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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se estudian los &#237;ndices cefalom&#233;tricos determinados en 16 pacientes diagnosticados de s&#237;ndrome de apnea del sue&#241;o &#40;SAOS&#41;&#44; y se comparan con los medidos en 12 sujetos controles&#44; para determinar si existen en ellos alteraciones estructurales de base que los diferencien&#44; investigando la existencia de alg&#250;n patr&#243;n facial caracter&#237;stico de dichos pacientes con SAOS&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Nuestros resultados revelan la existencia de un micrognatismo del maxilar superior en pacientes con SAOS &#40;derivado de la disminuci&#243;n significativa de los &#237;ndices convexidad&#44; Mx 1&#44; y &#225;ngulos SNA y ANB&#41;&#44; una mayor longitud del paladar blando y una disminuci&#243;n de la profundidad far&#237;ngea funcional&#46; Todo ello va a producir una disminuci&#243;n de la permeabilidad del espacio a&#233;reo far&#237;ngeo posterior&#46; Adem&#225;s&#44; se observa un patr&#243;n facial alargado&#44; dolicocef&#225;lico&#44; en pacientes con SAOS&#44; con producci&#243;n de mordida abierta anterior&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se analizan las limitaciones de la cefalometr&#237;a convencional&#44; reconociendo su utilidad en el establecimiento de una l&#237;nea base previa al tratamiento y en la evaluaci&#243;n posquir&#250;rgica&#44; aunque se hace constar no obstante que para la valoraci&#243;n del tratamiento quir&#250;rgico de los pacientes con SAOS&#44; no deber&#237;a de utilizarse un &#250;nico test de estudio&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The cephalometric indexes of 16 patients with obstructive sleep apnea syndrome &#40;OSAS&#41; were compared with those of 12 Controls in order to determine if fundamental anatomical changes were present in the patients and to identify a pattern of facial features that might be characteristic of individuals with OSAS&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Our results point to micrognathia of the upper maxilla in OSAS patients &#40;indicated by significantly lower indexes for convexity&#44; Mx 1&#44; and the angles SNA and ANB&#41;&#46; We also found a longer soft palate and a functionally shallower pharynx&#46; Together theses features reduce the permeability of the posterior pharyngeal air space&#46; Additionally&#44; we observed a dolichocephalic facial pattern in OSAS patients&#44; along with a tendency to morbid anterior opening&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We analyze the limitations of conventional cephalometry&#46; While recognizing its usefulness in establishing baseline indexes before treatment and in postsurgical assessm&#233;nt&#44; we nevertheless point out that it cannot be relied upon as the only test for evaluating surgical correction in OSAS patients&#46;</p></span>"
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Índices cefalométricos en pacientes con síndrome de apnea del sueño
Cephalometric indexes in patients with sleep apnea syndrome
A. de Vega Gómez1, M. Corrales Zarauza, F. Payo Losa
Servicio de Fisiología Respiratoria. Hospital Central de Asturias (Instituto Nacional de Silicosis). Oviedo
J. Cobo Plana*
* Cátedra de Ortodoncia. Escuela de Estomatología. Universidad de Oviedo. Oviedo
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Article information
ISSN: 03002896
Original language: Spanish
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2017 August 8 50 58
2017 July 3 43 46
2017 June 10 35 45
2017 May 24 30 54
2017 April 4 33 37
2017 March 5 41 46
2017 February 7 49 56
2017 January 5 22 27
2016 December 4 22 26
2016 November 8 48 56
2016 October 9 49 58
2016 September 37 101 138
2016 August 67 90 157
2016 July 40 31 71
2016 June 33 27 60
2016 May 38 30 68
2016 April 9 0 9
2016 March 13 0 13
2016 February 14 2 16
2016 January 37 25 62
2015 December 32 15 47
2015 November 34 12 46
2015 October 6 1 7
2015 September 2 0 2
2015 August 3 0 3
2015 June 1 0 1
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