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Craniofacial morphology in patients with obstructive sleep apnea: cephalometric evaluation / Morfologia craniofacial em pacientes com apneia obstrutiva do sono: avaliação cefalométrica
Tepedino, Michele; Illuzzi, Gaetano; Laurenziello, Michele; Perillo, Letizia; Taurino, Anna Maria; Cassano, Michele; Guida, Laura; Burlon, Giuseppe; Ciavarella, Domenico.
  • Tepedino, Michele; University of LAquil. Department of Biotechnological and Applied Clinical Sciences. LAquila. IT
  • Illuzzi, Gaetano; University of Foggia. Department of Clinical and Experimental Medicine. Foggia. IT
  • Laurenziello, Michele; University of Foggia. Department of Clinical and Experimental Medicine. Foggia. IT
  • Perillo, Letizia; Second University of Naples. Multidisciplinary Department of Medical-Surgical and Dental Specialties. Naples. IT
  • Taurino, Anna Maria; University of Foggia. Department of Clinical and Experimental Medicine. Foggia. IT
  • Cassano, Michele; University of Foggia. Department of Clinical and Experimental Medicine. Foggia. IT
  • Guida, Laura; University of Foggia. Department of Clinical and Experimental Medicine. Foggia. IT
  • Burlon, Giuseppe; University of Foggia. Department of Clinical and Experimental Medicine. Foggia. IT
  • Ciavarella, Domenico; University of Foggia. Department of Clinical and Experimental Medicine. Foggia. IT
Braz. j. otorhinolaryngol. (Impr.) ; 88(2): 228-234, Mar.-Apr. 2022. tab, graf
Article in English | LILACS | ID: biblio-1374717
ABSTRACT
Abstract

Introduction:

Obstructive sleep apnea is characterized by a reduced airflow through the upper airways during sleep. Two forms of obstructive sleep apnea are described the central form and the obstructive form. The obstructive form is related to many factors, such as the craniofacial morphology.

Objective:

To evaluate the correlation between the morphology of the cranial base, of the mandible and the maxilla, and obstructive sleep apnea severity.

Methods:

Eighty-four patients, mean age of 50.4 years old; 73 males and 11 females with obstructive sleep apnea were enrolled in the present study. Patients with high body mass index and comorbidities were excluded. Lateral cephalograms and polysomnography were collected for each patient to evaluate the correlation between craniofacial morphology and obstructive sleep apnea severity. A Spearman's rho correlation test between cephalometric measurements and obstructive sleep apnea indexes was computed. Statistical significance was set at p < 0.05.

Results:

Patients with a severe obstructive sleep apnea presented a reduction of sagittal growth of both effective mandibular length and cranio-basal length. The mandibular length was the only variable with a statistical correlation with apnea-hypopnea index. Vertical dimension showed a weak correlation with the severity of obstructive sleep apnea. No correlation with maxillary sagittal dimension was shown.

Conclusion:

Obstructive sleep apnea severity may be correlated to mandibular and cranial base growth. Facial vertical dimension had no correlation with obstructive sleep apnea severity.
RESUMO
Resumo

Introdução:

A apneia obstrutiva do sono é caracterizada por um fluxo de ar reduzido nas vias aéreas superiores durante o sono. Duas formas de apneia são descritas a forma central e a forma obstrutiva. A forma obstrutiva tem sido relacionada a vários fatores, como a morfologia craniofacial.

Objetivo:

Avaliar a correlação entre a morfologia da base do crânio, da mandíbula e da maxila e a gravidade da apneia obstrutiva do sono.

Método:

Foram incluídos no presente estudo 84 pacientes com apneia obstrutiva do sono, com média de 50,4 anos; 73 homens e 11 mulheres. Pacientes com alto índice de massa corpórea e comorbidades foram excluídos. Foram coletados cefalogramas laterais e polissonografia para cada paciente para avaliar a correlação entre a morfologia craniofacial e a gravidade da apneia. Foi computado o coeficiente de correlação de postos de Spearman (rho) entre medidas cefalométricas e índices de apneia obstrutiva do sono. A significância estatística foi estabelecida em p < 0,05.

Resultados:

Pacientes com apneia obstrutiva do sono grave apresentaram redução do crescimento sagital do comprimento mandibular efetivo e do comprimento crânio-basal. O comprimento mandibular foi a única variável que apresentou correlação estatística com o índice de apneia-hipopneia. A dimensão vertical mostrou uma fraca correlação com a gravidade da apneia. Não foi demonstrada correlação com a dimensão maxilar sagital.

Conclusão:

A gravidade da apneia obstrutiva do sono pode estar correlacionada ao crescimento da base mandibular e craniana. A dimensão facial vertical não apresentou correlação com a gravidade da apneia.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Sleep Apnea, Obstructive Limits: Female / Humans / Male Language: English Journal: Braz. j. otorhinolaryngol. (Impr.) Journal subject: Otolaryngology Year: 2022 Type: Article Affiliation country: Italy Institution/Affiliation country: Second University of Naples/IT / University of Foggia/IT / University of LAquil/IT

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Full text: Available Index: LILACS (Americas) Main subject: Sleep Apnea, Obstructive Limits: Female / Humans / Male Language: English Journal: Braz. j. otorhinolaryngol. (Impr.) Journal subject: Otolaryngology Year: 2022 Type: Article Affiliation country: Italy Institution/Affiliation country: Second University of Naples/IT / University of Foggia/IT / University of LAquil/IT