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面型对面部口腔矫治器治疗阻塞性睡眠呼吸障碍患者疗效的影响

Influence of the type of facial pattern on the outcome of treatment of patients with obstructive sleep-disordered breathing with an intraoral appliance.

临床研究咽喉科IF 2.1Q2

文献信息

中文摘要

目的: 评估通过标准化照片获得的面型是否影响一组阻塞性睡眠障碍(OSD)患者接受口腔矫治器(OA)治疗的成功率,并验证三名检查者之间关于面型分类的一致性。
方法: 50例阻塞性睡眠呼吸暂停(OSA)患者接受使用标准化照片对面部进行系统评估,以表征面型。患者由三名牙科外科医生以盲法并连续进行检查。
结果: 检查者之间关于面型的一致性很强(κ=0.899)。面型I和II患者之间的OA成功率相似。
结论: 面型I和II不影响OA的成功率。两种面型均可从该治疗中获益,且该测试具有可重复性,检查者间一致性很强。
证据等级: 2级。

英文摘要

OBJECTIVES: To evaluate whether the type of facial pattern obtained from standardized photographs influences the success of treatment with Oral Appliance (OA) in a group of patients with Obstructive Sleep Disorders (OSD), and to verify the agreement between three examiners regarding the classification of the type of facial pattern.
METHODS: Fifty patients with Obstructive Sleep Apnea (OSA) underwent systematic evaluation of the face using standardized photographs to characterize the type of facial pattern. The patients were examined, blindly and consecutively, by three dental surgeons.
RESULTS: There was strong agreement between the examiners about the type of facial pattern (κ = 0.899). OA success rates were similar between patients with facial pattern I and II.
CONCLUSION: The type of facial pattern, I and II, did not influence the success of OA. Both facial patterns can benefit from this, and the test was reproducible with strong inter-rater agreement.
LEVELS OF EVIDENCE: Level 2.