Craniofacial risk factors for obstructive sleep apnea-systematic review and meta-analysis.
cephalometry
sleep apnea syndrome
sleep disordered breathing
Journal
Journal of sleep research
ISSN: 1365-2869
Titre abrégé: J Sleep Res
Pays: England
ID NLM: 9214441
Informations de publication
Date de publication:
23 Jul 2023
23 Jul 2023
Historique:
revised:
26
06
2023
received:
06
02
2023
accepted:
01
07
2023
medline:
24
7
2023
pubmed:
24
7
2023
entrez:
24
7
2023
Statut:
aheadofprint
Résumé
Obstructive sleep apnea (OSA) is caused by temporary partial or complete constriction of the upper airway during sleep which leads to reduced blood oxygen and cardiovascular risks. Main symptoms vary between adults and children leading to misdiagnosis or delayed patient identification. To improve early diagnosis, lateral cephalograms can provide craniofacial measurements associated with a higher risk of OSA. In order to identify the most relevant craniofacial measurements, a systematic literature review with meta-analysis was conducted combining the terms 'orthodontic*', 'craniofacial', 'cephalometr*', 'cephalogram', 'OSA*', 'UARS', 'SDB', 'sleep disordered breathing', 'sleep apnea' and 'sleep apnoea'. Of 3016 publications, 19 were included in the systematic review and meta-analysis, 15 with adult patients and four with children. A total of 16 measurements (six angles, 10 distances) were compared, nine showed a possible influence in patients with OSA compared to controls: NSBa angle (-0.28°), ANB angle (+0.33°), ML-NSL angle (+0.34°), Me-Go-Ar angle (+0.33°), SN distance (-0.70 mm), N-ANS distance (-0.36 mm), MP-H distance (+1.18 mm), uvula length (+1.07 mm) and thickness (+0.96 mm). Posterior airway measurements were not sufficiently described or comparably measured to be statistically analysed. There is some evidence for altered craniofacial anatomy in patients with OSA compared to controls. Lateral cephalograms should be screened for these aspects routinely to improve early diagnosis of OSA and craniofacial orthopaedics should complement the interdisciplinary treatment plan for young patients with OSA.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e14004Informations de copyright
© 2023 The Authors. Journal of Sleep Research published by John Wiley & Sons Ltd on behalf of European Sleep Research Society.
Références
Agha, B., & Johal, A. (2017). Facial phenotype in obstructive sleep apnea-hypopnea syndrome: A systematic review and meta-analysis. Journal of Sleep Research, 26, 122-131. https://doi.org/10.1111/jsr.12485
Akpinar, M. E., Celikoyar, M., Altundag, A., & Kocak, I. (2011). The comparison of cephalometric characteristics in nonobese obstructive sleep apnea subjects and primary snorers cephalometric measures in nonobese OSA and primary snorers. European Archives of Oto-Rhino-Laryngology, 268, 1053-1059. https://doi.org/10.1007/s00405-010-1448-z
Armalaite, J., & Lopatiene, K. (2016). Lateral teleradiography of the head as a diagnostic tool used to predict obstructive sleep apnea. Dento Maxillo Facial Radiology, 45, 20150085. https://doi.org/10.1259/dmfr.20150085
Bacon, W. H., Turlot, J., Krieger, J., & Stierle, J. L. (1990). Cephalometric evaluation of pharyngeal obstructive factors in patients with sleep apneas syndrome. The Angle Orthodontist, 60, 115-122. https://doi.org/10.1043/0003-3219(1990)060<0115:CEOPOF>2.0.CO;2
Battagel, J. M., Johal, A., & Kotecha, B. (2000). A cephalometric comparison of subjects with snoring and obstructive sleep apnoea. European Journal of Orthodontics, 22, 353-365. https://doi.org/10.1093/ejo/22.4.353
Bayat, M., Shariati, M., Rakhshan, V., Abbasi, M., Fateh, A., Sobouti, F., & Davoudmanesh, Z. (2017). Cephalometric risk factors of obstructive sleep apnea. Cranio: The Journal of Craniomandibular Practice, 35, 321-326. https://doi.org/10.1080/08869634.2016.1239850
Benjafield, A. V., Ayas, N. T., Eastwood, P. R., Heinzer, R., Ip, M. S. M., Morrell, M. J., Nunez, C. M., Patel, S. R., Penzel, T., Pépin, J. L., Peppard, P. E., Sinha, S., Tufik, S., Valentine, K., & Malhotra, A. (2019). Estimation of the global prevalence and burden of obstructive sleep apnoea: A literature-based analysis. Cranio: The Journal of Craniomandibular Practice, 35, 321-326. https://doi.org/10.1016/S2213-2600(19)30198-5
Björk, A. (1947). The face in profile. An anthropological X-ray investigation on Swedish children and conscripts. Svensk Tandläkare-Tidskrift, 40, 180-125. https://doi.org/10.1002/ajpa.1330060117
Björk, A. (1950). Some biological aspects of prognathism and occlusion of the teeth. Acta Odontologica Scandinavica, 9, 1-40. https://doi.org/10.3109/00016355009087224
Broadbent, B. H. (1931). A new x-ray technique and its application to orthodontia. The Angle Orthodontist, 1, 45-66.
