Miranda Vanessa Souza Gigoski de, Buffon Gabriela, Vidor Deisi Cristina Gollo Marques
Universidade Federal de Ciências da Saúde de Porto Alegre - UFCSPA - Porto Alegre (RS), Brasil.
Codas. 2019 May 6;31(3):e20180183. doi: 10.1590/2317-1782/20182018183.
This study aims to characterize the orofacial myofunctional profile of patients with sleep disorders and to relate them to the severity of the polysomnography result.
A cross-sectional, field study of patients referred to polysomnography with a random sample of adult patients of both genders complaining of snoring who were not receiving any form of treatment for sleep disorder. An anthroposcopic speech-language evaluation was performed and the results of the polysomnography examination were collected in order to respond to the objectives of the study.
There was a significant association between the severity of the sleep disorder and environmental variables, such as smoking and alcoholism; also with individual characteristics, such as race, body mass index, waist circumference and systemic arterial hypertension. From the point of view of the myofunctional characteristics, there was a positive relationship between the severity of Obstructive Sleep Apnea and Hypopnea Syndrome with mental muscle contraction, Mallampati class, tongue dorsum elevation, tongue thickness, uvula characteristics, extension and mobility of the soft palate, and alteration in the respiratory pattern.
This study made it possible to describe a trend of the existence of orofacial myofunctional alterations in individuals with Sleep Apnea and Obstructive Hypopnea Syndrome and also revealed that the greater the degree of impairment of orofacial structures, the greater the degree of disturbance is also revealed.
本研究旨在描述睡眠障碍患者的口面部肌功能特征,并将其与多导睡眠图结果的严重程度相关联。
一项横断面现场研究,对转介进行多导睡眠图检查的患者进行随机抽样,这些成年患者均为抱怨打鼾且未接受任何形式睡眠障碍治疗的男女患者。进行人体测量学言语语言评估,并收集多导睡眠图检查结果以回应研究目标。
睡眠障碍的严重程度与环境变量(如吸烟和酗酒)之间存在显著关联;也与个体特征(如种族、体重指数、腰围和系统性动脉高血压)有关。从肌功能特征的角度来看,阻塞性睡眠呼吸暂停低通气综合征的严重程度与颏肌收缩、马兰帕蒂分级、舌背抬高、舌厚度、悬雍垂特征、软腭伸展和活动度以及呼吸模式改变之间存在正相关。
本研究能够描述睡眠呼吸暂停和阻塞性低通气综合征患者口面部肌功能改变的存在趋势,还揭示了口面部结构受损程度越大,干扰程度也越大。