根据颅面骨骼生物型预测下颌前移装置治疗睡眠呼吸暂停综合征患者疗效的因素:一项初步研究。

Rafael Ecija Navarro, Berşan Karadede, Beyza Karadede Ünal, Domingo Martin Salvador
{"title":"根据颅面骨骼生物型预测下颌前移装置治疗睡眠呼吸暂停综合征患者疗效的因素:一项初步研究。","authors":"Rafael Ecija Navarro, Berşan Karadede, Beyza Karadede Ünal, Domingo Martin Salvador","doi":"10.2319/092822-670.1","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the influence of facial biotype in the therapeutic effect of mandibular advancement devices (MADs) according to polysomnographic records in patients diagnosed with sleep apnea-hypopnea syndrome (SAHS).</p><p><strong>Materials and methods: </strong>A total of 46 patients were recruited. Patients were classified according to facial biotype (mesofacial, brachyfacial, or dolichofacial). The quantitative variables were described as the arithmetic mean and standard deviation or the median and interquartile range. Hypothesis tests used were Pearson's chi-square, paired-sample Student's t- test, the Wilcoxon test, one-way analysis of variance, Kruskal-Wallis test, and Mann-Whitney U-test. P < .05 was considered statistically significant.</p><p><strong>Results: </strong>A total of 46 patients were categorized into three facial biotype subgroups with no significant differences among them in age, body mass index, neck circumference, and sex. The respiratory disturbance index (RDI) results were as follows: brachyfacial patients had a reduction to 15 events/h (P < .001), the mesofacial patients had a reduction to 14 events/h (P < .001), and the dolichofacial patients did not show a significant reduction. The oxygen desaturation index (ODI) results were as follows: brachyfacial patients had a reduction in ODI episodes to 45 episodes/h (P = .001), mesofacial patients had a reduction to 18 episodes/h (P = .001). In the brachyfacial group, the number of awakenings with MAD therapy was reduced to 23 events/h (P = .003), while, in the mesofacial group, it was reduced to 37 episodes/h (P = .012).</p><p><strong>Conclusions: </strong>The facial biotype influences the effectiveness of MAD therapy and is considered a good predictive factor.</p>","PeriodicalId":94224,"journal":{"name":"The Angle orthodontist","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10893917/pdf/","citationCount":"0","resultStr":"{\"title\":\"Predictive factors of therapeutic response according to craniofacial skeletal biotype in patients with sleep apnea syndrome using mandibular advancement devices: a pilot study.\",\"authors\":\"Rafael Ecija Navarro, Berşan Karadede, Beyza Karadede Ünal, Domingo Martin Salvador\",\"doi\":\"10.2319/092822-670.1\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>To evaluate the influence of facial biotype in the therapeutic effect of mandibular advancement devices (MADs) according to polysomnographic records in patients diagnosed with sleep apnea-hypopnea syndrome (SAHS).</p><p><strong>Materials and methods: </strong>A total of 46 patients were recruited. Patients were classified according to facial biotype (mesofacial, brachyfacial, or dolichofacial). The quantitative variables were described as the arithmetic mean and standard deviation or the median and interquartile range. Hypothesis tests used were Pearson's chi-square, paired-sample Student's t- test, the Wilcoxon test, one-way analysis of variance, Kruskal-Wallis test, and Mann-Whitney U-test. P < .05 was considered statistically significant.</p><p><strong>Results: </strong>A total of 46 patients were categorized into three facial biotype subgroups with no significant differences among them in age, body mass index, neck circumference, and sex. The respiratory disturbance index (RDI) results were as follows: brachyfacial patients had a reduction to 15 events/h (P < .001), the mesofacial patients had a reduction to 14 events/h (P < .001), and the dolichofacial patients did not show a significant reduction. The oxygen desaturation index (ODI) results were as follows: brachyfacial patients had a reduction in ODI episodes to 45 episodes/h (P = .001), mesofacial patients had a reduction to 18 episodes/h (P = .001). In the brachyfacial group, the number of awakenings with MAD therapy was reduced to 23 events/h (P = .003), while, in the mesofacial group, it was reduced to 37 episodes/h (P = .012).</p><p><strong>Conclusions: </strong>The facial biotype influences the effectiveness of MAD therapy and is considered a good predictive factor.</p>\",\"PeriodicalId\":94224,\"journal\":{\"name\":\"The Angle orthodontist\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10893917/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The Angle orthodontist\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2319/092822-670.1\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Angle orthodontist","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2319/092822-670.1","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

