Obstructive site localization in patients with Obstructive Sleep Apnea Syndrome: a comparison between otolaryngologic data and cephalometric values.

ORAL and Implantology Pub Date : 2017-11-30 eCollection Date: 2017-07-01 DOI:10.11138/orl/2017.10.3.295
D DI Venere, M Corsalini, G M Nardi, A Laforgia, F R Grassi, B Rapone, F Pettini
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引用次数: 24

Abstract

Purpose: Obstructive Sleep Apnea Syndrome (OSAS) is a respiratory disorder characterized by repeated obstructive episodes affecting upper airways.This study aims at examining the anatomical craniofacial and pharyngeal characteristics of the patient as to identify the obstructive site which triggers the pathologic process.Correlations between otolaryngologic data observed in the patient and the cephalometric ones for the identification of the obstructive site were also highlighted.

Materials and methods: We worked on a sample of 16 patients, 12 males and 4 females, attended to at the Otolaryngology Operative Unit of Bari University Hospital.The patients underwent an otolaryngologic (ORL) diagnostic procedure which provided for ApneaGraph (AG) recording, and a dental diagnostic procedure with cephalometric assessment.

Results: The statistical analysis highlighted a strict correlation between the otolaryngologic value of AHI and the cephalometric values of the ANB angle, with the distance between the hyoid bone and the mandibular plane and with the distance between the hyoid bone and the plane passing between C3 and Me.

Conclusions: We observed a concurrence between the ORL diagnosis of the obstruction level assessed with AG and the cephalometric values regarding respiratory tracts (IPAS and SAS). More precisely, we observed the correlation between the otolaryngologic value of AHI with cephalometric values of the ANB angle, with the distance between hyoid bone and mandibular plan, and with the distance between the hyoid bone and the plane passing between C3 and Me. Furthermore, the identification of the caudal position of the hyoid bone can be considered an alarm bell in the diagnosis of severe OSAS.

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阻塞性睡眠呼吸暂停综合征患者的阻塞性部位定位:耳鼻喉学数据与颅测量值的比较
目的:阻塞性睡眠呼吸暂停综合征(OSAS)是一种以累及上呼吸道的反复阻塞性发作为特征的呼吸系统疾病。本研究旨在检查患者颅面和咽解剖特征,以确定引发病理过程的梗阻性部位。在患者中观察到的耳鼻喉学数据与用于识别阻塞性部位的头侧测量数据之间的相关性也得到了强调。材料和方法:我们研究了在巴里大学医院耳鼻喉外科就诊的16例患者,其中男性12例,女性4例。患者接受耳鼻喉科(ORL)诊断程序(提供ApneaGraph (AG)记录)和牙科诊断程序(头部测量评估)。结果:统计分析显示AHI的耳鼻喉学值与ANB角的头侧测量值、舌骨与下颌平面的距离、舌骨与C3与Me之间的平面的距离有严格的相关性。结论:我们观察到用AG评估梗阻程度的ORL诊断与呼吸道的头侧测量值(IPAS和SAS)是一致的。更确切地说,我们观察了AHI的耳鼻喉学值与ANB角的头侧测量值、舌骨与下颌平面的距离、舌骨与C3和Me之间的平面的距离之间的相关性。此外,识别舌骨的尾端位置可以被认为是诊断严重OSAS的警钟。
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
ORAL and Implantology
ORAL and Implantology Dentistry-Dentistry (all)
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