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Evaluation of facial soft tissues by stereophotogrammetry method in patients with obstructive sleep apnoea: a morphological study
, 1
Affiliations- Department of Orthodontics, Faculty of Dentistry, Izmir Katip Çelebi University, Izmir, Türkiye
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Abstract
Background: We aimed to use the “SomnoMed MAS” device, which brings the mandible forward in obstructive sleep apnoea syndrome patients due to mandibular retrognathia, and to examine its effects on facial soft tissues by stereophotogrammetry (3dMD) method. Materials and methods: Thirty-one patients with a mean age of 44 years and 6 months were included in the study. SomnoMed MAS, one of the splint appliances that position the mandible in front, was applied to all patients and the changes in facial soft tissues were examined by overlapping the images taken at different times with the 3dMD face system. The obtained data were analysed statistically and the level of statistical significance was determined as p ≤ 0.05. Results: Mouth width decreased statistically during T0–T1 period. In T0–T2 period, while crista philtri and labiale inferius points moved backwards, Mouth width, nose width decreased and nasal base width increased. In the T0–T3 period, nasal base width increased statistically, the philtrum width and the mouth width decreased, and the soft tissue nasion point came to the fore. Conclusions: Splint treatment, which positions the mandible in front in adult obstructive sleep apnoea syndrome patients, affected the middle and lower facial soft tissues with the forward and downward translational movement of the lower jaw.
Abstract
Background: We aimed to use the “SomnoMed MAS” device, which brings the mandible forward in obstructive sleep apnoea syndrome patients due to mandibular retrognathia, and to examine its effects on facial soft tissues by stereophotogrammetry (3dMD) method. Materials and methods: Thirty-one patients with a mean age of 44 years and 6 months were included in the study. SomnoMed MAS, one of the splint appliances that position the mandible in front, was applied to all patients and the changes in facial soft tissues were examined by overlapping the images taken at different times with the 3dMD face system. The obtained data were analysed statistically and the level of statistical significance was determined as p ≤ 0.05. Results: Mouth width decreased statistically during T0–T1 period. In T0–T2 period, while crista philtri and labiale inferius points moved backwards, Mouth width, nose width decreased and nasal base width increased. In the T0–T3 period, nasal base width increased statistically, the philtrum width and the mouth width decreased, and the soft tissue nasion point came to the fore. Conclusions: Splint treatment, which positions the mandible in front in adult obstructive sleep apnoea syndrome patients, affected the middle and lower facial soft tissues with the forward and downward translational movement of the lower jaw.
Keywords
appliances, obstructive sleep apnoea syndrome, stereophotogrammetry, snoring
About this articleTitle
Evaluation of facial soft tissues by stereophotogrammetry method in patients with obstructive sleep apnoea: a morphological study
Journal
Issue
Article type
Original article
Pages
432-441
Published online
2021-03-22
Page views
1161
Article views/downloads
922
DOI
Pubmed
Bibliographic record
Folia Morphol 2021;80(2):432-441.
Keywords
appliances
obstructive sleep apnoea syndrome
stereophotogrammetry
snoring
Authors
B. Karadede Ünal
C. Hüseyin
References (32)- Arnett GW, Jelic JS, Kim J, et al. Soft tissue cephalometric analysis: diagnosis and treatment planning of dentofacial deformity. Am J Orthod Dentofacial Orthop. 1999; 116(3): 239–253.
- Bondemark L. Does 2 years’ nocturnal treatment with a mandibular advancement splint in adult patients with snoring and OSAS cause a change in the posture of the mandible? Am J Orthodont Dentofacial Orthopedics. 1999; 116(6): 621–628.
- Boulos MI, Jairam T, Kendzerska T, et al. Normal polysomnography parameters in healthy adults: a systematic review and meta-analysis. Lancet Respir Med. 2019; 7(6): 533–543.
- Chan ASL, Sutherland K, Schwab RJ, et al. The effect of mandibular advancement on upper airway structure in obstructive sleep apnoea. Thorax. 2010; 65(8): 726–732.
- Chan ASL, Sutherland K, Cistulli PA. Mandibular advancement splints for the treatment of obstructive sleep apnea. Expert Rev Respir Med. 2020; 14(1): 81–88.
- Chan FC, Kawamoto HK, Federico C, et al. Soft-tissue volumetric changes following monobloc distraction procedure: analysis using digital three-dimensional photogrammetry system (3dMD). J Craniofac Surg. 2013; 24(2): 416–420.
- Dattilo DJ. The mandibular trapezoid osteotomy for the treatment of obstructive sleep apnea: report of a case. J Oral Maxillofac Surg. 1998; 56(12): 1442–1446.
- Daurat A, Sarhane M, Tiberge M. [Obstructive sleep apnea syndrome and cognition: A review]. Neurophysiol Clin. 2016; 46(3): 201–215.