Brodie, A. G. (1941). On the growth pattern of the human head. From the third month to the eighth year of life. The American Journal of Anatomy, 68, 209-262. https://doi.org/10.1002/aja.1000680204
Coben, S. E. (1955). The integration of facial skeletal variants: A serial cephalometric roentgenographic analysis of craniofacial form and growth. American Journal of Orthodontics, 41, 407-434. https://doi.org/10.1016/0002-9416(55)90153-6
Deberry-Borowiecki, B., Kukwa, A., & Blanks, R. H. (1988). Cephalometric analysis for diagnosis and treatment of obstructive sleep apnea. Laryngoscope, 98, 226-234. https://doi.org/10.1288/00005537-198802000-00021
Deng, J., & Gao, X. (2012). A case-control study of craniofacial features of children with obstructed sleep apnea. Sleep & Breathing = Schlaf & Atmung, 16, 1219-1227. https://doi.org/10.1007/s11325-011-0636-4
Fagundes, N. C. F., Gianoni-Capenakas, S., Heo, G., & Flores-Mir, C. (2022). Craniofacial features in children with obstructive sleep apnea: A systematic review and meta-analysis. Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine, 18, 1865-1875. https://doi.org/10.5664/jcsm.9904
Flores-Mir, C., Korayem, M., Heo, G., Witmans, M., Major, M. P., & Major, P. W. (2013). Craniofacial morphological characteristics in children with obstructive sleep apnea syndrome: A systematic review and meta-analysis. Journal of the American Dental Association, 1939(144), 269-277. https://doi.org/10.14219/jada.archive.2013.0113
Graber, T. M. (1952). New horizons in case analysis-Clinical cephalometrics. American Journal of Orthodontics, 48, 603-624. https://doi.org/10.1016/0002-9416(52)90027-4
Guilleminault, C., Quera-Salva, M. A., Partinen, M., & Jamieson, A. (1988). Women and the obstructive sleep apnea syndrome. Chest, 93, 104-109.
Gungor, A. Y., Turkkahraman, H., Yilmaz, H. H., & Yariktas, M. (2013). Cephalometric comparison of obstructive sleep apnea patients and healthy controls. European Journal of Dentistry, 7, 48-54.
Hayden, J. A., Côté, P., & Bombardier, C. (2006). Evaluation of the quality of prognosis studies in systematic reviews. Annals of Internal Medicine, 144, 427-437. https://doi.org/10.7326/0003-4819-144-6-200603210-00010
Higgins, J. P. T., & Thompson, S. G. (2002). Quantifying heterogeneity in a meta-analysis. Statistics in Medicine, 15, 1539-1558. https://doi.org/10.1002/sim.1186
Higurashi, N., Kikuchi, M., Miyazaki, S., & Itasaka, Y. (2001). Comparison of Ricketts analysis and downs-northwestern analysis for the evaluation of obstructive sleep apnea cephalograms. Psychiatry and Clinical Neurosciences, 55, 259-260. https://doi.org/10.1046/j.1440-1819.2001.00850.x
Hofrath, H. (1931). Die Bedeutung der Röntgenfern- und Abstandsaufnahme für die Diagnostik der Kieferanomalien. Fortschritte der Orthodontik in Theorie und Praxis, 2, 232-258.
