Novel clinical screening method to identify patients at risk of obstructive sleep apnea.

IF 2 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Cranio-The Journal of Craniomandibular & Sleep Practice Pub Date : 2024-03-01 Epub Date: 2021-05-30 DOI:10.1080/08869634.2021.1933308
Mehmet Murat Günay, Güleser Saylam, İbrahim Hikmet Fırat, İlker Akyıldız, Ömer Bayır, Murad Mutlu, Mehmet Hakan Korkmaz
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Abstract

Objective: To investigate whether the distance between the two retromolar trigones (RMTs) with the distance between the two posterior plicas (PPs) affects obstructive sleep apnea syndrome (OSAS) and to determine a physical examination method that can be used in the selection of patients to be referred to polysomnography (PSG).

Methods: The study included 86 OSAS patients and 29 healthy controls. RMTs and PPs were measured using a caliper-like device. The values obtained from these measurements were evaluated in both groups.

Results: The PPs were narrower, and the RMTs-PPs, RMTs-PPs/RMTs, and RMTs/PPs values were greater in the OSAS group (p < .05) compared to the control group. The cut-off values were 0.612 for RMTs-PPs/RMTs and 2.589 for RMTs/PPs. The specificity of these values for OSAS was 97%, and sensitivity was 57% and 58%, respectively.

Conclusion: The presented method may play a role in preventing unnecessary PSG among patients with suspected OSAS.

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识别阻塞性睡眠呼吸暂停高危患者的新型临床筛查方法。
目的研究两个后枕骨三叉神经节(RMT)之间的距离与两个后枕骨三叉神经节(PP)之间的距离是否会影响阻塞性睡眠呼吸暂停综合征(OSAS),并确定一种体格检查方法,用于选择转诊至多导睡眠图(PSG)检查的患者:研究对象包括 86 名 OSAS 患者和 29 名健康对照者。使用一种类似卡尺的设备测量 RMT 和 PP。对两组患者的测量值进行评估:结果:OSAS 组的 PPs 较窄,RMTs-PPs、RMTs-PPs/RMTs 和 RMTs/PPs 值较大(p 结论:该方法可能对 OSAS 起作用:该方法可在防止疑似 OSAS 患者进行不必要的 PSG 方面发挥作用。
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来源期刊
Cranio-The Journal of Craniomandibular & Sleep Practice
Cranio-The Journal of Craniomandibular & Sleep Practice DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
4.50
自引率
12.50%
发文量
92
审稿时长
>12 weeks
期刊介绍: CRANIO: The Journal of Craniomandibular & Sleep Practice is the oldest and largest journal in the world devoted to temporomandibular disorders, and now also includes articles on all aspects of sleep medicine. The Journal is multidisciplinary in its scope, with editorial board members from all areas of medicine and dentistry, including general dentists, oral surgeons, orthopaedists, radiologists, chiropractors, professors and behavioural scientists, physical therapists, acupuncturists, osteopathic and ear, nose and throat physicians. CRANIO publishes commendable works from outstanding researchers and clinicians in their respective fields. The multidisciplinary format allows individuals practicing with a TMD emphasis to stay abreast of related disciplines, as each issue presents multiple topics from overlapping areas of interest. CRANIO''s current readership (thousands) is comprised primarily of dentists; however, many physicians, physical therapists, chiropractors, osteopathic physicians and other related specialists subscribe and contribute to the Journal.
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