Assessment of cephalometric parameters and correlation with the severity of the obstructive sleep apnea syndrome

Eugenio Garofalo, Giuseppe Neri, Lucilla Maria Perri,Nicola Lombardo, Giovanna Piazzetta,Alessandro Antonelli, Eugenio Biamonte, Vincenzo Bosco, Caterina Battaglia,Corrado Pelaia, Francesco Manti, Annalisa Pitino,Giovanni Tripepi,Andrea Bruni, Michele Morelli,Amerigo Giudice,Federico Longhini

Journal of Translational Medicine(2024)

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摘要
In individuals diagnosed with obstructive sleep apnea syndrome (OSAS), variations in craniofacial structure have been inconsistently documented, showing differing degrees of alteration between obese and nonobese patients. In addition, sleep disturbance has also been shown to induce disequilibrium in this population of patients. This pilot observational study aimed to assess craniofacial values in obese and nonobese subpopulations of patients with OSAS and their correlation and association with the severity of OSAS. We also assessed whether OSAS patients are characterized by an impaired equilibrium in relation to and associated with the severity of OSAS. We included all consecutive adult patients with OSAS. Through cephalometry, we assessed the upper (UPa-UPp) and lower (LPa-LPp) pharynx diameters, superior anterior facial height (Sor-ANS), anterior facial height (ANS-Me), anterior vertical dimension (Sor-Me), posterior facial height (S-Go) and craniovertebral angle (CVA). Furthermore, we analyzed postural equilibrium through a stabilometric examination. Forty consecutive OSAS patients (45
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