Frontal and lateral cephalometry in patients with sleep-disordered breathing.

作者: Yehuda Finkelstein , David Wexler , Eran Horowitz , Gilead Berger , Ariela Nachmani

DOI: 10.1097/00005537-200104000-00014

关键词:

摘要: Objectives/Hypothesis The traditional lateral-view cephalometric analysis is limited because it provides only two-dimensional of the three-dimensional craniofacial structure. objectives were to analyze lateral and frontal radiographs in a series normal patients those with varying degrees sleep-disordered breathing define narrowing or other unfavorable anatomical changes that might differentiate from subjects. Study Design A prospective study 100 adult 60 age-matched subjects. Methods An measurements was performed assess velopharyngeal features. comparison made between patients' polysomnographic analyses. Results compromised parameters may be found include acute skull-base bony nasopharynx angles, inferior hyoid position, thickening velum, reduced retrovelar posterior air space along pharyngeal wall, lumen. Worsening generally associated increased numbers parameters. As body mass index increases, there width, velum thickness increased, wall increased. Conclusions Sleep-disordered statistically significant number measurements. Frontal adds further information regarding assessment upper airway obstruction, enhancing view.

参考文章(24)
Andrew Jamieson, Christian Guilleminault, Markku Partinen, Maria Antonia Quera-Salva, Obstructive sleep apneic patients have craniomandibular abnormalities. Sleep. ,vol. 9, pp. 469- 477 ,(1986) , 10.1093/SLEEP/9.4.469
R. Riley, C. Guilleminault, N. Powell, F. Blair Simmons, Palatopharyngoplasty Failure, Cephalometric Roentgenograms, and Obstructive Sleep Apnea: Otolaryngology-Head and Neck Surgery. ,vol. 93, pp. 240- 244 ,(1985) , 10.1177/019459988509300222
Peter G. Miles, Peter S. Vig, Robert J. Weyant, Thomas D. Forrest, Howard E. Rockette, Craniofacial structure and obstructive sleep apnea syndrome--a qualitative analysis and meta-analysis of the literature American Journal of Orthodontics and Dentofacial Orthopedics. ,vol. 109, pp. 163- 172 ,(1996) , 10.1016/S0889-5406(96)70177-4
Daniel L. Jones, Uwe Frohberg, Robert J. Naples, Cephalometric comparison of characteristics in chronically snoring patients with and without sleep apnea syndrome Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontology. ,vol. 80, pp. 28- 33 ,(1995) , 10.1016/S1079-2104(95)80012-3
Eung-Kwon Pae, Alan A. Lowe, John A. Fleetham, A role of pharyngeal length in obstructive sleep apnea patients American Journal of Orthodontics and Dentofacial Orthopedics. ,vol. 111, pp. 12- 17 ,(1997) , 10.1016/S0889-5406(97)70296-8
Jens Kragskov, Carles Bosch, Carsten Gyldensted, Steen Sindet-Pedersen, Comparison of the Reliability of Craniofacial Anatomic Landmarks Based on Cephalometric Radiographs and Three-Dimensional CT Scans The Cleft Palate-Craniofacial Journal. ,vol. 34, pp. 111- 116 ,(1997) , 10.1597/1545-1569_1997_034_0111_COTROC_2.3.CO_2
Walter Hochban, Regina Conradt, Ulrich Brandenburg, Jörg Heitmann, Jörg Hermann Peter, Surgical Maxillofacial Treatment of Obstructive Sleep Apnea Plastic and Reconstructive Surgery. ,vol. 99, pp. 619- 626 ,(1997) , 10.1097/00006534-199703000-00002
Alan A. Lowe, Nobuhito Gionhaku, Kiyoko Takeuchi, John A. Fleetham, Three-dimensional CT reconstructions of tongue and airway in adult subjects with obstructive sleep apnea American Journal of Orthodontics and Dentofacial Orthopedics. ,vol. 90, pp. 364- 374 ,(1986) , 10.1016/0889-5406(86)90002-8
F Sériès, S. St. Pierre, G. Carrier, Effects of surgical correction of nasal obstruction in the treatment of obstructive sleep apnea. The American review of respiratory disease. ,vol. 146, pp. 1261- 1265 ,(1992) , 10.1164/AJRCCM/146.5_PT_1.1261
Christian Guilleminault, Robert Riley, Nelson Powell, Obstructive sleep apnea and abnormal cephalometric measurements. Implications for treatment Chest. ,vol. 86, pp. 793- 794 ,(1984) , 10.1378/CHEST.86.5.793