目的:根据多导睡眠图记录,评估面部生物类型对诊断为睡眠呼吸暂停低通气综合征(SAHS)患者下颌前移器(MADs)治疗效果的影响。材料和方法:共招募46名患者。根据面部生物类型(中面部、短面部或多面部)对患者进行分类。定量变量被描述为算术平均值和标准差或中位数和四分位间距。使用的假设检验包括皮尔逊卡方检验、配对样本Student t检验、Wilcoxon检验、单向方差分析、Kruskal-Wallis检验和Mann-Whitney U检验。P<0.05被认为具有统计学意义。结果:共有46名患者被分为三个面部生物型亚组,在年龄、体重指数、颈围和性别方面没有显著差异。呼吸障碍指数(RDI)结果如下:近面部患者减少到15次事件/小时(P<0.001),中面部患者减少至14次事件/h(P<.001),而多面部患者没有表现出显著的减少。氧去饱和指数(ODI)结果如下:短脸患者的ODI发作次数减少到45次/h(P=0.001),中脸患者减少到18次/h(P=.001)。在短脸组中,MAD治疗的觉醒次数减少到23次/h(P=0.003),而在中脸组中,减少到37次/小时(P=.012)。结论:面部生物类型影响MAD治疗的有效性,被认为是一个很好的预测因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Predictive factors of therapeutic response according to craniofacial skeletal biotype in patients with sleep apnea syndrome using mandibular advancement devices: a pilot study.

Objectives: To evaluate the influence of facial biotype in the therapeutic effect of mandibular advancement devices (MADs) according to polysomnographic records in patients diagnosed with sleep apnea-hypopnea syndrome (SAHS).

Materials and methods: A total of 46 patients were recruited. Patients were classified according to facial biotype (mesofacial, brachyfacial, or dolichofacial). The quantitative variables were described as the arithmetic mean and standard deviation or the median and interquartile range. Hypothesis tests used were Pearson's chi-square, paired-sample Student's t- test, the Wilcoxon test, one-way analysis of variance, Kruskal-Wallis test, and Mann-Whitney U-test. P < .05 was considered statistically significant.

Results: A total of 46 patients were categorized into three facial biotype subgroups with no significant differences among them in age, body mass index, neck circumference, and sex. The respiratory disturbance index (RDI) results were as follows: brachyfacial patients had a reduction to 15 events/h (P < .001), the mesofacial patients had a reduction to 14 events/h (P < .001), and the dolichofacial patients did not show a significant reduction. The oxygen desaturation index (ODI) results were as follows: brachyfacial patients had a reduction in ODI episodes to 45 episodes/h (P = .001), mesofacial patients had a reduction to 18 episodes/h (P = .001). In the brachyfacial group, the number of awakenings with MAD therapy was reduced to 23 events/h (P = .003), while, in the mesofacial group, it was reduced to 37 episodes/h (P = .012).

Conclusions: The facial biotype influences the effectiveness of MAD therapy and is considered a good predictive factor.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
期刊最新文献
Comparison of the effect of clear twin block and traditional twin block on speech: a randomized clinical trial. Evaluation of automated photograph-cephalogram image integration using artificial intelligence models. More molar distal movement than pretreatment cone-beam computed tomography posterior space available at the root level in mandibular dentition distalization with microimplants. 3D printed indirect bonding trays: transfer accuracy of bar vs shell design in a prospective, randomized clinical trial. Correlations of spheno-occipital synchondrosis, cervical vertebrae, midpalatal suture, and third molar maturation stages.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1