Mamede Isadora, Lacerda Sophia Paiva Silveira, Alvares Alice Veloso, Rodrigues Anna Barbara Veloso Tomaz, Silva Bruna de Souza, Andrade Bruna Oliveira, Martins Luciana Menezes Nogueira
Federal University of Sao Joao del-Rei, Centro Oeste Campus, Divinopolis, Minas Gerais, Brazil.
Sleep Breath. 2024 Oct;28(5):1889-1897. doi: 10.1007/s11325-024-03103-3. Epub 2024 Jul 16.
Craniofacial morphology is integral to Sleep Breathing Disorders (SBD), particularly Obstructive Sleep Apnea (OSA), informing treatment strategies. This review assesses the utility of two-dimensional (2D) photogrammetry in evaluating these metrics among OSA patients.
Following PRISMA guidelines, a systematic review was conducted. PubMed, Embase, and Lilacs databases were systematically searched for studies utilizing 2D photography in SBD. Findings were narratively synthesized.
Thirteen studies involving 2,328 patients were included. Significant correlations were found between craniofacial measurements-specifically neck parameters and facial width-and OSA severity, even after BMI adjustment. Ethnic disparities in craniofacial morphology were observed, with photogrammetry effective in predicting OSA in Caucasians and Asians, though data for other ethnicities were limited. Pediatric studies suggest the potential of craniofacial measurements as predictors of childhood OSA, with certain caveats.
2D photogrammetry emerges as a practical and non-invasive tool correlating with OSA severity across diverse populations. However, further validation in various ethnic cohorts is essential to enhance the generalizability of these findings.
颅面形态对于睡眠呼吸障碍（SBD），尤其是阻塞性睡眠呼吸暂停（OSA）至关重要，可为治疗策略提供依据。本综述评估二维（2D）摄影测量法在评估OSA患者这些指标方面的实用性。
遵循PRISMA指南进行系统综述。对PubMed、Embase和Lilacs数据库进行系统检索，以查找在SBD中使用2D摄影的研究。对研究结果进行叙述性综合分析。
纳入了13项涉及2328例患者的研究。即使在调整体重指数（BMI）后，也发现颅面测量（特别是颈部参数和面部宽度）与OSA严重程度之间存在显著相关性。观察到颅面形态存在种族差异，摄影测量法在预测白种人和亚洲人的OSA方面有效，不过其他种族的数据有限。儿科研究表明颅面测量有作为儿童OSA预测指标的潜力，但存在某些限制条件。
二维摄影测量法成为一种实用且非侵入性的工具，与不同人群的OSA严重程度相关。然而，在不同种族队列中进行进一步验证对于提高这些研究结果的普遍性至关重要。
