Accuracy of cephalometric pharyngeal analysis for diagnosis of obstructive sleep apnea syndrome (OSAS)

Detalhes bibliográficos
Autor(a) principal: Silva, Emerson Luiz Costa da
Data de Publicação: 2005
Outros Autores: Campos, Paulo Sérgio Flores, Fontes, Francisco Hora de Oliveira, Macedo Sobrinho, João Batista de, Panella, Jurandyr
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://repositorio.ufba.br/ri/handle/ri/20413
Resumo: Art. original(p.118-124)
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spelling Silva, Emerson Luiz Costa daCampos, Paulo Sérgio FloresFontes, Francisco Hora de OliveiraMacedo Sobrinho, João Batista dePanella, JurandyrSilva, Emerson Luiz Costa daCampos, Paulo Sérgio FloresFontes, Francisco Hora de OliveiraMacedo Sobrinho, João Batista dePanella, Jurandyr2016-09-14T13:16:07Z2016-09-14T13:16:07Z2005-05SILVA, E. L. C. da et al. Accuracy of cephalometric pharyngeal analysis for diagnosis of obstructive sleep apnea syndrome (OSAS). R. Ci. méd. biol., Salvador, v. 4, n. 2, p. 113-117, mai./ago. 2005.2236-5222http://repositorio.ufba.br/ri/handle/ri/20413v.4, n.2Art. original(p.118-124)The objective of this study was to verify the accuracy of lateral radiographic cephalometry for the diagnosis of obstructive sleep apnea syndrome (OSAS). The sample was composed of 60 patients, all with clinical suspicion of OSAS. A positive polysomnographic diagnosis requires an apnea-hypopnea index [(A+H)I] per hour of sleep equal to or above five events. A positive cephalometric diagnosis requires superior posterior airway space (PASs)<26 mm and/or middle posterior airway space (PASm)<9 mm and/or inferior posterior airway space (PASi)<11 mm. The statistical study verified the accuracy of the cephalometric analysis in relation to the polysomnographic examination (gold standard). The comparison was established with the McNemar and Cohen’s Kappa Tests. The sensitivity of the cephalometric analysis was 91.5%. The specificity was 38.5%. The positive predictive value was 84.3%. The negative predictive value observed was 55.6%. False negative results occurred in four situations and false positive in eight situations. The McNemar test showed no statistically significant difference between the results obtained by cephalometry and by polysomnography (p=0.388); and the measure of agreement calculated by Cohen’s kappa coefficient was 33.7% (p=0.007), significant for values of p<0.05. The high sensitivity and the elevated positive predictive value of radiographic cephalometry make it a trustworthy tool, capable of diagnosing OSAS patient with a high degree of certainty, and indicating the obstructive site related to the manifestation of the condition. However, the low specificity of radiographic cephalometry and its negative predictive value do not allow its use as an exclusive examination.Submitted by ROBERTO PAULO CORREIA DE ARAÚJO (ppgorgsistem@ufba.br) on 2016-09-14T13:16:07Z No. of bitstreams: 1 4_v.4_2.pdf: 224598 bytes, checksum: a749c269ad4eb9eca71bd5cf55696839 (MD5)Made available in DSpace on 2016-09-14T13:16:07Z (GMT). No. of bitstreams: 1 4_v.4_2.pdf: 224598 bytes, checksum: a749c269ad4eb9eca71bd5cf55696839 (MD5) Previous issue date: 2005-05SalvadorInstituto de Ciências da Saúde/ Universidade Federal da BahiaBrasilhttp://www.portalseer.ufba.br/index.php/cmbio/article/view/4183/3060reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBASleep apnea.Cephalometry.Snoring.Accuracy of cephalometric pharyngeal analysis for diagnosis of obstructive sleep apnea syndrome (OSAS)Revista de Ciências Médicas e Biológicasinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessporORIGINAL4_v.4_2.pdf4_v.4_2.pdfapplication/pdf224598https://repositorio.ufba.br/bitstream/ri/20413/1/4_v.4_2.pdfa749c269ad4eb9eca71bd5cf55696839MD51LICENSElicense.txtlicense.txttext/plain1345https://repositorio.ufba.br/bitstream/ri/20413/2/license.txtff6eaa8b858ea317fded99f125f5fcd0MD52TEXT4_v.4_2.pdf.txt4_v.4_2.pdf.txtExtracted texttext/plain24266https://repositorio.ufba.br/bitstream/ri/20413/3/4_v.4_2.pdf.txt48bbb464afe0b3e31c170ed60c807ea0MD53ri/204132022-07-05 14:03:52.834oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-07-05T17:03:52Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv Accuracy of cephalometric pharyngeal analysis for diagnosis of obstructive sleep apnea syndrome (OSAS)
dc.title.alternative.pt_BR.fl_str_mv Revista de Ciências Médicas e Biológicas
title Accuracy of cephalometric pharyngeal analysis for diagnosis of obstructive sleep apnea syndrome (OSAS)
spellingShingle Accuracy of cephalometric pharyngeal analysis for diagnosis of obstructive sleep apnea syndrome (OSAS)
Silva, Emerson Luiz Costa da
Sleep apnea.
