Xu Qiuping, Wang Xiaoya, Liu Panpan, Qin Luo, Chen Hui, Chen Wenqian, Guo Jing
Department of Orthodontics, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Laboratory for Dental Materials and Oral Tissue Regeneration, Jinan, SD, China.
Savaid Stomatology School, Hangzhou Medical College/Ningbo Stomatology Hospital, XJ, China.
Cranio. 2025 Jan;43(1):165-172. doi: 10.1080/08869634.2022.2106073. Epub 2022 Aug 26.
To evaluate the correlation between cephalometric parameters and apnea-hypopnea index (AHI) after controlling gender, body mass index (BMI), and adenoid size in children with obstructive sleep apnea (OSA).
Sixty-four children with OSA (40 males, 24 females, 8.72 ± 0.899 years) were chosen by simple random sampling for a cross-sectional study from January 2018 to March 2022. They were diagnosed with OSA, assessed by Obstructive Sleep Apnea-18 questionnaire and home polysomnography and underwent lateral cephalograms.
Hierarchical regression analysis indicated that cephalometric parameters (except adenoid size) were associated with OSA severity, explaining 18.1% of the AHI variance. Among cephalometric measurements, AHI was positively associated with H-RGn and N-Go-Me angle (< 0.05) and negatively associated with NP (< 0.05).
The sagittal diameter of the oropharynx, lower gonial angle, and hyoid position are significant AHI predictors in children with OSA, independent of demographic characteristics and adenoid size.
在控制阻塞性睡眠呼吸暂停（OSA）患儿的性别、体重指数（BMI）和腺样体大小后，评估头影测量参数与呼吸暂停低通气指数（AHI）之间的相关性。
通过简单随机抽样，选取2018年1月至2022年3月期间64例OSA患儿（40例男性，24例女性，年龄8.72±0.899岁）进行横断面研究。他们被诊断为OSA，通过阻塞性睡眠呼吸暂停-18问卷和家庭多导睡眠图进行评估，并接受头颅侧位片检查。
分层回归分析表明，头影测量参数（腺样体大小除外）与OSA严重程度相关，可解释AHI变异的18.1%。在头影测量中，AHI与H-RGn和N-Go-Me角呈正相关（<0.05），与NP呈负相关（<0.05）。
口咽矢状径、下颌角较低和舌骨位置是OSA患儿AHI的重要预测指标，与人口统计学特征和腺样体大小无关。
