Developing pediatric three-dimensional upper airway normative values using fixed and interactive thresholds.
Oral Radiol
; 36(1): 89-99, 2020 01.
Article
em En
| MEDLINE
| ID: mdl-30963481
ABSTRACT
OBJECTIVE:
To develop and compare pediatric upper airway three-dimensional normative values using the two most commonly used cone beam computed tomography (CBCT) software Invivo5 (fixed threshold) and Dolphin 3D (interactive threshold). STUDYDESIGN:
Out of 3738 CBCT scans, scans of 81 pediatric patients were utilized after applying strict exclusion criteria. The sample was grouped into two age groups (7-11 and 12-17 years). Intra-class correlation coefficient was used to test intra-rater and inter-rater reliability and showed coefficients greater than 0.9 indicating good reliability of the methods used.RESULTS:
Paired t tests showed that volumetric and area measurements obtained using Dolphin 3D were significantly larger than those obtained using Invivo5 (p < 0.05). The mean minimal cross-sectional areas (MCSA) for Dolphin 3D were 151 mm2 and 177 mm2 for age groups 1 and 2, respectively. The mean MCSA values for Invivo5 for age groups 1 and 2 were 120 mm2 and 145 mm2, respectively.CONCLUSION:
Pediatric upper airway volumetric, area, and linear measurements were reported after applying strict exclusion criteria including a validated sleep questionnaire. Our goal is that clinicians utilize the proposed-here normative values for screening and assist in the timely diagnosis and management of pediatric sleep apnea.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Nariz
/
Tomografia Computadorizada de Feixe Cônico
Limite:
Child
/
Humans
Idioma:
En
Revista:
Oral Radiol
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Arábia Saudita