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阻塞性睡眠呼吸暂停患者气道分析及牙弓形态测量评估

Airway Analysis and Morphometric Assessment of Dental Arches in Obstructive Sleep Apnea Patients.

作者信息

Ciavarella Domenico, Ferrara Donatella, Spinoso Giusi, Cattaneo Paolo, Leo Chiara, Russo Lucio Lo, Burlon Giuseppe, Burlon Carlotta, Esperouz Fariba, Laurenziello Michele, Tepedino Michele, Lorusso Mauro

机构信息

Department of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy.

Melbourne Dental School, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, VIC 3010, Australia.

出版信息

J Clin Med. 2025 Jan 7;14(2):296. doi: 10.3390/jcm14020296.

Abstract

: Obstructive sleep apnea is a sleep-related breathing disorder associated with craniofacial morphology and dental arches. The aim of this study was to evaluate the correlation between obstructive sleep apnea and the morphometry of dental arches and upper airways. : Forty patients were enrolled in the study, and the polysomnographic parameters evaluated were the apnea hypopnea index (AHI) and the oxygen desaturation index (ODI). Dental measurements taken from the 3D models included anterior arch widths, posterior arch widths, maxillary and mandibular arch lengths, and palatal surface area. A cone beam computed tomography (CBCT) evaluation was also performed. : In patients with moderate OSA, posterior maxillary width was significantly correlated with both minimal airway area (rho = 0.65, < 0.01) and its transverse diameter (rho = 0.68, < 0.01). Similarly, in patients with severe OSA, posterior maxillary width showed a significant correlation with total airway volume (rho = 1, < 0.01), minimal airway area (rho = 1, < 0.01), and its transverse diameter (rho = 1, < 0.01). : Craniofacial morphology and malocclusion can contribute to obstructive sleep apnea syndrome.

摘要

阻塞性睡眠呼吸暂停是一种与颅面形态和牙弓相关的睡眠呼吸障碍。本研究的目的是评估阻塞性睡眠呼吸暂停与牙弓和上气道形态测量之间的相关性。:40名患者参与了本研究,评估的多导睡眠图参数为呼吸暂停低通气指数(AHI)和氧饱和度下降指数(ODI)。从3D模型获取的牙齿测量数据包括牙弓前部宽度、牙弓后部宽度、上颌和下颌牙弓长度以及腭表面积。还进行了锥形束计算机断层扫描(CBCT)评估。:在中度阻塞性睡眠呼吸暂停患者中,上颌后部宽度与最小气道面积(rho = 0.65,<0.01)及其横径(rho = 0.68,<0.01)均显著相关。同样,在重度阻塞性睡眠呼吸暂停患者中,上颌后部宽度与总气道容积(rho = 1,<0.01)、最小气道面积(rho = 1,<0.01)及其横径(rho = 1,<0.01)均显著相关。:颅面形态和错牙合可导致阻塞性睡眠呼吸暂停综合征。

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