Jamieson, A., Guilleminault, C., Partinen, M., & Quera-Salva, M. A. (1986). Obstructive sleep apneic patients have craniomandibular abnormalities. Sleep, 9, 469-477. https://doi.org/10.1093/sleep/9.4.469
Johns, F. R., Strollo, P. J., Buckley, M., & Constantino, J. (1998). The influence of craniofacial structure on obstructive sleep apnea in young adults. Journal of Oral and Maxillofacial Surgery, 56, 596-602. https://doi.org/10.1016/S0278-2391(98)90459-1
Johnson, E. L. (1950). The Frankfort-mandibular plane angle and the facial pattern. American Journal of Orthodontics, 36, 516-533. https://doi.org/10.1016/0002-9416(50)90064-9
Juliano, M. L., Machado, M. A., De Carvalho, L. B., Zancanella, E., Santos, G. M. S., do Prado, L. B. F., & do Prado, G. F. (2009). Polysomnographic findings are associated with cephalometric measurements in mouth-breathing children. Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine, 5, 554-561.
Kapur, V. K., Auckley, D. H., Chowdhuri, S., Kuhlmann, D. C., Mehra, R., Ramar, K., & Harrod, C. G. (2017). Clinical practice guideline for diagnostic testing for adult obstructive sleep apnea: An American Academy of Sleep Medicine clinical practice guideline. Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine, 13, 479-504. https://doi.org/10.5664/jcsm.6506
Katyal, V., Kennedy, D., Martin, J., Dreyer, C., & Sampson, W. (2013). Paediatric sleep-disordered breathing due to upper airway obstruction in the orthodontic setting: A review. Australian Orthodontic Journal, 29, 184-192.
Katyal, V., Pamula, Y., Martin, A. J., Daynes, C. N., Kennedy, J. D., & Sampson, W. J. (2013). Craniofacial and upper airway morphology in pediatric sleep-disordered breathing: Systematic review and meta-analysis. American Journal of Orthodontics and Dentofacial Orthopedics: Official Publication of the American Association of Orthodontists, its Constituent Societies, and the American Board of Orthodontics, 143, 20-30. https://doi.org/10.1016/j.ajodo.2012.08.021
Maltais, F., Carrier, G., Cormier, Y., & Sériès, F. (1991). Cephalometric measurements in snorers, non-snorers, and patients with sleep apnoea. Thorax, 46, 419-423. https://doi.org/10.1136/thx.46.6.419
Miles, P. G., Vig, P. S., Weyant, R. J., Forrest, T. D., & Rockette, H. E. (1996). Craniofacial structure and obstructive sleep apnea syndrome-A qualitative analysis and meta-analysis of the literature. American Journal of Orthodontics and Dentofacial Orthopedics, 109, 163-172. https://doi.org/10.1016/S0889-5406(96)70177-4
Miyao, E., Miyao, M., Ohta, T., Okawa, M., Inafuku, S., Nakayama, M., & Goto, S. (2000). Differential diagnosis of obstructive sleep apnea syndrome patients and snorers using cephalograms. Psychiatry and Clinical Neurosciences, 54, 659-664. https://doi.org/10.1046/j.1440-1819.2000.00774.x
Moher, D., Shamseer, L., Clarke, M., Ghersi, D., Liberati, A., Petticrew, M., Shekelle, P., Stewart, L. A., & PRISMA-P Group. (2015). Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Systematic Reviews, 4, 1-9. https://doi.org/10.1186/2046-4053-4-1
Neelapu, B. C., Kharbanda, O. P., Sardana, H. K., Balachandran, R., Sardana, V., Kapoor, P., Gupta, A., & Vasamsetti, S. (2017). Craniofacial and upper airway morphology in adult obstructive sleep apnea patients: A systematic review and meta-analysis of cephalometric studies. Sleep Medicine Reviews, 31, 79-90. https://doi.org/10.1016/j.smrv.2016.01.007
Pirilä-Parkkinen, K., Löppönen, H., Nieminen, P., Tolonen, U., & Pirttiniemi, P. (2010). Cephalometric evaluation of children with nocturnal sleep-disordered breathing. European Journal of Orthodontics, 32, 662-671. https://doi.org/10.1093/ejo/cjp162
