DI Venere D, Corsalini M, Nardi G M, Laforgia A, Grassi F R, Rapone B, Pettini F
Interdisciplinary Department of Medicine (DIM), Section of Dentistry, University "Aldo Moro" of Bari, Bari, Italy.
Department of Dental and Maxillofacial Sciences, "Sapienza" University, Rome, Italy.
Oral Implantol (Rome). 2017 Nov 30;10(3):295-310. doi: 10.11138/orl/2017.10.3.295. eCollection 2017 Jul-Sep.
Obstructive Sleep Apnea Syndrome (OSAS) is a respiratory disorder characterized by repeated obstructive episodes affecting upper airways.This study aims at examining the anatomical craniofacial and pharyngeal characteristics of the patient as to identify the obstructive site which triggers the pathologic process.Correlations between otolaryngologic data observed in the patient and the cephalometric ones for the identification of the obstructive site were also highlighted.
We worked on a sample of 16 patients, 12 males and 4 females, attended to at the Otolaryngology Operative Unit of Bari University Hospital.The patients underwent an otolaryngologic (ORL) diagnostic procedure which provided for ApneaGraph (AG) recording, and a dental diagnostic procedure with cephalometric assessment.
The statistical analysis highlighted a strict correlation between the otolaryngologic value of AHI and the cephalometric values of the ANB angle, with the distance between the hyoid bone and the mandibular plane and with the distance between the hyoid bone and the plane passing between C3 and Me.
We observed a concurrence between the ORL diagnosis of the obstruction level assessed with AG and the cephalometric values regarding respiratory tracts (IPAS and SAS). More precisely, we observed the correlation between the otolaryngologic value of AHI with cephalometric values of the ANB angle, with the distance between hyoid bone and mandibular plan, and with the distance between the hyoid bone and the plane passing between C3 and Me. Furthermore, the identification of the caudal position of the hyoid bone can be considered an alarm bell in the diagnosis of severe OSAS.
阻塞性睡眠呼吸暂停综合征（OSAS）是一种呼吸系统疾病，其特征为上呼吸道反复出现阻塞性发作。本研究旨在检查患者的解剖学颅面和咽部特征，以确定引发病理过程的阻塞部位。还强调了患者观察到的耳鼻喉科数据与用于确定阻塞部位的头影测量数据之间的相关性。
我们对16例患者进行了研究，其中男性12例，女性4例，均在巴里大学医院耳鼻喉科手术单元就诊。患者接受了耳鼻喉科（ORL）诊断程序，该程序包括ApneaGraph（AG）记录，以及带有头影测量评估的牙科诊断程序。
统计分析突出显示了AHI的耳鼻喉科值与ANB角的头影测量值、舌骨与下颌平面之间的距离以及舌骨与C3和Me之间通过的平面之间的距离之间存在密切相关性。
我们观察到用AG评估的阻塞水平的ORL诊断与呼吸道（IPAS和SAS）的头影测量值之间存在一致性。更确切地说，我们观察到AHI的耳鼻喉科值与ANB角的头影测量值、舌骨与下颌平面之间的距离以及舌骨与C3和Me之间通过的平面之间的距离之间的相关性。此外，舌骨尾端位置的确定可被视为重度OSAS诊断中的一个警示信号。
