在阻塞性睡眠呼吸暂停患者中,呼吸道分析和牙弧形形态评估
Domenico Ciavarella1, Donatella Ferrara1, Giusi Spinoso1
1Department of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy.
Journal of clinical medicine
|January 25, 2025
概括
阻塞性睡眠呼吸暂停与面和牙弧形有关. 较窄的后大宽度与较小的上呼吸道尺寸相关,这表明牙弧形态和睡眠呼吸暂停严重程度之间存在联系.
科学领域:
- 牙科形态学 牙科形态学
- 睡眠医学 睡眠医学
- 放射学 放射学是一门学科.
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种与面特征相关的睡眠障碍.
- 牙弧度尺寸和上呼吸道解剖学是导致OSA的潜在因素.
研究的目的:
- 调查阻塞性睡眠呼吸暂停严重程度与牙弧形和上呼吸道形状之间的关系.
- 为了确定与OSA相关的特定牙和头骨面部测量.
主要方法:
- 包括40名被诊断患有OSA的患者.
- 多睡眠学测量了呼吸暂停-呼吸暂停指数 (AHI) 和氧气不和指数 (ODI).
- 3D牙科模型和形光束计算机断层扫描 (CBCT) 评估了牙弧和气道尺寸.
主要成果:
- 在中度OSA患者中,在后大宽度和最小的气道面积/横径之间发现了显著的相关性.
- 在严重的OSA中,后大的宽度与呼吸道总体积,最小的呼吸道面积和横径有很强的相关性.
结论:
- 面形态,特别是牙弧度尺寸,与阻塞性睡眠呼吸暂停有关.
- 缺陷和面结构的改变可能在OSA的发展中起作用.
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