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Abstract(s)
Introdução: O objetivo desta monografia é analisar o conhecimento e a literatura atual sobre rastreio/diagnóstico da apneia obstrutiva do sono (AOS) através de parâmetros anatómicos identificados por cefalometria. Materiais e Métodos: Esta revisão foi registada na plataforma PROSPERO e foi redigida de acordo com a declaração PRISMA. O processo foi efectuado em quatro bases de dados (PubMed, Science direct, Web of Science e Scopus), incluindo apenas estudos dos últimos 5 anos. Respeitando os critérios de inclusão e exclusão previamente selecionados, os artigos identificados foram analisados e incluídos ou excluídos. Resultados: Após a triagem dos artigos obtidos, foram selecionados dez artigos incluídos nesta revisão sistemática e sintetizamos as informações e os dados extraídos. Discussão: A posição da mandíbula, a posição do osso hioide, o sexo, o comprimento do palato mole e a posição da língua encontram-se associados à apneia obstrutiva do sono. No entanto, são evidentes as limitações dos dados disponíveis, como a variabilidade das técnicas de diagnóstico e a falta de padronização dos parâmetros cefalométricos utilizados. Esta revisão sistemática reforça a importância da análise cefalométrica como uma potencial ferramenta no rasteio da apneia obstrutiva do sono, apesar das limitações existentes. Conclusões: Esta revisão sistemática enfatiza a importância de uma abordagem integrada e multidisciplinar no tratamento e diagnóstico da apneia obstrutiva do sono. Os doentes com AOS apresentam vias aéreas póstero-superiores mais estreitas, atresia maxilar. Alguns estudos referem ainda que a posição do osso hioide é inferior à orientação do corpo vertebral da C3, a presença de retrognatismo, redução do comprimento mandibular e hipertrofia do palato mole. Avanços nas técnicas de análise e imagem podem oferecer no futuro, novas formas de auxílio no rastreio ou mesmo no diagnostico da apneia obstrutiva do sono.
Introduction: The aim of this monograph is to analyze the knowledge and current literature on screening/diagnosis of obstructive sleep apnea (OSA) through anatomical parameters identified by cephalometry. Materials and Methods: This review was registered on the PROSPERO platform and was written in accordance with the PRISMA statement. The process was carried out on four databases (PubMed, Science direct, Web of Science and Scopus), including only studies from the last 5 years. Respecting the inclusion and exclusion criteria previously selected, the articles identified were analyzed and included or excluded. Results: After screening the articles obtained, ten articles were selected for inclusion in this systematic review and we synthesised the information and data extracted. Discussion: Jaw position, hyoid bone position, gender, soft palate length and tongue position were all associated with obstructive sleep apnoea. However, the limitations of the available data are evident, such as the variability of diagnostic techniques and the lack of standardization of the cephalometric parameters used. This systematic review reinforces the importance of cephalometric analysis as a potential screening tool for obstructive sleep apnoea, despite the existing difficulties. Conclusions: In conclusion, this systematic review emphasizes the importance of an integrated, multidisciplinary approach to the treatment and diagnosis of obstructive sleep apnea. Patients with OSA have narrower postero-superior airways and maxillary atresia. Some studies also report that the location of the hyoid bone is inferior to the orientation of the C3 vertebral body, the presence of retrognathism, reduced mandibular length and hypertrophy of the soft palate. Advances in analysis and imaging techniques may in the future offer new ways of helping to screen for or even diagnose obstructive sleep apnea.
Introduction: The aim of this monograph is to analyze the knowledge and current literature on screening/diagnosis of obstructive sleep apnea (OSA) through anatomical parameters identified by cephalometry. Materials and Methods: This review was registered on the PROSPERO platform and was written in accordance with the PRISMA statement. The process was carried out on four databases (PubMed, Science direct, Web of Science and Scopus), including only studies from the last 5 years. Respecting the inclusion and exclusion criteria previously selected, the articles identified were analyzed and included or excluded. Results: After screening the articles obtained, ten articles were selected for inclusion in this systematic review and we synthesised the information and data extracted. Discussion: Jaw position, hyoid bone position, gender, soft palate length and tongue position were all associated with obstructive sleep apnoea. However, the limitations of the available data are evident, such as the variability of diagnostic techniques and the lack of standardization of the cephalometric parameters used. This systematic review reinforces the importance of cephalometric analysis as a potential screening tool for obstructive sleep apnoea, despite the existing difficulties. Conclusions: In conclusion, this systematic review emphasizes the importance of an integrated, multidisciplinary approach to the treatment and diagnosis of obstructive sleep apnea. Patients with OSA have narrower postero-superior airways and maxillary atresia. Some studies also report that the location of the hyoid bone is inferior to the orientation of the C3 vertebral body, the presence of retrognathism, reduced mandibular length and hypertrophy of the soft palate. Advances in analysis and imaging techniques may in the future offer new ways of helping to screen for or even diagnose obstructive sleep apnea.
Description
Keywords
Análise cefalométrica Apneia obstrutiva do sono AOS Via aérea superior Cephalometric analysis Obstructive sleep apnoea OSA Upper airway