Cephalometry.
Snoring.
title_short Accuracy of cephalometric pharyngeal analysis for diagnosis of obstructive sleep apnea syndrome (OSAS)
title_full Accuracy of cephalometric pharyngeal analysis for diagnosis of obstructive sleep apnea syndrome (OSAS)
title_fullStr Accuracy of cephalometric pharyngeal analysis for diagnosis of obstructive sleep apnea syndrome (OSAS)
title_full_unstemmed Accuracy of cephalometric pharyngeal analysis for diagnosis of obstructive sleep apnea syndrome (OSAS)
title_sort Accuracy of cephalometric pharyngeal analysis for diagnosis of obstructive sleep apnea syndrome (OSAS)
author Silva, Emerson Luiz Costa da
author_facet Silva, Emerson Luiz Costa da
Campos, Paulo Sérgio Flores
Fontes, Francisco Hora de Oliveira
Macedo Sobrinho, João Batista de
Panella, Jurandyr
author_role author
author2 Campos, Paulo Sérgio Flores
Fontes, Francisco Hora de Oliveira
Macedo Sobrinho, João Batista de
Panella, Jurandyr
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Silva, Emerson Luiz Costa da
Campos, Paulo Sérgio Flores
Fontes, Francisco Hora de Oliveira
Macedo Sobrinho, João Batista de
Panella, Jurandyr
Silva, Emerson Luiz Costa da
Campos, Paulo Sérgio Flores
Fontes, Francisco Hora de Oliveira
Macedo Sobrinho, João Batista de
Panella, Jurandyr
dc.subject.por.fl_str_mv Sleep apnea.
Cephalometry.
Snoring.
topic Sleep apnea.
Cephalometry.
Snoring.
description Art. original(p.118-124)
publishDate 2005
dc.date.issued.fl_str_mv 2005-05
dc.date.accessioned.fl_str_mv 2016-09-14T13:16:07Z
dc.date.available.fl_str_mv 2016-09-14T13:16:07Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.citation.fl_str_mv SILVA, E. L. C. da et al. Accuracy of cephalometric pharyngeal analysis for diagnosis of obstructive sleep apnea syndrome (OSAS). R. Ci. méd. biol., Salvador, v. 4, n. 2, p. 113-117, mai./ago. 2005.
dc.identifier.uri.fl_str_mv http://repositorio.ufba.br/ri/handle/ri/20413
dc.identifier.issn.none.fl_str_mv 2236-5222
dc.identifier.number.pt_BR.fl_str_mv v.4, n.2
identifier_str_mv SILVA, E. L. C. da et al. Accuracy of cephalometric pharyngeal analysis for diagnosis of obstructive sleep apnea syndrome (OSAS). R. Ci. méd. biol., Salvador, v. 4, n. 2, p. 113-117, mai./ago. 2005.
2236-5222
v.4, n.2
url http://repositorio.ufba.br/ri/handle/ri/20413
dc.language.iso.fl_str_mv por
language por
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Instituto de Ciências da Saúde/ Universidade Federal da Bahia
dc.publisher.country.fl_str_mv Brasil
publisher.none.fl_str_mv Instituto de Ciências da Saúde/ Universidade Federal da Bahia
dc.source.pt_BR.fl_str_mv http://www.portalseer.ufba.br/index.php/cmbio/article/view/4183/3060
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFBA
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