The Relationship Between Cephalogram Analysis and Oxygen Desaturation Index During Sleep in Patients Submitted for Mandibular Setback Surgery.
作者： Khaled Gamal Dahy , Katsu Takahashi , Kazuyuki Saito , Azumi Kakeno , Honoka Kiso
DOI: 10.1097/SCS.0000000000004386
关键词: Sleep in non-human animals 、 Cephalogram 、 Airway 、 Obstructive sleep apnea 、 Orthodontics 、 Jaw Surgery 、 Pulse oximetry 、 Hyoid bone 、 Medicine 、 Tongue
摘要: OBJECTIVES The aim of this study was to examine the relationship between morphologic factors mandibular protrusion patients and clinical indices obstructive sleep apnea (OSA). METHODS Fifty-two Japanese divided into 2 groups: 1 jaw surgery group (30 patients) (22 patients). Morphologic changes were studied using cephalograms taken before year after surgery. Functional impulse oscillometry pulse oximetry during sleep, both which are clinically useful measures in assessing OSA, RESULT Lower face cage area significantly decreased than patients. Positive significant correlation found 3% oxygen desaturation index (ODI) tongue vertical position hyoid bone group. Multiple regression analysis indicates that airway independently predictors ODI CONCLUSION In surgery, maxillary compensated for effect setback Mandibular performed within range adequate movement distance, but precautions risk postoperative syndrome should be considered.
sci-hub.se 参考文章(31)
Ju Cao, Chengli Que, Guangfa Wang, Bing He, Effect of posture on airway resistance in obstructive sleep apnea-hypopnea syndrome by means of impulse oscillation. Respiration. ,vol. 77, pp. 38- 43 ,(2009) , 10.1159/000114146
Katsuhiko Saitoh, Long-term changes in pharyngeal airway morphology after mandibular setback surgery American Journal of Orthodontics and Dentofacial Orthopedics. ,vol. 125, pp. 556- 561 ,(2004) , 10.1016/J.AJODO.2003.04.017
Masayoshi Kawakami, Kazuhiko Yamamoto, Masaki Fujimoto, Kazuhiko Ohgi, Masahide Inoue, Tadaaki Kirita, Changes in tongue and hyoid positions, and posterior airway space following mandibular setback surgery Journal of Cranio-maxillofacial Surgery. ,vol. 33, pp. 107- 110 ,(2005) , 10.1016/J.JCMS.2004.10.005
R. Foltán, J. Hoffmannová, F. Donev, M. Vlk, J. Šedý, R. Kufa, O. Bulik, The impact of Le Fort I advancement and bilateral sagittal split osteotomy setback on ventilation during sleep. International Journal of Oral and Maxillofacial Surgery. ,vol. 38, pp. 1036- 1040 ,(2009) , 10.1016/J.IJOM.2009.06.001
Fengshan Chen, Kazuto Terada, Yongmei Hua, Isao Saito, Effects of bimaxillary surgery and mandibular setback surgery on pharyngeal airway measurements in patients with Class III skeletal deformities. American Journal of Orthodontics and Dentofacial Orthopedics. ,vol. 131, pp. 372- 377 ,(2007) , 10.1016/J.AJODO.2005.06.028
D. Hasebe, T. Kobayashi, M. Hasegawa, T. Iwamoto, K. Kato, N. Izumi, Y. Takata, C. Saito, Changes in oropharyngeal airway and respiratory function during sleep after orthognathic surgery in patients with mandibular prognathism International Journal of Oral and Maxillofacial Surgery. ,vol. 40, pp. 584- 592 ,(2011) , 10.1016/J.IJOM.2011.01.011
Kevin G. Kempers, Joseph W. Foote, Therese DiFlorio-Brennan, Obesity: Prevalence and considerations in oral and maxillofacial surgery Journal of Oral and Maxillofacial Surgery. ,vol. 58, pp. 137- 143 ,(2000) , 10.1016/S0278-2391(00)90326-4
Toru Oga, Kazuo Chin, Arata Tabuchi, Mitsunori Kawato, Takeshi Morimoto, Kenichi Takahashi, Tomohiro Handa, Kanako Takahashi, Ryoji Taniguchi, Hirokazu Kondo, Michiaki Mishima, Toru Kita, Hisanori Horiuchi, Effects of Obstructive Sleep Apnea with Intermittent Hypoxia on Platelet Aggregability Journal of Atherosclerosis and Thrombosis. ,vol. 16, pp. 862- 869 ,(2010) , 10.5551/JAT.2188
Ching-Chi Lin, Kun-Ming Wu, Chon-Shin Chou, Shwu-Fang Liaw, Oral airway resistance during wakefulness in eucapnic and hypercapnic sleep apnea syndrome Respiratory Physiology & Neurobiology. ,vol. 139, pp. 215- 224 ,(2004) , 10.1016/J.RESP.2003.10.004
Marat Tselnik, M.Anthony Pogrel, Assessment of the pharyngeal airway space after mandibular setback surgery Journal of Oral and Maxillofacial Surgery. ,vol. 58, pp. 282- 285 ,(2000) , 10.1016/S0278-2391(00)90053-3