Facial morphology and obstructive sleep apnea

Detalhes bibliográficos
Autor(a) principal: Capistrano,Anderson
Data de Publicação: 2015
Outros Autores: Cordeiro,Aldir, Capelozza Filho,Leopoldino, Almeida,Veridiana Correia, Silva,Priscila Izabela de Castro e, Martinez,Sandra, Almeida-Pedrin,Renata Rodrigues de
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Dental Press Journal of Orthodontics
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512015000600060
Resumo: Objective: This study aimed at assessing the relationship between facial morphological patterns (I, II, III, Long Face and Short Face) as well as facial types (brachyfacial, mesofacial and dolichofacial) and obstructive sleep apnea (OSA) in patients attending a center specialized in sleep disorders. Methods: Frontal, lateral and smile photographs of 252 patients (157 men and 95 women), randomly selected from a polysomnography clinic, with mean age of 40.62 years, were evaluated. In order to obtain diagnosis of facial morphology, the sample was sent to three professors of Orthodontics trained to classify patients' face according to five patterns, as follows: 1) Pattern I; 2) Pattern II; 3) Pattern III; 4) Long facial pattern; 5) Short facial pattern. Intraexaminer agreement was assessed by means of Kappa index. The professors ranked patients' facial type based on a facial index that considers the proportion between facial width and height. Results: The multiple linear regression model evinced that, when compared to Pattern I, Pattern II had the apnea and hypopnea index (AHI) worsened in 6.98 episodes. However, when Pattern II was compared to Pattern III patients, the index for the latter was 11.45 episodes lower. As for the facial type, brachyfacial patients had a mean AHI of 22.34, while dolichofacial patients had a significantly statistical lower index of 10.52. Conclusion: Patients' facial morphology influences OSA. Pattern II and brachyfacial patients had greater AHI, while Pattern III patients showed a lower index.
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spelling Facial morphology and obstructive sleep apneaDiagnosisFaceObstructive sleep apnea Objective: This study aimed at assessing the relationship between facial morphological patterns (I, II, III, Long Face and Short Face) as well as facial types (brachyfacial, mesofacial and dolichofacial) and obstructive sleep apnea (OSA) in patients attending a center specialized in sleep disorders. Methods: Frontal, lateral and smile photographs of 252 patients (157 men and 95 women), randomly selected from a polysomnography clinic, with mean age of 40.62 years, were evaluated. In order to obtain diagnosis of facial morphology, the sample was sent to three professors of Orthodontics trained to classify patients' face according to five patterns, as follows: 1) Pattern I; 2) Pattern II; 3) Pattern III; 4) Long facial pattern; 5) Short facial pattern. Intraexaminer agreement was assessed by means of Kappa index. The professors ranked patients' facial type based on a facial index that considers the proportion between facial width and height. Results: The multiple linear regression model evinced that, when compared to Pattern I, Pattern II had the apnea and hypopnea index (AHI) worsened in 6.98 episodes. However, when Pattern II was compared to Pattern III patients, the index for the latter was 11.45 episodes lower. As for the facial type, brachyfacial patients had a mean AHI of 22.34, while dolichofacial patients had a significantly statistical lower index of 10.52. Conclusion: Patients' facial morphology influences OSA. Pattern II and brachyfacial patients had greater AHI, while Pattern III patients showed a lower index.Dental Press International2015-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512015000600060Dental Press Journal of Orthodontics v.20 n.6 2015reponame:Dental Press Journal of Orthodonticsinstname:Dental Press International (DPI)instacron:DPI10.1590/2177-6709.20.6.060-067.oarinfo:eu-repo/semantics/openAccessCapistrano,AndersonCordeiro,AldirCapelozza Filho,LeopoldinoAlmeida,Veridiana CorreiaSilva,Priscila Izabela de Castro eMartinez,SandraAlmeida-Pedrin,Renata Rodrigues deeng2016-02-15T00:00:00Zoai:scielo:S2176-94512015000600060Revistahttp://www.scielo.br/dpjoONGhttps://old.scielo.br/oai/scielo-oai.phpartigos@dentalpress.com.br||davidnormando@hotmail.com2177-67092176-9451opendoar:2016-02-15T00:00Dental Press Journal of Orthodontics - Dental Press International (DPI)false
