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Value Of Cephalometric And Volumetric Measurements Performed By Multi-Level Three-Dimensional Computed Tomography In Patients With Obstructive Sleep Apnea Syndrome

Cilt: 47 Sayı: 1 17 Mart 2020
  • Feride Fatma Görgülü *
  • Sıdıka Deniz Yalım
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Value Of Cephalometric And Volumetric Measurements Performed By Multi-Level Three-Dimensional Computed Tomography In Patients With Obstructive Sleep Apnea Syndrome

Öz

Objective: Upper airway narrowing plays an important role in obstructive sleep apnea syndrome (OSAS) etiology. Computed tomography (CT) provides a three-dimensional image and can be obtained in the supine body position. The main objectives of this study were to determine the correlation between the dimensions of upper airway structures and OSAS by reconstructing the nasal, pharyngeal and oropharyngeal airway using CT. Methods: The study was carried out on a total of 95 consecutive subjects with maxillofacial CT, including 59 OSAS patients and 36 healthy participants. CT data of the study subjects were obtained in the supine position with the Philips Ingeniuty Core 2017 model CT device. Volumetric and cross-sectional area measurements of upper airway were obtained in three dimensions. Results: Retrolingual area and retrouvulal area were significantly lower in the patient group (p <0.001 for two). The mean values of soft palate volume, tongue volume and concha volumes of both sides were found to be significantly higher in the patient group (p = 0.005 for lower right turbinate, p <0.001 for others). Total nasal passage volume averages were significantly lower in the patient group, however naso-pharyngeal volume averages were significantly lower in the control group (p<0,001, p=0,004 respectively). Both uvula thickness and soft palate length averages were significantly higher in the patient group (p <0.001 for both). Conclusion: Cephalometric analysis of patients with OSAS with CT scans provides objective evaluation of skeletal and soft tissue abnormalities. We believe that all surgical procedures should follow precise cephalometric measurements, including detailed measurements.

Anahtar Kelimeler

Kaynakça

  1. 1. Ayas NT, Drager LF, Morrell MJ, Polotsky VY. Update in sleep-disordered breathing 2016. Am J RespirCrit Care Med. 2017; 195: 1561-6.
  2. 2. Atılgan ZA, Abakay A, Ülgen S. Obstructive sleep apnea syndrome and cardiovascular problems. Dicle Med J. 2011; 38: 253-6.
  3. 3. Epstein LJ, Kristo D, Strollo PJ Jr, et al. Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. J Clin Sleep Med. 2009; 5: 263-76.
  4. 4. Öncel GZ, Hüseyinoğlu N, Özlece HK. Analysis of vitamin D Receptor Polymorphisms in Turkish Patients with Obstructive Sleep Apnea Syndrome. Dicle Med J. 2019; 46: 771-80.
  5. 5. Patel JA, Ray BJ, Fernandez-Salvador C, Gouveia C, Zaghi S, Camacho M. Neuromuscular function of the soft palate and uvula in snoring and obstructive sleep apnea: a systematic review. Am J Otolaryngol. 2018; 39: 327–37.
  6. 6. Butterfield KJ, Marks PL, McLean L, Newton J. Linear and volumetric airway changes after maxillomandibular advancement for obstructive sleep apnea. J Oral Maxillofac Surg. 2015; 73: 1133- 42.
  7. 7. Hsieh YJ, Liao YF, Chen NH, Chen YR. Changes in the calibre of the upper airway and the surrounding structures after maxillomandibular advancement for obstructive sleep apnoea. Br J Oral Maxillofac Surg. 2014; 52: 445-51.
  8. 8. Ryu HH, Kim CH, Cheon SM, et al. The usefulness of cephalometric measurement as a diagnostic tool for obstructive sleep apnea syndrome: a retrospective study. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015; 119: 20–31.

Ayrıntılar

Birincil Dil

İngilizce

Konular

Sağlık Kurumları Yönetimi

Bölüm

Araştırma Makalesi

Yazarlar

Feride Fatma Görgülü * Bu kişi benim
Türkiye

Sıdıka Deniz Yalım Bu kişi benim
Türkiye

Yayımlanma Tarihi

17 Mart 2020

Gönderilme Tarihi

28 Ocak 2020

Kabul Tarihi

3 Mart 2020

Yayımlandığı Sayı

Yıl 2020 Cilt: 47 Sayı: 1

Kaynak Göster

APA
Görgülü, F. F., & Yalım, S. D. (2020). Value Of Cephalometric And Volumetric Measurements Performed By Multi-Level Three-Dimensional Computed Tomography In Patients With Obstructive Sleep Apnea Syndrome. Dicle Medical Journal, 47(1), 112-121. https://doi.org/10.5798/dicletip.706059
AMA
1.Görgülü FF, Yalım SD. Value Of Cephalometric And Volumetric Measurements Performed By Multi-Level Three-Dimensional Computed Tomography In Patients With Obstructive Sleep Apnea Syndrome. diclemedj. 2020;47(1):112-121. doi:10.5798/dicletip.706059
Chicago
Görgülü, Feride Fatma, ve Sıdıka Deniz Yalım. 2020. “Value Of Cephalometric And Volumetric Measurements Performed By Multi-Level Three-Dimensional Computed Tomography In Patients With Obstructive Sleep Apnea Syndrome”. Dicle Medical Journal 47 (1): 112-21. https://doi.org/10.5798/dicletip.706059.
EndNote
Görgülü FF, Yalım SD (01 Mart 2020) Value Of Cephalometric And Volumetric Measurements Performed By Multi-Level Three-Dimensional Computed Tomography In Patients With Obstructive Sleep Apnea Syndrome. Dicle Medical Journal 47 1 112–121.
IEEE
[1]F. F. Görgülü ve S. D. Yalım, “Value Of Cephalometric And Volumetric Measurements Performed By Multi-Level Three-Dimensional Computed Tomography In Patients With Obstructive Sleep Apnea Syndrome”, diclemedj, c. 47, sy 1, ss. 112–121, Mar. 2020, doi: 10.5798/dicletip.706059.
ISNAD
Görgülü, Feride Fatma - Yalım, Sıdıka Deniz. “Value Of Cephalometric And Volumetric Measurements Performed By Multi-Level Three-Dimensional Computed Tomography In Patients With Obstructive Sleep Apnea Syndrome”. Dicle Medical Journal 47/1 (01 Mart 2020): 112-121. https://doi.org/10.5798/dicletip.706059.
JAMA
1.Görgülü FF, Yalım SD. Value Of Cephalometric And Volumetric Measurements Performed By Multi-Level Three-Dimensional Computed Tomography In Patients With Obstructive Sleep Apnea Syndrome. diclemedj. 2020;47:112–121.
MLA
Görgülü, Feride Fatma, ve Sıdıka Deniz Yalım. “Value Of Cephalometric And Volumetric Measurements Performed By Multi-Level Three-Dimensional Computed Tomography In Patients With Obstructive Sleep Apnea Syndrome”. Dicle Medical Journal, c. 47, sy 1, Mart 2020, ss. 112-21, doi:10.5798/dicletip.706059.
Vancouver
1.Feride Fatma Görgülü, Sıdıka Deniz Yalım. Value Of Cephalometric And Volumetric Measurements Performed By Multi-Level Three-Dimensional Computed Tomography In Patients With Obstructive Sleep Apnea Syndrome. diclemedj. 01 Mart 2020;47(1):112-21. doi:10.5798/dicletip.706059