Navegando por Palavras-chave "Orthognathic Surgery"

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    Medidas cefalométricas e polissonográficas em pacientes com deficiência transversal e sagital da maxila tratados cirurgicamente
    (Universidade Federal de São Paulo (UNIFESP), 2019-11-30) Bittar, Renato Fortes [UNIFESP]; Pereira, Max Domingues [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    OSAS is characterized by obstruction of the upper airway during sleep. Middle third face DDFs may be a predisposing factor for the syndrome. Cephalometric measurements have been studied to look for an association with polysomnographic changes. Goals: Define if ERMAC or AM provided improvement polysomnography and whether there is an association between polysomnography and cephalometry. Methods: 48 patients divided into 2 groups. Cephalometry and polysomnography at T1 and T2 were analyzed. Through of variance of means and categorical association, we sought identify which surgery provided the best results polysomnography. Pearson correlation was performed between both exams. Result: The variance of the means showed that SatminO2 and TTSsat02 <90% improved in ERMAC (p = 0.021 and P <0.001). At categorical association, ERMAC provided better results for IAH and SatminO 2. Pearson's correlation showed an association between AHI and BMI; awakenings and BMI. At ERMAC, there were associations between IAH and SNA, EAS and MP-H; awakenings and SNA, Co-A and MP-H. In AM there were associations between AHI and Co-A, PoOr-A and MP-H; awakenings and EAS; SatminO2 and SNA, SNB and Co-A. Conclusion: A ERMAC showed improvement of SatminO2 and TTSsatO2 <90% and improvement of categorical values ​​for AHI and SatminO2, when compared to AM. BMI correlated with AHI and awakenings. In ERMAC there was a correlation between AHI and ANS, EAS and MP-H; awakenings and SNA, Co-A and MP-H. In AM, between IAH and Co-A, PoOr-A and MP-H; awakenings and EAS; SatminO2 and SNA, SNB and Co-A.