dc.title.none.fl_str_mv Facial morphology and obstructive sleep apnea
title Facial morphology and obstructive sleep apnea
spellingShingle Facial morphology and obstructive sleep apnea
Capistrano,Anderson
Diagnosis
Face
Obstructive sleep apnea
title_short Facial morphology and obstructive sleep apnea
title_full Facial morphology and obstructive sleep apnea
title_fullStr Facial morphology and obstructive sleep apnea
title_full_unstemmed Facial morphology and obstructive sleep apnea
title_sort Facial morphology and obstructive sleep apnea
author Capistrano,Anderson
author_facet Capistrano,Anderson
Cordeiro,Aldir
Capelozza Filho,Leopoldino
Almeida,Veridiana Correia
Silva,Priscila Izabela de Castro e
Martinez,Sandra
Almeida-Pedrin,Renata Rodrigues de
author_role author
author2 Cordeiro,Aldir
Capelozza Filho,Leopoldino
Almeida,Veridiana Correia
Silva,Priscila Izabela de Castro e
Martinez,Sandra
Almeida-Pedrin,Renata Rodrigues de
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Capistrano,Anderson
Cordeiro,Aldir
Capelozza Filho,Leopoldino
Almeida,Veridiana Correia
Silva,Priscila Izabela de Castro e
Martinez,Sandra
Almeida-Pedrin,Renata Rodrigues de
dc.subject.por.fl_str_mv Diagnosis
Face
Obstructive sleep apnea
topic Diagnosis
Face
Obstructive sleep apnea
description Objective: This study aimed at assessing the relationship between facial morphological patterns (I, II, III, Long Face and Short Face) as well as facial types (brachyfacial, mesofacial and dolichofacial) and obstructive sleep apnea (OSA) in patients attending a center specialized in sleep disorders. Methods: Frontal, lateral and smile photographs of 252 patients (157 men and 95 women), randomly selected from a polysomnography clinic, with mean age of 40.62 years, were evaluated. In order to obtain diagnosis of facial morphology, the sample was sent to three professors of Orthodontics trained to classify patients' face according to five patterns, as follows: 1) Pattern I; 2) Pattern II; 3) Pattern III; 4) Long facial pattern; 5) Short facial pattern. Intraexaminer agreement was assessed by means of Kappa index. The professors ranked patients' facial type based on a facial index that considers the proportion between facial width and height. Results: The multiple linear regression model evinced that, when compared to Pattern I, Pattern II had the apnea and hypopnea index (AHI) worsened in 6.98 episodes. However, when Pattern II was compared to Pattern III patients, the index for the latter was 11.45 episodes lower. As for the facial type, brachyfacial patients had a mean AHI of 22.34, while dolichofacial patients had a significantly statistical lower index of 10.52. Conclusion: Patients' facial morphology influences OSA. Pattern II and brachyfacial patients had greater AHI, while Pattern III patients showed a lower index.
publishDate 2015
dc.date.none.fl_str_mv 2015-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512015000600060
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512015000600060
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/2177-6709.20.6.060-067.oar
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Dental Press International
publisher.none.fl_str_mv Dental Press International
dc.source.none.fl_str_mv Dental Press Journal of Orthodontics v.20 n.6 2015
reponame:Dental Press Journal of Orthodontics
instname:Dental Press International (DPI)
instacron:DPI
instname_str Dental Press International (DPI)
instacron_str DPI
institution DPI
reponame_str Dental Press Journal of Orthodontics
collection Dental Press Journal of Orthodontics
repository.name.fl_str_mv Dental Press Journal of Orthodontics - Dental Press International (DPI)
repository.mail.fl_str_mv artigos@dentalpress.com.br||davidnormando@hotmail.com
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