Parâmetros de análise cefalométrica craniofacial preditivos da AOS - apneia obstrutiva do sono

: revisão sistemática

Abstract

Introduction: The aim of this monograph is to analyze the knowledge and current literature on screening/diagnosis of obstructive sleep apnea (OSA) through anatomical parameters identified by cephalometry. Materials and Methods: This review was registered on the PROSPERO platform and was written in accordance with the PRISMA statement. The process was carried out on four databases (PubMed, Science direct, Web of Science and Scopus), including only studies from the last 5 years. Respecting the inclusion and exclusion criteria previously selected, the articles identified were analyzed and included or excluded. Results: After screening the articles obtained, ten articles were selected for inclusion in this systematic review and we synthesised the information and data extracted. Discussion: Jaw position, hyoid bone position, gender, soft palate length and tongue position were all associated with obstructive sleep apnoea. However, the limitations of the available data are evident, such as the variability of diagnostic techniques and the lack of standardization of the cephalometric parameters used. This systematic review reinforces the importance of cephalometric analysis as a potential screening tool for obstructive sleep apnoea, despite the existing difficulties. Conclusions: In conclusion, this systematic review emphasizes the importance of an integrated, multidisciplinary approach to the treatment and diagnosis of obstructive sleep apnea. Patients with OSA have narrower postero-superior airways and maxillary atresia. Some studies also report that the location of the hyoid bone is inferior to the orientation of the C3 vertebral body, the presence of retrognathism, reduced mandibular length and hypertrophy of the soft palate. Advances in analysis and imaging techniques may in the future offer new ways of helping to screen for or even diagnose obstructive sleep apnea.

Date of Award	19 Jul 2024
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Susana Falardo (Supervisor) & Ana Rita Carvalho (Co-Supervisor)