Isadora Mamede, Sophia Paiva Silveira Lacerda, Alice Veloso Alvares, Anna Barbara Veloso Tomaz Rodrigues, Bruna de Souza Silva, Bruna Oliveira Andrade, Luciana Menezes Nogueira Martins
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引用次数: 0
摘要
目的：颅面形态学是睡眠呼吸障碍（SBD），尤其是阻塞性睡眠呼吸暂停（OSA）不可或缺的组成部分，可为治疗策略提供依据。本综述评估了二维（2D）摄影测量在评估 OSA 患者这些指标方面的实用性：方法：按照 PRISMA 指南进行了系统性综述。方法：按照 PRISMA 指南进行了一项系统性综述，在 PubMed、Embase 和 Lilacs 数据库中系统检索了在 SBD 中使用二维摄影的研究。结果：结果：共纳入 13 项研究，涉及 2328 名患者。发现颅面测量（特别是颈部参数和面部宽度）与 OSA 严重程度之间存在显著相关性，即使在调整体重指数后也是如此。颅面形态的种族差异也被观察到，摄影测量法能有效预测白种人和亚洲人的 OSA，但其他种族的数据有限。儿科研究表明，颅面测量具有预测儿童 OSA 的潜力，但也有一些注意事项。结论：二维摄影测量是一种实用的非侵入性工具，与不同人群的 OSA 严重程度相关。结论：二维摄影测量是一种实用的非侵入性工具，可与不同人群的 OSA 严重程度相关联。然而，要提高这些发现的普遍性，必须在不同种族的人群中进行进一步验证。
Two-dimensional facial photography for assessment of craniofacial morphology in sleep breathing disorders: a systematic review.
Purpose: Craniofacial morphology is integral to Sleep Breathing Disorders (SBD), particularly Obstructive Sleep Apnea (OSA), informing treatment strategies. This review assesses the utility of two-dimensional (2D) photogrammetry in evaluating these metrics among OSA patients.
Methods: Following PRISMA guidelines, a systematic review was conducted. PubMed, Embase, and Lilacs databases were systematically searched for studies utilizing 2D photography in SBD. Findings were narratively synthesized.
Results: Thirteen studies involving 2,328 patients were included. Significant correlations were found between craniofacial measurements-specifically neck parameters and facial width-and OSA severity, even after BMI adjustment. Ethnic disparities in craniofacial morphology were observed, with photogrammetry effective in predicting OSA in Caucasians and Asians, though data for other ethnicities were limited. Pediatric studies suggest the potential of craniofacial measurements as predictors of childhood OSA, with certain caveats.
Conclusion: 2D photogrammetry emerges as a practical and non-invasive tool correlating with OSA severity across diverse populations. However, further validation in various ethnic cohorts is essential to enhance the generalizability of these findings.
期刊介绍：
The journal Sleep and Breathing aims to reflect the state of the art in the international science and practice of sleep medicine. The journal is based on the recognition that management of sleep disorders requires a multi-disciplinary approach and diverse perspectives. The initial focus of Sleep and Breathing is on timely and original studies that collect, intervene, or otherwise inform all clinicians and scientists in medicine, dentistry and oral surgery, otolaryngology, and epidemiology on the management of the upper airway during sleep.
Furthermore, Sleep and Breathing endeavors to bring readers cutting edge information about all evolving aspects of common sleep disorders or disruptions, such as insomnia and shift work. The journal includes not only patient studies, but also studies that emphasize the principles of physiology and pathophysiology or illustrate potentially novel approaches to diagnosis and treatment. In addition, the journal features articles that describe patient-oriented and cost-benefit health outcomes research. Thus, with peer review by an international Editorial Board and prompt English-language publication, Sleep and Breathing provides rapid dissemination of clinical and clinically related scientific information. But it also does more: it is dedicated to making the most important developments in sleep disordered breathing easily accessible to clinicians who are treating sleep apnea by presenting well-chosen, well-written, and highly organized information that is useful for patient care.
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