Avaliação tridimensional da via aérea superior na apneia obstrutiva do sono: revisão sistemática da literatura e estudos tomográficos em pacientes tratados com aparelho de avanço mandibular e cirurgia ortognática bimaxilar

Autor: Gurgel, Marcela Lima
Přispěvatelé: Costa, Fábio Wildson Gurgel, Chaves Junior, Cauby Maia, Cevidanes, Lucia Helena Soares
Jazyk: portugalština
Rok vydání: 2021
Předmět:
Zdroj: Repositório Institucional da Universidade Federal do Ceará (UFC)
Universidade Federal do Ceará (UFC)
instacron:UFC
Popis: The aim of this study was to search the literature for methodological parameters involving cone beam computed tomography (CBCT) for the analysis of the upper airway (UA), to evaluate its craniofacial aspects in patients with obstructive sleep apnea (OSA), as well as to compare the influence of mandibular advancement device (MAD) and bimaxillary orthognathic surgery (BOS) on the UA dimensions. Three studies were designed: systematic review (chapter 1), prospective cohort study (chapter 2) and comparative retrospective cohort study (chapter 3). In study 1, 29 articles were included, most of which reported position during CBCT (vertical or supine) and hard tissues as references for assessing UA. The authors differed in the delineation and terminology of the UA. Risk of bias moderate and high were found. The meta-analysis evaluated two subgroups (vertical and supine). No statistical difference was identified between the control group and the OSA group (p = 0.18) considering the area of the upper airway. The volume in the OSA group was statistically lower than the control (p
Databáze: OpenAIRE