关键词: Craniofacial morphology Obstructive sleep apnea Photogrammetry Systematic review

来  源:   DOI:10.1007/s11325-024-03103-3

Abstract:
OBJECTIVE: Craniofacial morphology is integral to Sleep Breathing Disorders (SBD), particularly Obstructive Sleep Apnea (OSA), informing treatment strategies. This review assesses the utility of two-dimensional (2D) photogrammetry in evaluating these metrics among OSA patients.
METHODS: Following PRISMA guidelines, a systematic review was conducted. PubMed, Embase, and Lilacs databases were systematically searched for studies utilizing 2D photography in SBD. Findings were narratively synthesized.
RESULTS: Thirteen studies involving 2,328 patients were included. Significant correlations were found between craniofacial measurements-specifically neck parameters and facial width-and OSA severity, even after BMI adjustment. Ethnic disparities in craniofacial morphology were observed, with photogrammetry effective in predicting OSA in Caucasians and Asians, though data for other ethnicities were limited. Pediatric studies suggest the potential of craniofacial measurements as predictors of childhood OSA, with certain caveats.
CONCLUSIONS: 2D photogrammetry emerges as a practical and non-invasive tool correlating with OSA severity across diverse populations. However, further validation in various ethnic cohorts is essential to enhance the generalizability of these findings.
摘要:
目的:颅面形态是睡眠呼吸障碍(SBD)的组成部分,尤其是阻塞性睡眠呼吸暂停(OSA),告知治疗策略。这篇综述评估了二维(2D)摄影测量在评估OSA患者中这些指标中的实用性。
方法:遵循PRISMA指南,进行了系统审查。PubMed,Embase,系统地搜索了Lilacs数据库,以利用SBD中的2D摄影进行研究。研究结果是叙事综合的。
结果:共纳入13项研究,涉及2,328例患者。发现颅面测量-特别是颈部参数和面部宽度-以及OSA严重程度之间存在显着相关性,即使在BMI调整后。观察到颅面形态的种族差异,摄影测量法可以有效预测白种人和亚洲人的OSA,尽管其他种族的数据有限。儿科研究表明,颅面测量可能是儿童OSA的预测因子,有一定的警告。
结论:2D摄影测量作为一种实用且非侵入性的工具,与不同人群的OSA严重程度相关。然而,在不同种族队列中的进一步验证对于增强这些发现的普遍性至关重要.
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