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《CHINESE JOURNAL OF OTORHINOLARYNGOLOGY》 1998-01
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The value of cephalometric analysis in diagnosis and treatment of obstructive sleep apnea syndrome

Liu Duanjin, Du Xingya, Lin Yuhua, et al. Beijing Tong Ren Hospital, Beijing 100730  
Objectives To study the value of cephalometric analysis in the diagnosis、treatment option and evaluation of prognosis. Methods A detailed cephalometric analysis was performed using lateral X ray films from 50 cases with obstructive sleep apnea syndrome (OSAS) and 30 age and sex matched controls. Results Statistical results showed that OSAS patients were different from controls in the following aspects: ① Their uvula, soft palate and tongue were significantly enlarged. ② The hyoid bone was displaced inferiorly and posteriorly. ③the posterior airway space (palatopharyngeal plane) was narrow. ④ The hard palate was elongated. ⑤ The mandibular body was retropositioned. Fifty unselected consecutive OSAS patients( mean AHI 51.42±3.96, Medilog SAC 847, Oxford UK) underwent LAUPP using CO 2 laser. Twenty five cases were followed up for 4 8months. 10/25 had obtained a reduction in AHI50%、15/25 had AI20 times. The success rate was compared with cephalomentric findings. Conclusion Cephalometry has an important diagnostic and predictive value in the clinical investigation of patients suspected of having OSAS.
【CateGory Index】: R766.43
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