians. CRANIO publishes commendable works from outstanding researchers and clinicians in their respective fields. The multidisciplinary format allows individuals practicing with a TMD emphasis to stay abreast of related disciplines, as each issue presents multiple topics from overlapping areas of interest. CRANIO''s current readership (thousands) is comprised primarily of dentists; however, many physicians, physical therapists, chiropractors, osteopathic physicians and other related specialists subscribe and contribute to the Journal.