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学龄前阻塞性睡眠呼吸暂停综合征儿童的颅面形态。

Craniofacial morphology in preschool children with obstructive sleep apnoea syndrome.

机构信息

Sapienza University of Rome, 2nd Medical Faculty, Sant'Andrea Hospital, Dentistry and Orthodontics Unit, Rome, Italy.

出版信息

Eur J Paediatr Dent. 2009 Dec;10(4):181-4.

Abstract

AIM

Obstructive sleep apnoea syndrome (OSAS) is a common problem in children. It is characterised by a combination of partial airway obstruction associated with hypoxemia and hypoventilation and intermittent obstructive apnoea, which disrupts normal ventilation and sleep. The aim of the study was to evaluate the craniofacial features of preschool children with polysomnographic diagnosis of OSAS, using measurements from standardized lateral cephalograms according to the floating norms cephalometric analysis.

MATERIALS AND METHODS

21 untreated caucasian children (mean age of 4.57 +/-0.6) with complete deciduous dentition were included in this study. All the subjects had diagnosis of OSAS with a positive RDI. Pretreatment cephalometric radiographs were evaluated. Statistical method Descriptive statistics includes mean and standard deviation of the cephalometric variables.

CONCLUSION

The present study showed that OSAS preschool children showed a skeletal Class II pattern with retrognathic mandible and increased skeletal divergency.

摘要

目的

阻塞性睡眠呼吸暂停综合征(OSAS)是儿童常见的问题。其特征是与低氧血症和通气不足相关的部分气道阻塞与间歇性阻塞性呼吸暂停相结合,从而破坏正常通气和睡眠。本研究的目的是使用根据浮动标准头影测量分析的标准化侧位头颅测量来评估经多导睡眠图诊断为 OSAS 的学龄前儿童的颅面特征。

材料和方法

本研究纳入了 21 名未经治疗的白种儿童(平均年龄为 4.57 +/-0.6 岁),均具有完整的乳牙列。所有受试者均通过 RDI 诊断为 OSAS。评估了治疗前的头颅侧位 X 光片。统计学方法描述性统计包括头影测量变量的均值和标准差。

结论

本研究表明,OSAS 学龄前儿童表现出骨骼 II 类模式,下颌后缩,骨骼发散度增加。

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