Table 2.
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) |
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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; |
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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.