Comparison of drug-induced sleep endoscopy and lateral cephalometry in obstructive sleep apnea.

Comparison of drug-induced sleep endoscopy and lateral cephalometry in obstructive sleep apnea.
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DOI:
10.1002/lary.23561
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发表时间:
2012-11
期刊:
影响因子:
2.6
通讯作者:
Kezirian, Eric J.
Kezirian, Eric J.
中科院分区:
医学2区
文献类型:
--
作者:
George, Jonathan R.;Chung, Sooyoun;Nielsen, Ib;Goldberg, Andrew N.;Miller, Arthur;Kezirian, Eric J.

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评估阻塞性睡眠呼吸暂停(OSA)中药物诱导睡眠内窥镜(DISE)和侧位测量术结果之间的相关性横断面这是一个连续的OSA患者系列,他们接受了DISE和侧位测量术。DISE的表现根据梗阻的区域/程度以及VOTE分类来确定。侧位测量图像的主要测量值是SNA、SNB、PNSP、PAS和MPH,尽管还进行了额外的气道测量。描述性统计总结了DISE和侧位头测术的发现,卡方检验和t检验检验了它们的发现之间的潜在关联。在55名受试者中,尽管与其他结构相关的梗阻也很常见,但大多数表现为与膈膜相关的梗阻。侧位头测术结果符合人群标准,除了MPH升高和Airway4和Airway5测量值降低。尽管舌相关性梗阻与舌底后方气道测量结果有显著相关性,但DISE与侧位测量结果之间的相关性很小。在OSA中,DISE和侧位头测术在很大程度上是不同的气道评估技术。这些技术的使用仍然是互补的。
To evaluate the association between findings from drug-induced sleep endoscopy (DISE) and lateral cephalometry in obstructive sleep apnea (OSA) Cross-sectional This was a consecutive series of subjects with OSA who underwent DISE and lateral cephalometry. DISE findings were characterized according to the region/degree of obstruction as well as the VOTE classification. The primary measurements from lateral cephalometry images were SNA, SNB, PNSP, PAS, and MPH, although additional airway measurements were taken. Descriptive statistics summarized DISE and lateral cephalometry findings, and chi-squared and t-tests examined potential associations between their findings. Among the 55 subjects, most demonstrated velum-related obstruction, although obstruction related to other structures was also common. Lateral cephalometry findings were within population norms with the exception of an increased MPH and decreased Airway4 and Airway5 measurements. There was little association between DISE and lateral cephalometry findings, although significant associations were identified between tongue-related obstruction and airway measurements posterior to the tongue base. DISE and lateral cephalometry are largely distinct airway evaluation techniques in OSA. The use of these techniques remains complementary.
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