期刊
AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS
卷 160, 期 4, 页码 533-+出版社
MOSBY-ELSEVIER
DOI: 10.1016/j.ajodo.2020.05.020
关键词
-
资金
- Stollery Children's Hospital Foundation, Canada through the Women and Children's Health Research Institute, Canada
- American Association of Orthodontists Foundation, United States
This study investigated the presence of structural anomalies in the nasal cavity in patients at high risk or not of sleep-disordered breathing. The prevalence of subjective DNS and TH assessment was higher than objective assessments. Older patients are more likely to present with DNS.
Introduction: In this study, we investigated the presence of structural anomalies in the nasal cavity (deviated nasal septum [DNS] and turbinate hypertrophy [TH]) in patients at high risk or not of sleep-disordered breathing (SDB). Methods: A retrospective study considering available cone-beam computed tomography scans of 99 patients was conducted. Dolphin Imaging software (Dolphin Imaging and Management Solutions, Chatsworth, Calif) was used to process the craniofacial scans. A pediatric sleep questionnaire (PSQ) was used to suggest a high risk of SDB. Subjective and objective assessments of DNS and TH were considered. Results: Good to excellent intrareliability and interreliability were attained. The prevalence of a PSQ score suggestive of a high risk of SDB in this sample was 59%. The prevalence of subjective DNS and TH assessment was 64% and 70%, respectively. In contrast, on the basis of objective assessments, 27% of patients presented with DNS and 25% with TH. Cross-tabulation of DNS and TH with PSQ score indicated a statistically significant association between subjective DNS and subjective TH and subjective TH and positive PSQ. A positive correlation between age and subjective and objective DNS assessments was also observed. Conclusions: Older patients are more likely to present with DNS. Only the presence of subjectively determined TH in patients is associated with a high risk for SDB. The study reveals that assessment of DNS and TH using cone-beam computed tomography imaging is not likely suitable to strongly suggest patients at high risk for SDB. DNS subjective assessments were capable of identifying less than 5% of deviation
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