与阻塞性睡眠呼吸暂停严重程度相关的上呼吸道形态的3D分析
Tuangporn Jessadapornchai1, Bancha Samruajbenjakun1, Pannapat Chanmanee1
1Department of Preventive Dentistry, Faculty of Dentistry, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
Journal of the World federation of orthodontists
|April 30, 2024
概括
圆束计算机断层扫描 (CBCT) 显示,鼻的最小截面面积 (MCA) 与阻塞性睡眠呼吸暂停 (OSA) 的严重程度相关. 与轻度和重度病例相比,中度的OSA在后发光区域显示MCA减少.
科学领域:
- 医疗成像医学成像
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 睡眠医学 睡眠医学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种普遍的睡眠障碍,由上呼吸道崩引起.
- 关于上呼吸道亚区域形态及其与OSA严重程度的关系的数据有限.
- 形束计算断层扫描 (CBCT) 是通常由牙科专家用于部成像.
研究的目的:
- 使用CBCT调查上呼吸道形态和OSA严重程度之间的关系.
- 为了确定与OSA严重程度相关的上空气道子区域的差异.
主要方法:
- 分析了21名OSA患者的CBCT成像和呼吸暂停-呼吸暂停指数 (AHI) 数据.
- 使用海豚成像软件进行上呼吸道细分.
- 测量和统计分析了四个喉子区域的最小截面面积 (MCA) 和体积.
主要成果:
- 在鼻MCA和AHI之间发现了显著的负相关性 (r = -0.473,P <0.05).
- 逆光区域显示,与轻度和重度OSA相比,中度OSA的MCA显著减少 (P <0.05).
- 在整体上呼吸道体积和OSA严重程度之间没有观察到相关性.
结论:
- 在OSA患者中,鼻MCA与AHI有中度负相关.
- 中度OSA严重程度与口腔大和后发光区域的MCA明显较小有关.
- 由CBCT衍生的上呼吸道形态,特别是特定子区域的MCA,提供了对OSA严重性的洞察力.
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