Using craniofacial characteristics to predict optimum airway pressure in obstructive sleep apnea treatment

Cunha, Thúlio Marquez; Guimarães, Thaís; Almeida, Fernanda R.; Haddad, Fernanda Louise Martinho; Godoy, Luciana; Silva, Luciana O.; Tufik, Sérgio; Bittencourt, Lia Rita Azeredo

doi:10.1016/j.bjorl.2018.10.012

Cited by 6 publications

(5 citation statements)

References 30 publications

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“…A classificação varia de I a IV, sendo Classe I, palato mole, fauce, úvula e pilares amigdalianos são visíveis; na Classe II, palato mole, fauce e úvula são visíveis; na Classe III, o palato mole e a base da úvula são visíveis; e na Classe IV, o palato mole não é totalmente visível. Sendo as classes III e IV consideradas desfavoráveis (Cunha et al 2020).…”

Section: Resultsunclassified

A cirurgia ortognática no tratamento da SAHOS: uma revisão de literatura

Reis

Oliveira

Gabrielli

et al. 2021

RSD

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A Síndrome da Apneia ou Hipopneia Obstrutiva do Sono (SAHOS) é o distúrbio do sono mais comum na população e é caracterizada por cinco ou mais episódios de obstrução parcial ou total das Vias Aéreas Superiores (VAS) durante o sono, por um período igual ou maior que 10 segundos. Os sintomas mais comuns relatados são sonolência diurna, roncos noturnos, sono agitado e fadiga excessiva, o que interferem diretamente na qualidade de vida do indivíduo. Este trabalho tem como objetivo abordar a cirurgia ortognática como uma opção de tratamento para a Síndrome da Apneia ou Hipopneia Obstrutiva do Sono. Trata-se de uma revisão de literatura onde foi realizada a busca referente ao tema abordado nas bases de dados SCIELO (Scientific Eletronic Library On-line), PubMed, Science Direct e Google Acadêmico, no período de 2013 a 2020. A SAHOS é um grave problema de saúde pública, e cabe também ao cirurgião dentista diagnosticar e tratar, sendo a cirurgia ortognática de avanço maxilomandibular uma alternativa segura e eficaz.

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Section: Resultsunclassified

A cirurgia ortognática no tratamento da SAHOS: uma revisão de literatura

Reis

Oliveira

Gabrielli

et al. 2021

RSD

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“…We will further expand the sample size, especially female patients in the future research. Secondly, cephalometric data have been considered as significant predictive factors of optimal value of CPAP [33]. Craniofacial structures were not considered in the derivation of our predictive formula, because the additional cost of craniofacial examination may diminish the clinical utility of this equation.…”

Section: Discussionmentioning

confidence: 99%

A predictive model for optimal continuous positive airway pressure in the treatment of pure moderate to severe obstructive sleep apnea in China

et al. 2022

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Background Numerous predictive formulas based on different ethnics have been developed to determine continuous positive airway pressure (CPAP) for patients with obstructive sleep apnea (OSA) without laboratory-based manual titrations. However, few studies have focused on patients with OSA in China. Therefore, this study aimed to develop a predictive equation for determining the optimal value of CPAP for patients with OSA in China. Methods 526 pure moderate to severe OSA patients with attended CPAP titrations during overnight polysomnogram were spited into either formula derivation (419 patients) or validation (107 patients) group according to the treatment time. Predictive model was created in the derivation group, and the accuracy of the model was tested in the validation group. Results Apnea hypopnea index (AHI), body mass index (BMI), longest apnea time (LAT), and minimum percutaneous oxygen saturation (minSpO2) were considered as independent predictors of optimal CPAP through correlation analysis and multiple stepwise regression analysis. The best equation to predict the optimal value of CPAP was: CPAPpred = 7.581 + 0.020*AHI + 0.101*BMI + 0.015*LAT-0.028*minSpO2 (R2 = 27.2%, p < 0.05).The correlation between predictive CPAP and laboratory-determined manual optimal CPAP was significant in the validation group (r = 0.706, p = 0.000). And the pressure determined by the predictive formula did not significantly differ from the manually titrated pressure in the validation cohort (10 ± 1 cmH2O vs. 11 ± 3 cmH2O, p = 0.766). Conclusions The predictive formula based on AHI, BMI, LAT, and minSpO2 is useful in calculating the effective CPAP for patients with pure moderate to severe OSA in China to some extent.

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“…Furthermore, the causal role of traits in OSA is not well established: they could be consequences of OSA rather than causes. Moreover, although algorithms applied to clinical PSG and ideal mandible titration are promising, the measurement of these traits is not routinely available in clinical practice (Okuno et al 2016; Shin et al 2016; Sutherland et al 2017; Cunha et al 2018; Sutherland, Kairaitis, et al 2018; Sutherland, Chapman, et al 2019).…”

Section: Putative Action Mechanisms Of Oas and Other Therapeutic Devicesmentioning

confidence: 99%

Critical Issues in Dental and Medical Management of Obstructive Sleep Apnea

et al. 2019

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This critical review focuses on obstructive sleep apnea (OSA) and its management from a dental medicine perspective. OSA is characterized by ≥10-s cessation of breathing (apnea) or reduction in airflow (hypopnea) ≥5 times per hour with a drop in oxygen and/or rise in carbon dioxide. It can be associated with sleepiness and fatigue, impaired mood and cognition, cardiometabolic complications, and risk for transportation and work accidents. Although sleep apnea is diagnosed by a sleep physician, its management is interdisciplinary. The dentist’s role includes 1) screening patients for OSA risk factors (e.g., retrognathia, high arched palate, enlarged tonsils or tongue, enlarged tori, high Mallampati score, poor sleep, supine sleep position, obesity, hypertension, morning headache or orofacial pain, bruxism); 2) referring to an appropriate health professional as indicated; and 3) providing oral appliance therapy followed by regular dental and sleep medical follow-up. In addition to the device features and provider expertise, anatomic, behavioral, demographic, and neurophysiologic characteristics can influence oral appliance effectiveness in managing OSA. Therefore, OSA treatment should be tailored to each patient individually. This review highlights some of the putative action mechanisms related to oral appliance effectiveness and proposes future research directions.

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Using craniofacial characteristics to predict optimum airway pressure in obstructive sleep apnea treatment

Cited by 6 publications

References 30 publications

A cirurgia ortognática no tratamento da SAHOS: uma revisão de literatura

A cirurgia ortognática no tratamento da SAHOS: uma revisão de literatura

A predictive model for optimal continuous positive airway pressure in the treatment of pure moderate to severe obstructive sleep apnea in China

Critical Issues in Dental and Medical Management of Obstructive Sleep Apnea

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