Lateral cephalometric radiograph analysis on obstructive sleep apnea patients
Abstract
Objectives: This review article is aimed to investigate changes in anatomical factors in Obstructive Sleep Apnea (OSA) patients through means of a cephalometric radiograph, which covers relation and size.Review: This literature review used online databases (PubMed and Scopus) discussing obstructive sleep apnea (OSA) in adults aged 18-80 years, using cephalometric analysis, and several keywords such as “obstructive sleep apnea and cephalometry” were employed to do the literature search. The search was limited to full-text articles written in English and published during the 2011-2021 period. Articles were selected by complying with literature review guidelines.
Conclusion: Dentists can detect OSA early through lateral radiograph, which is originally an early screening tool, by paying attention to patients’ position during exposure, irradiation condition (kV, mA and Sec) and patient position in OSA diagnosis in regards to hard and soft tissue being evaluated. The specific craniofacial morphological variable could be a reliable parameter in determining the existence of OSA.
References
Superbi P, Maschtakow L, Luis J, Tanaka O, Carlos J, Giannasi LC. Cephalometric analysis for the diagnosis of sleep apnea : A comparative study between reference values and measure- ments obtained for Brazilian subjects. Dental Press J Orthod. 2013;18(3):143-149.
Chakravarthy B, Prakash O, Kumar H. Craniofacial and upper airway morphology in adult obstructive sleep apnea patients : A systematic review and meta-analysis of cephalometric studies. Sleep Med Rev. 2017;31:79-90.
Armalaite J, Kristina Lopatiene. Lateral teleradiography of the head as a diagnostic tool used to predict obstructive sleep apnea. Dentomaxillofacial Radiol. 2016;45:1-9.
Gungor AY, Turkkahraman H, Yilmaz HH, Murat Yariktas. Cephalometric comparison of obstructive sleep apnea patients and healthy controls. Eur J Dent. 2019;7:48-54.
Lam B, Lam DCL, Ip MSM. Obstructive sleep apnoea in Asia. Int J Tuberc Lung Dis this. 2007;11(1):2-11.
Tepedino M, Illuzzi G, Laurenziello M, et al. Craniofacial morphology in patients with obstructive sleep apnea: cephalometric evaluation. Braz J Otorhinolaryngol. 2020;(xx).
Sutherland K, Lee RWW, Cistulli PA. Obesity and craniofacial structure as risk factors for obstructive sleep apnoea: Impact of ethnicity. Respirology. 2012;17(2):213-222.
Dontsos VK, Chatzigianni A, Papadopoulos MA, Nena E, Steiropoulos P. Upper airway volumetric changes of obstructive sleep apnoea patients treated with oral appliances: A systematic review and meta-analysis. Eur J Orthod. 2021;43(4):399-407.
Geoghegan F, Ahrens A, Mcgrath C, Ha U. An evaluation of two different mandibular advancement devices on craniofacial characteristics and upper airway dimensions of Chinese adult obstructive sleep apnea patients. angle Orthod. 2015;85(6):962-968.
Azagra-Calero E, Espinar-Escalona E, Barrera-Mora JM, Llamas-Carreras JM, Solano-Reina E. Obstructive sleep apnea syndrome (OSAS). Review of the literature. Med Oral Patol Oral Cir Bucal. 2012;17(6).
Stipa C, Cameli M, Sorrenti G, Ippolito DR, Pelligra I, Alessandri-bonetti G. Original article Relationship between cephalometric parameters and the apnoea – hypopnoea index in OSA patients : a retrospective cohort study. Eur J Orthod. 2020;(May 2019):101-106.
Nishanth R, Sinha R, Paul D, Uppada UK, Rama Krishna B V., Tiwari P. Evaluation of Changes in the Pharyngeal Airway Space as a Sequele to Mandibular Advancement Surgery: A Cephalometric Study. J Maxillofac Oral Surg. 2020;19(3):407-413.
Savoldi F, Xinyue G, McGrath CP, et al. Reliability of lateral cephalometric radiographs in the assessment of the upper airway in children: A retrospective study. Angle Orthod. 2020;90(1):47-55.
Silva VG, Pinheiro LAM, Silveira PL da, et al. Correlation between cephalometric data and severity of sleep apnea. Braz J Otorhinolaryngol. 2014;80(3):191-195.
Lin HC, Lai CC, Lin PW, et al. Clinical Prediction Model for Obstructive Sleep Apnea among Adult Patients with Habitual Snoring. Otolaryngol - Head Neck Surg (United States). 2019;161(1):178-185.
Friedman M, Tanyeri H, La Rosa M, et al. Clinical predictors of obstructive sleep apnea. Laryngoscope. 1999;109(12):1901-1907.
