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: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://www.repositorio.ufba.br/ri/handle/ri/1512
Resumo: 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, Jurandyr2011-06-15T20:21:17Z2011-06-15T20:21:17Z20052236-5222http://www.repositorio.ufba.br/ri/handle/ri/1512v. 4, n. 2p. 118-124The 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 RI Repositorio (repositorio@ufba.br) on 2011-06-15T20:21:17Z No. of bitstreams: 1 3060.pdf: 224598 bytes, checksum: a749c269ad4eb9eca71bd5cf55696839 (MD5)Made available in DSpace on 2011-06-15T20:21:17Z (GMT). No. of bitstreams: 1 3060.pdf: 224598 bytes, checksum: a749c269ad4eb9eca71bd5cf55696839 (MD5) Previous issue date: 2005Salvadorsleep apneasnoringcephalometryAccuracy 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/articleengreponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAinfo:eu-repo/semantics/openAccessORIGINAL3060.pdf3060.pdfapplication/pdf224598https://repositorio.ufba.br/bitstream/ri/1512/1/3060.pdfa749c269ad4eb9eca71bd5cf55696839MD51LICENSElicense.txtlicense.txttext/plain1898https://repositorio.ufba.br/bitstream/ri/1512/2/license.txtb8010af9a62b4a52964e8db7bfb3d3a5MD52TEXT3060.pdf.txt3060.pdf.txtExtracted texttext/plain24266https://repositorio.ufba.br/bitstream/ri/1512/3/3060.pdf.txt48bbb464afe0b3e31c170ed60c807ea0MD53ri/15122022-07-05 14:02:51.133oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-07-05T17:02:51Repositório 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
snoring
cephalometry
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
snoring
cephalometry
topic sleep apnea
snoring
cephalometry
description p. 118-124
publishDate 2005
dc.date.issued.fl_str_mv 2005
dc.date.accessioned.fl_str_mv 2011-06-15T20:21:17Z
dc.date.available.fl_str_mv 2011-06-15T20:21:17Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://www.repositorio.ufba.br/ri/handle/ri/1512
dc.identifier.issn.none.fl_str_mv 2236-5222
dc.identifier.number.pt_BR.fl_str_mv v. 4, n. 2
identifier_str_mv 2236-5222
v. 4, n. 2
url http://www.repositorio.ufba.br/ri/handle/ri/1512
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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reponame_str Repositório Institucional da UFBA
collection Repositório Institucional da UFBA
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