对接受侧咽喉成形术的阻塞性睡眠呼吸暂停患者进行头颅测量评估。

IF 1 Q3 OTORHINOLARYNGOLOGY International Archives of Otorhinolaryngology Pub Date : 2024-03-06 eCollection Date: 2024-04-01 DOI:10.1055/s-0043-1776718
Stephanie Regiane Prata Ferreira Zanco, Bruno Bernardo Duarte, Aurélio Rochael Almeida, José Alexandre Mendonça
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引用次数: 0

摘要

导言:侧咽成形术(LP)已经取得了良好的效果。颅面畸形缩小了咽部空间,是导致咽喉炎的病因之一。头颅测量法可对颅面特征进行分析。目的 验证颅面畸形是否与阻塞性睡眠呼吸暂停(OSA)患者较差的多导睡眠图数据有关,并验证术前头颅测量参数是否会干扰 LP 手术的成功。方法 该研究纳入了 21 名 OSA 患者,他们的年龄在 18 岁至 65 岁之间,于 2015 年至 2019 年期间在一家大学医院接受了 LP 手术。术后至少 6 个月后进行多导睡眠图检查。此外,还进行了头颅测量评估,以评估颅面畸形,并将其与多导睡眠图结果相关联。结果 所有多导睡眠图呼吸参数的平均值和中位数在术后均有所改善,尤其是呼吸暂停-低通气指数(AHI),从每小时 40.15 次下降到 16.60 次(P = 0.001)。在 21 名患者中,有 15 名患者的 AHI 在术后有所改善。在头颅测量评估方面,我们发现舌骨与下颌骨平面之间的距离越长,患者术前的 AHI 就越大(p = 0.011)。在评估与颅面畸形相关的头测量变化是否会影响 LP 的手术效果时,没有发现任何头测量值与之相关。结论 舌骨与下颌骨平面之间的距离越长,术前 AHI 越大,LP 是一种有效的 OSA 治疗方法。在所评估的人群中,头颅测量变量无法改变或决定对呼吸暂停患者进行 LP 治疗的成功与否。
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Cephalometric Evaluation in Patients with Obstructive Sleep Apnea undergoing Lateral Pharyngoplasty.

Introduction  Lateral pharyngoplasty (LP) has shown promising results. Craniofacial deformity reduces the pharyngeal space, contributing to the etiopathogenesis. The analysis of craniofacial features can be performed using cephalometry. Objective  To verify if craniofacial deformity is associated with worse polysomnographic data in patients with obstructive sleep apnea (OSA), and to verify if the preoperative cephalometric parameters can interfere with the surgical success of the LP. Methods  The study included 21 patients with OSA aged between 18 and 65 years who underwent LP in a university hospital from 2015 to 2019. Polysomnography was performed postoperatively, after a minimum period of 6 months from the surgical procedure. In addition, a cephalometric evaluation was performed to assess craniofacial deformity, and to correlate it with the polysomnographic results. Results  The mean and median of all polysomnographic respiratory parameters improved postoperatively, especially the apnea-hypopnea index (AHI), which went from 40.15 to 16.60 events per hour ( p  = 0.001). Of the 21 patients, 15 showed improvements in the AHI postoperatively. As for the cephalometric evaluations, we found that the longer the distance between the hyoid bone and the mandibular plane, the greater the patient's preoperative AHI ( p  = 0.011). When assessing whether cephalometric changes related to craniofacial deformities influence the surgical outcome of LP, no correlation was found for any cephalometric measurement. Conclusion  The longer the distance between the hyoid bone and the mandibular plane, the greater the preoperative AHI, and LP was an effective OSA treatment. Cephalometric variables are not able to modify or determine the success of LP in apneic patients in the population assessed.

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CiteScore
2.80
自引率
0.00%
发文量
84
审稿时长
12 weeks
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