Riley R, Guilleminault C, Herran J, Powell N. Cephalometric analyses and flow-volume loops in obstructive sleep apnea patients. Sleep. 1983;6(4):303-311.
McNamara JA. A method of cephalometric evaluation. Am J Orthod. 1984;86(6):449-469.
Galeotti A, Festa P, Viarani V, et al. Correlation between cephalometric variables and obstructive sleep apnoea severity in children. Eur J Paediatr Dent. 2013;20(1):43-47.
Purwanegara MK, Iskandar HB. Radiografi sefalometri lateral sebagai sarana evaluasi kapasitas saluran udara faring. Indones J Dent. Published online 2006:348-352.
Mitchell RB, Garetz S, Moore RH, et al. The use of clinical parameters to predict obstructive sleep apnea syndrome severity in children: The Childhood Adenotonsillectomy (CHAT) study randomized clinical trial. JAMA Otolaryngol - Head Neck Surg. 2015;141(2):130-136.
Albajalan OB, Samsudin AR, Hassan R. Craniofacial morphology of Malay patients with obstructive sleep apnoea. Eur J Orthod 33. 2011;33(November 2010):509-514.
Kim SJ, Ahn HW, Hwang KJ, Kim SW. Respiratory and sleep characteristics based on frequency distribution of craniofacial skeletal patterns in Korean adult patients with obstructive sleep apnea. PLoS One. 2020;15(7):1-16.
Chiang CC, Jeffres M, Hatcher DC, Francisco S. Three-dimensional airway evaluation in 387 subjects from one university orthodontic clinic using cone beam computed tomography Three-dimensional airway evaluation in 387 subjects from one university orthodontic clinic using cone-beam computed tomography. angle Orthod. 2012.
Pham L V., Schwartz AR. The pathogenesis of obstructive sleep apnea. J Thorac Dis. 2015;7(8):1358-1372.
Ramen RN, Dushyanth S, Uday P, Uppada K. Evaluation of Changes in the Pharyngeal Airway Space as a Sequele to Mandibular Advancement Surgery : A Cephalometric Study. J Maxillofac Oral Surg. 2020;19(3):407-413.
Vidović N, Meštrović S, Dogaš Z, et al. Craniofacial morphology of Croatian patients with obstructive sleep apnea. Coll Antropol. 2013;37(1):271-279.
Johal A, Patel SI, Battagel JM. The relationship between craniofacial anatomy and obstructive sleep apnoea: A case-controlled study. J Sleep Res. 2007;16(3):319-326.
Laxmi NV, Talla H, Meesala D, Soujanya S, Naomi N, Poosa M. Importance of cephalographs in diagnosis of patients with sleep apnea. Published online 2021.
Chakravarthy B, Prakash O, Kumar H. Craniofacial and upper airway morphology in adult obstructive sleep apnea patients : A systematic review and meta-analysis of cephalometric studies. Sleep Med Rev. 2017;31:79-90.
Armalaite J, Kristina Lopatiene. Lateral teleradiography of the head as a diagnostic tool used to predict obstructive sleep apnea. Dentomaxillofacial Radiol. 2016;45:1-9.
Gungor AY, Turkkahraman H, Yilmaz HH, Murat Yariktas. Cephalometric comparison of obstructive sleep apnea patients and healthy controls. Eur J Dent. 2019;7:48-54.
Lam B, Lam DCL, Ip MSM. Obstructive sleep apnoea in Asia. Int J Tuberc Lung Dis this. 2007;11(1):2-11.
Tepedino M, Illuzzi G, Laurenziello M, et al. Craniofacial morphology in patients with obstructive sleep apnea: cephalometric evaluation. Braz J Otorhinolaryngol. 2020;(xx).
Sutherland K, Lee RWW, Cistulli PA. Obesity and craniofacial structure as risk factors for obstructive sleep apnoea: Impact of ethnicity. Respirology. 2012;17(2):213-222.
Dontsos VK, Chatzigianni A, Papadopoulos MA, Nena E, Steiropoulos P. Upper airway volumetric changes of obstructive sleep apnoea patients treated with oral appliances: A systematic review and meta-analysis. Eur J Orthod. 2021;43(4):399-407.
Geoghegan F, Ahrens A, Mcgrath C, Ha U. An evaluation of two different mandibular advancement devices on craniofacial characteristics and upper airway dimensions of Chinese adult obstructive sleep apnea patients. angle Orthod. 2015;85(6):962-968.
Azagra-Calero E, Espinar-Escalona E, Barrera-Mora JM, Llamas-Carreras JM, Solano-Reina E. Obstructive sleep apnea syndrome (OSAS). Review of the literature. Med Oral Patol Oral Cir Bucal. 2012;17(6).
