牙槽骨畸形患者中阻塞性睡眠呼吸暂停的发生率。

IF 2.5 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Giuseppe D'Amato, Mattia Todaro, Gianmarco Saponaro, Paolo De Angelis, Alessandro Moro, Francesca Azzuni, Benedetta Capasso, Giulio Gasparini
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引用次数: 0

摘要

目的:本文旨在分析牙骨畸形患者中未确诊的阻塞性睡眠呼吸暂停(OSA)的发生率。我们还评估了受该病症影响最大的模式,并计算了手术后的变化。方法我们对 71 名患者进行了回顾性队列研究,其中包括 35 名男性和 36 名女性。所研究的患者均患有牙-骨骼Ⅱ级和Ⅲ级畸形,所有病例均接受了双颌正颌手术。患者在手术前和手术后至少 6 个月接受了多导睡眠监测,以评估呼吸暂停低通气指数(AHI)的改善或恶化情况。关于 AHI 评估标准,AHI > 5 表示 OSA,4 < AHI < 5 表示边缘状态,AHI < 4 表示非 OSA。我们还考虑了人口统计学变量,如干预时的年龄和性别,以及解剖学变量,如牙槽骨畸形模式和是否存在上颌骨发育不良。定性变量用绝对频率和相对频率来描述,定量变量则用平均值和标准偏差来概括。为了定量表达两个变量之间的关系,计算了相关系数。协方差阵列用于评估多重相关性。结果我们的研究表明,在接受正颌手术的患者中,AHI>5 的患者占相当大的比例(33%),同时也有一定比例的患者(11%)可被视为 "边缘型 "患者。由此可见,最危险的模式是上颌骨后缩和牙科骨骼等级为二级的患者。考虑到手术后的情况,统计分析表明,手术后仅有 8% 的畸形患者 AHI > 5,而在意大利人群中这一比例为 20.5%。结论在接受正颌手术的患者中,阻塞性睡眠呼吸暂停的发生率明显高于普通人群。在计划对牙颌畸形进行手术矫正时,外科医生不仅要以美观效果为目标,还要确保正确的口颌和呼吸功能;如果不考虑多导睡眠监测信息,就无法实现这一目标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Incidence of Obstructive Sleep Apnea in Patients with Dento-Skeletal Malformation.

Purpose: The aim of this article is to analyze the incidence of undiagnosed obstructive sleep apnea (OSA) in patients affected by dento-skeletal malformation. We also evaluated the patterns most affected by the condition and calculated the post surgical changes. Methods: We conducted a retrospective cohort study on 71 patients including 35 men and 36 women. The patients studied were affected by dento-skeletal class II and III malformations and underwent bimaxillary orthognathic surgery in all cases. Patients were evaluated with polysomnography before surgery and at least 6 months after surgery to assess any improvement or worsening of the apnea hypopnea index (AHI) index. Regarding AHI evaluation criteria, an AHI > 5 was considered indicative of OSA, 4 < AHI < 5 was considered borderline and AHI < 4 was considered indicative of non-OSA. We also considered demographic variables like age at the time of intervention and gender, and anatomical variables like the pattern of the dento-skeletal deformity and the presence or absence of maxillary hypoplasia. Qualitative variables were described as absolute and relative frequencies, while quantitative variables were summarized as mean and standard deviation. To quantitatively express the relationship between two variables, the correlation coefficient was calculated. The covariance array was used to evaluate multiple correlations. Results: Our study shows that there is a significant percentage (33%) of patients who undergo orthognathic surgery with an AHI > 5 and also a percentage of patients (11%) who can be considered to be "borderline." It emerges that the pattern most at risk is the one characterized by retruded maxilla and patients with dento-skeletal class II. Considering the post surgical period, the statistical analysis shows that after surgery, only 8% of malformed patients present an AHI > 5, compared to the 20.5% described in the Italian population. Conclusions: In patients who receive orthognathic surgery, the presence of obstructive sleep apnea is significantly higher than in the general population. When planning the surgical correction of a dento-skeletal malformation, the surgeon must aim not only for the esthetics results, but also for proper stomatognathic and respiratory function; this cannot be achieved without taking polysomnography information into account.

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来源期刊
Dentistry Journal
Dentistry Journal Dentistry-Dentistry (all)
CiteScore
3.70
自引率
7.70%
发文量
213
审稿时长
11 weeks
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