Aim The correlation between craniofacial morphology and obstructive sleep apnoea syndrome (OSAS) in children is well known. The majority of the studies however has been performed on the basis of the symptoms reported by parents. The availability of the portable home cardiorespiratory monitoring (PM) can today implement the knowledge through objective signs. Materials and Methods A group of 65 children were observed in consecutive series in occasion of the first orthodontic visit. Parents filled in a questionnaire on the sleep respiratory disturbances. 25 patients with OSAS signs and symptoms and addressed to an orthodontic check-up accepted to undergo a sleep cardiorespiratory monitoring. 10 children with Apnea Hypopnea Index (AHI) > 1.5 have been selected. According to Tweed-Merrifield analysis, pretreatment cephalometric radiographs were evaluated. Results The 10 selected patients (5 males and 5 females; mean age 7.4 +/- 1,5 years) show the following mean values: respiratory: AHI 4.35/h, Oxygen Desaturation Index (ODI) 1.7/h, mean nocturnal oxygen saturation (SaO2) 97.3%; cephalometric: FMA 29,5 +/- 4,88; SNB 76,09 +/- 3,8; Occl Plane 12,68 +/- 2,7; Z Angle 67,5 +/- 4,3; PFH 37.41 +/- 4. Conclusions The patients in the present study show an increased skeletal divergency with a retrognathic mandible.
Scopo del lavoro E’ da tempo nota la correlazione tra morfologia craniofacciale e Sindrome dell’Apnea Ostruttiva Notturna (OSAS) nel bambino. La gran parte degli studi in letteratura tuttavia è stata eseguita sulla base dei sintomi riferiti dai genitori. La maggior disponibilità del monitoraggio cardio-respiratorio domiciliare (PM) può oggi aiutarci ad implementare le conoscenze attraverso segni oggettivi. Materiali e Metodi Da un gruppo di 65 bambini osservati in serie consecutiva in occasione della prima visita ortodontica e i cui genitori, richiesti di compilare un questionario sui disturbi respiratori nel sonno, riferissero segni e sintomi di OSAS, 25 indirizzati a un check-up ortodontico completo hanno accettato di sottoporsi a un monitoraggio cardio-respiratorio notturno da cui sono stati selezionati 10 bambini con Apnea Hypopnea Index (AHI)>1,5. E’ stata eseguita l’analisi cefalometrica secondo Tweed-Merrifield sulle teleradiografie in proiezione latero-laterale del cranio. Risultati I 10 pazienti selezionati (5 maschi e 5 femmine; età media 7,4 +/- 1,5 anni) presentano i seguenti parametri medi: respiratori: AHI 4,35/h, Oxygen Desaturation Index (ODI) 1,7/H, Saturazione media (SaO2) 97,3 %; cefalometrici: FMA 29,5 +/- 4,88; SNB 76,09 +/- 3,8; Occl Plane 12,68 +/- 2,7; Angolo Z 67,5 +/- 4,3; PFH 37,41 +/- 4. Conclusioni I pazienti analizzati mostrano un chiaro pattern iperdivergente con tendenza di crescita in post-rotazione e retrognazia mandibolare.
Craniofacial morphology in orthodontic children with suspected obstructive sleep apnoea syndrome evaluated with home portable monitoring / Arveda, N; Sopetti, G; Segu', M. - STAMPA. - (2011). (Intervento presentato al convegno XXIII Congresso Internazionale SIDO tenutosi a Roma nel 10-12 Novembre 2011).
Craniofacial morphology in orthodontic children with suspected obstructive sleep apnoea syndrome evaluated with home portable monitoring
SEGU' M
2011-01-01
Abstract
Aim The correlation between craniofacial morphology and obstructive sleep apnoea syndrome (OSAS) in children is well known. The majority of the studies however has been performed on the basis of the symptoms reported by parents. The availability of the portable home cardiorespiratory monitoring (PM) can today implement the knowledge through objective signs. Materials and Methods A group of 65 children were observed in consecutive series in occasion of the first orthodontic visit. Parents filled in a questionnaire on the sleep respiratory disturbances. 25 patients with OSAS signs and symptoms and addressed to an orthodontic check-up accepted to undergo a sleep cardiorespiratory monitoring. 10 children with Apnea Hypopnea Index (AHI) > 1.5 have been selected. According to Tweed-Merrifield analysis, pretreatment cephalometric radiographs were evaluated. Results The 10 selected patients (5 males and 5 females; mean age 7.4 +/- 1,5 years) show the following mean values: respiratory: AHI 4.35/h, Oxygen Desaturation Index (ODI) 1.7/h, mean nocturnal oxygen saturation (SaO2) 97.3%; cephalometric: FMA 29,5 +/- 4,88; SNB 76,09 +/- 3,8; Occl Plane 12,68 +/- 2,7; Z Angle 67,5 +/- 4,3; PFH 37.41 +/- 4. Conclusions The patients in the present study show an increased skeletal divergency with a retrognathic mandible.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.