Ricketts, R. M. (1957). Planning treatment on the basis of the facial pattern and an estimate of its growth. The Angle Orthodontist, 27, 14-37. https://doi.org/10.1043/0003-3219(1957)027<0014:PTOTBO>2.0.CO;2
Riley, R., Guilleminault, C., Herran, J., & Powell, N. (1983). Cephalometric analysis and flow-volume loops in obstructive sleep apnea patients. Sleep, 6, 303-311. https://doi.org/10.1093/sleep/6.4.303
Rosen, C. (2000). Diagnostic approaches to childhood obstructive sleep apnea hypopnea syndrome. Sleep & Breathing = Schlaf & Atmung, 4, 177-182. https://doi.org/10.1007/s11325-000-0177-8
Sauer, C., Schlüter, B., Hinz, R., & Gesch, D. (2012). Childhood obstructive sleep apnea syndrome: An interdisciplinary approach: A prospective epidemiological study of 4,318 five-and-a-half-year-old children. Journal of Orofacial Orthopedics = Fortschritte der Kieferorthopadie: Organ/Official Journal Deutsche Gesellschaft Fur Kieferorthopadie, 73, 342-358. https://doi.org/10.1007/s00056-012-0096-x
Shamseer, L., Moher, D., Clarke, M., Ghersi, D., Liberati, A., Petticrew, M., Shekelle, P., Stewart, L. A., & The PRISMA-P Group. (2014). Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: Elaboration and explanation. BMJ, 349, 1-25. https://doi.org/10.1136/bmj.g7647
Steiner, C. C. (1953). Cephalometrics for you and me. American Journal of Orthodontics, 39, 729-755. https://doi.org/10.1016/0002-9416(53)90082-7
Tangugsorn, V., Skatvedt, O., Krogstad, O., & Lyberg, T. (1995a). Obstructive sleep apnoea: A cephalometric study. Part I. Cervico-craniofacial skeletal morphology. European Journal of Orthodontics, 17, 45-56. https://doi.org/10.1093/ejo/17.1.45
Tangugsorn, V., Skatvedt, O., Krogstad, O., & Lyberg, T. (1995b). Obstructive sleep apnoea: A cephalometric study. Part II. Uvulo-glossopharyngeal morphology. European Journal of Orthodontics, 17, 57-67. https://doi.org/10.1093/ejo/17.1.57
Tweed, C. H. (1946). The Frankfort-mandibular plane angle in orthodontic diagnosis, classification, treatment planning, and prognosis. American Journal of Orthodontics and Oral Surgery, 32, 175-230. https://doi.org/10.1016/0096-6347(46)90001-4
Verin, E., Tardif, C., Buffet, X., Marie, J. P., Lacoume, Y., Andrieu-Guitrancourt, J., & Pasquis, P. (2002). Comparison between anatomy and resistance of upper airway in normal subjects, snorers and OSAS patients. Respiration Physiology, 129, 335-343. https://doi.org/10.1016/S0034-5687(01)00324-3
Vieira, B. B., Itikawa, C. E., De Almeida, L. A., Sander, H. H., Aragon, D. C., Anselmo-Lima, W. T., Matsumoto, M., & Valera, F. C. P. (2014). Facial features and hyoid bone position in preschool children with obstructive sleep apnea syndrome. European Archives of Oto-Rhino-Laryngology, 271, 1305-1309. https://doi.org/10.1007/s00405-013-2770-z
Vieira, B. B., Itikawa, C. E., De Almeida, L. A., Sander, H. S., Fernandes, R. M. F., Anselmo-Lima, W. T., & Valera, F. C. P. (2011). Cephalometric evaluation of facial pattern and hyoid bone position in children with obstructive sleep apnea syndrome. International Journal of Pediatric Otorhinolaryngology, 75, 383-386. https://doi.org/10.1016/j.ijporl.2010.12.010
Yadav, R., Bhutia, O., Shukla, G., & Roychoudhury, A. (2014). Distraction osteogenesis for management of obstructive sleep apnoea in temporomandibular joint ankylosis patients before the release of joint. Journal of Cranio-Maxillo-Facial Surgery, 42, 588-594. https://doi.org/10.1016/j.jcms.2013.07.031
Zucconi, M., Ferini-Strambi, L., Palazzi, S., Curci, C., Cucchi, E., & Smirne, S. (1993). Craniofacial cephalometric evaluation in habitual snorers with and without obstructive sleep apnea. Otolaryngology-Head and Neck Surgery: Official Journal of American Academy of Otolaryngology-Head and Neck Surgery, 109, 1007-1013. https://doi.org/10.1177/019459989310900606