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. 2020 Jun 15;86(5):647–653. doi: 10.1016/j.bjorl.2020.05.010

Table 2.

Descriptive studies.

Author Sample Study PAP mask Follow up Evaluation Results
Li et al. (2000) One case
15 years
Case report Nasal mask 10 years Lateral teleradiography (without mensures) Hypoplasia of midface and skeletal class III;
No baseline measures were reported.
Villa et al. (2002) One case
7 years
Case report Nasal mask 7 years, 10 h/day (mean) Lateral teleradiography Maxillary hypoplasia (ANB = −2.7; SNA = 82.4; SNB = 85.1)
No baseline measures were reported
After orthopedic treatment (Delaire mask) associated with PAP there was an improvement in cephalometric measurements
Fauroux et al. (2005) 3 groups: Cross-sectional Nasal mask 15 months (mean), at least 6 h/day Clinical evaluation 68% of the sample had global facial flattening
OSA group, n = 16
10 years (mean)
43% had flattening of the forehead; 38% had flattening of the malar area and 28% had flattening in the maxilla
Neuromuscular disturbance group, n = 14
11.8 years (mean)
Concave face was present in 12% of the patients
Flattening was associated with more than 10 h of use
Cystic fibrosis group, n = 10
15.8 years (mean)
No baseline measures were reported.
Korayem et al. (2013) 2 groups: Cross-sectional Nasal mask 6 months (mean), 5.9 h/day (mean) Lateral teleradiography by CBCT (SN, BaSN, SNA, PP-SN, CoANS, ANS-PNS, U1-PP, Anperp, OLp-A, SNB, ArFome, FoMe, ANB, Wits) There were no differences between groups in relation to cephalometric measurements
OSA CPAP group, n = 12
9 years (mean)
No baseline measures were reported.
OSA control group, n = 11
10 years (mean)
Roberts et al. (2016) 2 groups: Retrospective cohort Nasal mask 2.6 years (mean), more than 20 h/week Lateral teleradiography (SNA, SN, ANS-PNS, SN-PP, Ba-S-N, A-SN7, A-SN71, U1-SN, U1-PP) PAP compliant group showed less positive annual cephalometric changes than the PAP non-compliant group (SNA, ANS-PNS, SN-PP, A-SN7, A-SN71, U1-SN, U1-PP), after adjusting for age, gender, and primary craniofacial diagnosis;
CPAP compliance, n = 50
10 years (mean)
CPAP;
CPAP noncompliant, n = 50
<20 h/week for <6
months
9 years (mean)
The PAP compliant group had more midface retrusion, flaring of the upper incisor and counter-clockwise tipping of the palatal plane than the control.

CBCT, cone beam computer tomography; CPAP, continuous positive airway; OSA, obstructive sleep apnea; PAP, positive airway pressure; ANB (degrees), A-point–nasion–B-point: relative position of mandible to maxilla; A-NPerp (mm), A-point-perpendicular to Frankfort horizontal at N: maxillary projection; ANS-PNS (mm), anterior nasal spine-posterior nasal spine: length of palate; ANS-PNS (mm), length of maxilla; ArGoMe (degrees), articulare–gonion–menton: angle of mandible; A-SN7 (mm), effective maxillary height, vertical distance from anterior maxilla to the SN7 (7° below S-N) line; A-SN7⊥ (mm), effective maxillary length, anteroposterior distance from anterior maxilla to a line perpendicular to the SN7 line; Ba-S-N (degrees), degree of flexure of cranial base; Co-ANS (mm), condylion-ANS: maxillary anteroposterior projection; Go-Me (mm), gonion–menton: length of mandibular body Maxilla-mandible; OLp-A (mm), linear distance between A-point and a line drawn perpendicular to the occlusal plane at sella (OLp); S-N (mm), length of anterior cranial base; SNA (degrees), anteroposterior projection of anterior maxilla relative to anterior cranial base; SNB (degrees), sella–nasion–basion: mandibular anteroposterior projection; SN-PP (degrees), angulation of palatal plane relative to anterior cranial base; U1-SN (degrees), inclination of upper incisor relative to anterior cranial base; U1-PP (degrees), angulation of maxillary incisor to palatal plane; U1-PP (degrees), inclination of upper incisor relative to palatal plane; Wits (mm), distance between perpendiculars to occlusal plane at Points A and B.