Aboelmaaty Wael, Isaac Marco
Maxillofacial Surgery and Diagnostic Sciences Department, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
Cranio. 2025 May;43(3):417-425. doi: 10.1080/08869634.2022.2145713. Epub 2022 Dec 20.
To assess the accuracy of cone beam computed tomography (CBCT) in verifying the level of collapse in obstructive sleep apnea (OSA) patients.
A prospective analysis of 30 patients with confirmed OSA was selected. Drug-induced sleep endoscopy (DISE) was performed for all cases to determine the level of collapse clinically. Two groups of patients were imaged with CBCT, one at end of expiration and the other at end of inspiration. Virtual endoscopy was performed on CBCT software. The level of collapse was recorded from both groups and compared to DISE findings.
No statistical difference was discovered in the level of collapse observed from DISE or CBCT in most cases. Virtual endoscopy was found to have no role in determining collapse at tongue and lateral wall levels.
Using CBCT helped predict the air blockage level in patients with sleep apnea, which helps in surgical treatment planning measures.
评估锥形束计算机断层扫描（CBCT）在验证阻塞性睡眠呼吸暂停（OSA）患者塌陷水平方面的准确性。
对30例确诊为OSA的患者进行前瞻性分析。对所有病例进行药物诱导睡眠内镜检查（DISE）以临床确定塌陷水平。两组患者均接受CBCT成像，一组在呼气末成像，另一组在吸气末成像。在CBCT软件上进行虚拟内镜检查。记录两组的塌陷水平并与DISE结果进行比较。
在大多数病例中，DISE或CBCT观察到的塌陷水平未发现统计学差异。发现虚拟内镜检查在确定舌部和侧壁水平的塌陷方面没有作用。
使用CBCT有助于预测睡眠呼吸暂停患者的气道阻塞水平，这有助于手术治疗规划措施。