- Ferguson KA, Cartwright R, Rogers R, et al. Oral appliances for snoring and obstructive sleep apnea: a review. Sleep. 2006; 29(2): 244–262.
- Ferrario VF, Sforza C, Poggio CE, et al. Preliminary evaluation of an electromagnetic three-dimensional digitizer in facial anthropometry. Cleft Palate Craniofac J. 1998; 35(1): 9–15.
- Hammond RJ, Gotsopoulos H, Shen G, et al. A follow-up study of dental and skeletal changes associated with mandibular advancement splint use in obstructive sleep apnea. Am J Orthod Dentofacial Orthop. 2007; 132(6): 806–814.
- Ilea A, Timuș D, Höpken J, et al. Oral appliance therapy in obstructive sleep apnea and snoring - systematic review and new directions of development. Cranio. 2019 [Epub ahead of print]: 1–12.
- Ivanhoe JR, Cibirka RM, Lefebvre CA, et al. Dental considerations in upper airway sleep disorders: A review of the literature. J Prosthet Dent. 1999; 82(6): 685–698.
- Jen R, Orr JE, Li Y, et al. Accuracy of watchpat for the diagnosis of obstructive sleep apnea in patients with chronic obstructive pulmonary disease. COPD. 2020; 17(1): 34–39.
- Kapur VK, Auckley DH, Chowdhuri S, et al. Clinical practice guideline for diagnostic testing for adult obstructive sleep apnea: An American Academy of Sleep Medicine Clinical Practice Guideline. J Clin Sleep Med. 2017; 13(3): 479–504.
- Kau CH, Richmond S, Incrapera A, et al. Three-dimensional surface acquisition systems for the study of facial morphology and their application to maxillofacial surgery. Int J Med Robot. 2007; 3(2): 97–110.
- Lin SW, Sutherland K, Liao YF, et al. Three-dimensional photography for the evaluation of facial profiles in obstructive sleep apnoea. Respirology. 2018; 23(6): 618–625.
- Lugaresi E, Plazzi G. Heavy snorer disease: from snoring to the sleep apnea syndrome--an overview. Respiration. 1997; 64 (Suppl 1): 11–14.
- Lyons MF, Cameron DA, Banham SW. Snoring, sleep apnoea and the role of dental appliances. Dent Update. 2001; 28(5): 254–256.
- Maal TJJ, Verhamme LM, van Loon B, et al. Variation of the face in rest using 3D stereophotogrammetry. Int J Oral Maxillofac Surg. 2011; 40(11): 1252–1257.
- Maspero C, Giannini L, Galbiati G, et al. Obstructive sleep apnea syndrome: a literature review. Minerva Stomatol. 2015; 64(2): 97–109.
- Metzger TE, Kula KS, Eckert GJ, et al. Orthodontic soft-tissue parameters: a comparison of cone-beam computed tomography and the 3dMD imaging system. Am J Orthod Dentofacial Orthop. 2013; 144(5): 672–681.
- Osman AM, Carter SG, Carberry JC, et al. Obstructive sleep apnea: current perspectives. Nat Sci Sleep. 2018; 10: 21–34.
- Ramar K, Dort LC, Katz SG, et al. Clinical practice guideline for the treatment of obstructive sleep apnea and snoring with oral appliance therapy: an update for 2015. J Clin Sleep Med. 2015; 11(7): 773–827.
- Robertson CJ. Dental and skeletal changes associated with long-term mandibular advancement. Sleep. 2001; 24(5): 531–537.
- Sawyer AR, See M, Nduka C. 3D stereophotogrammetry quantitative lip analysis. Aesthetic Plast Surg. 2009; 33(4): 497–504.
- Silva MA, Wolf U, Heinicke F, et al. Cone-beam computed tomography for routine orthodontic treatment planning: a radiation dose evaluation. Am J Orthod Dentofacial Orthop. 2008; 133(5): 640.e1–640.e5.
- Sullivan CE, Issa FG, Berthon-Jones M, et al. Reversal of obstructive sleep apnoea by continuous positive airway pressure applied through the nares. Lancet. 1981; 1(8225): 862–865.
- Taylor HO, Morrison CS, Linden O, et al. Quantitative facial asymmetry: using three-dimensional photogrammetry to measure baseline facial surface symmetry. J Craniofac Surg. 2014; 25(1): 124–128.
- Veasey SC, Rosen IM, Veasey SC, et al. Obstructive sleep apnea in adults. N Engl J Med. 2019; 380(15): 1442–1449.
- Wong JY, Oh AK, Ohta E, et al. Validity and reliability of craniofacial anthropometric measurement of 3D digital photogrammetric images. Cleft Palate Craniofac J. 2008; 45(3): 232–239.
- Yoshida K. Oral device therapy for the upper airway resistance syndrome patient. J Prosthet Dent. 2002; 87(4): 427–430.
