使用锥形束计算机断层扫描对阻塞性睡眠呼吸暂停患者的颅面骨和软组织进行三维分析。
Three-dimensional analysis of craniofacial bones and soft tissues in obstructive sleep apnea using cone beam computed tomography.
作者信息
Bruwier Annick, Poirrier Robert, Albert Adelin, Maes Nathalie, Limme Michel, Charavet Carole, Milicevic Mladen, Raskin Sylvianne, Poirrier Anne-Lise
机构信息
Department of Orthodontics, Liege University Hospital, Liege, Belgium.
Sleep Disorder Center, Department of Neurology, Liege University Hospital, Liege, Belgium.
出版信息
Int Orthod. 2016 Dec;14(4):449-461. doi: 10.1016/j.ortho.2016.10.003. Epub 2016 Nov 8.
A total of 154 adult patients with sleep complaints underwent a polysomnography and a craniofacial cone beam computed tomography (CBCT). OSA was defined as an apnea and hypopnea index (AHI) or an oxygen desaturation index (ODI) ≥ 10. Soft tissues and craniofacial bones volumes were prospectively measured by CBCT and collected blindly from sleep polysomnography. Among the study patients, 127 (83%) suffered from OSA and 27 (17%) did not. OSA patients demonstrated a narrower maxillo-palatine core volume (11.7±3.2 vs 14.6±4.9cm) even when adjusting for age, gender, height, neck circumference and body mass index. These upper airway measures provide a comprehensive analysis of bony structures and soft tissues, which can be involved in OSA.
共有154名有睡眠问题的成年患者接受了多导睡眠监测和颅面部锥形束计算机断层扫描（CBCT）。阻塞性睡眠呼吸暂停（OSA）定义为呼吸暂停低通气指数（AHI）或氧饱和度下降指数（ODI）≥10。通过CBCT前瞻性测量软组织和颅面骨体积，并从睡眠多导睡眠监测中盲目收集数据。在研究患者中，127例（83%）患有OSA，27例（17%）未患OSA。即使在调整年龄、性别、身高、颈围和体重指数后，OSA患者的上颌腭核心体积也更窄（11.7±3.2 vs 14.6±4.9cm）。这些上气道测量提供了对可能与OSA有关的骨结构和软组织的全面分析。
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