Stipa C, Cameli M, Sorrenti G, Ippolito DR, Pelligra I, Alessandri-bonetti G. Original article Relationship between cephalometric parameters and the apnoea – hypopnoea index in OSA patients : a retrospective cohort study. Eur J Orthod. 2020;(May 2019):101-106.
Nishanth R, Sinha R, Paul D, Uppada UK, Rama Krishna B V., Tiwari P. Evaluation of Changes in the Pharyngeal Airway Space as a Sequele to Mandibular Advancement Surgery: A Cephalometric Study. J Maxillofac Oral Surg. 2020;19(3):407-413.
Savoldi F, Xinyue G, McGrath CP, et al. Reliability of lateral cephalometric radiographs in the assessment of the upper airway in children: A retrospective study. Angle Orthod. 2020;90(1):47-55.
Silva VG, Pinheiro LAM, Silveira PL da, et al. Correlation between cephalometric data and severity of sleep apnea. Braz J Otorhinolaryngol. 2014;80(3):191-195.
Lin HC, Lai CC, Lin PW, et al. Clinical Prediction Model for Obstructive Sleep Apnea among Adult Patients with Habitual Snoring. Otolaryngol - Head Neck Surg (United States). 2019;161(1):178-185.
Friedman M, Tanyeri H, La Rosa M, et al. Clinical predictors of obstructive sleep apnea. Laryngoscope. 1999;109(12):1901-1907.
Riley R, Guilleminault C, Herran J, Powell N. Cephalometric analyses and flow-volume loops in obstructive sleep apnea patients. Sleep. 1983;6(4):303-311.
McNamara JA. A method of cephalometric evaluation. Am J Orthod. 1984;86(6):449-469.
Galeotti A, Festa P, Viarani V, et al. Correlation between cephalometric variables and obstructive sleep apnoea severity in children. Eur J Paediatr Dent. 2013;20(1):43-47.
Purwanegara MK, Iskandar HB. Radiografi sefalometri lateral sebagai sarana evaluasi kapasitas saluran udara faring. Indones J Dent. Published online 2006:348-352.
Mitchell RB, Garetz S, Moore RH, et al. The use of clinical parameters to predict obstructive sleep apnea syndrome severity in children: The Childhood Adenotonsillectomy (CHAT) study randomized clinical trial. JAMA Otolaryngol - Head Neck Surg. 2015;141(2):130-136.
Albajalan OB, Samsudin AR, Hassan R. Craniofacial morphology of Malay patients with obstructive sleep apnoea. Eur J Orthod 33. 2011;33(November 2010):509-514.
Kim SJ, Ahn HW, Hwang KJ, Kim SW. Respiratory and sleep characteristics based on frequency distribution of craniofacial skeletal patterns in Korean adult patients with obstructive sleep apnea. PLoS One. 2020;15(7):1-16.
Chiang CC, Jeffres M, Hatcher DC, Francisco S. Three-dimensional airway evaluation in 387 subjects from one university orthodontic clinic using cone beam computed tomography Three-dimensional airway evaluation in 387 subjects from one university orthodontic clinic using cone-beam computed tomography. angle Orthod. 2012.
Pham L V., Schwartz AR. The pathogenesis of obstructive sleep apnea. J Thorac Dis. 2015;7(8):1358-1372.
Ramen RN, Dushyanth S, Uday P, Uppada K. Evaluation of Changes in the Pharyngeal Airway Space as a Sequele to Mandibular Advancement Surgery : A Cephalometric Study. J Maxillofac Oral Surg. 2020;19(3):407-413.
Vidović N, Meštrović S, Dogaš Z, et al. Craniofacial morphology of Croatian patients with obstructive sleep apnea. Coll Antropol. 2013;37(1):271-279.
Johal A, Patel SI, Battagel JM. The relationship between craniofacial anatomy and obstructive sleep apnoea: A case-controlled study. J Sleep Res. 2007;16(3):319-326.
Laxmi NV, Talla H, Meesala D, Soujanya S, Naomi N, Poosa M. Importance of cephalographs in diagnosis of patients with sleep apnea. Published online 2021.
Published
2022-08-31
How to Cite
MUSTAFA, Resky et al.
Lateral cephalometric radiograph analysis on obstructive sleep apnea patients.
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI), [S.l.], v. 6, n. 2, p. 81-88, aug. 2022.
ISSN 2686-1321.
Available at: <http://jurnal.pdgi.or.id/index.php/jrdi/article/view/862>. Date accessed: 23 nov. 2024.
doi: https://doi.org/10.32793/jrdi.v6i2.862.
Section
Review Article
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.