Three-dimensional photography for the evaluation of facial profiles in obstructive sleep apnoea
Shih-Wei Lin
Sleep Center, Department of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital, Taoyuan, Taiwan
Search for more papers by this authorKate Sutherland
Centre for Sleep Health and Research, Department of Respiratory Medicine, Royal North Shore Hospital, Sydney, NSW, Australia
Sydney Medical School, University of Sydney, Sydney, NSW, Australia
Search for more papers by this authorYu-Fang Liao
Sleep Center, Department of Craniofacial Orthodontics, Chang Gung Memorial Hospital, Taoyuan, Taiwan
Search for more papers by this authorPeter A. Cistulli
Centre for Sleep Health and Research, Department of Respiratory Medicine, Royal North Shore Hospital, Sydney, NSW, Australia
Sydney Medical School, University of Sydney, Sydney, NSW, Australia
Search for more papers by this authorLi-Pang Chuang
Sleep Center, Department of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital, Taoyuan, Taiwan
Search for more papers by this authorYu-Ting Chou
Department of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital, Chiayi, Taiwan
Search for more papers by this authorChih-Hao Chang
Sleep Center, Department of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital, Taoyuan, Taiwan
Search for more papers by this authorChung-Shu Lee
Sleep Center, Department of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital, Taoyuan, Taiwan
Search for more papers by this authorLi-Fu Li
Sleep Center, Department of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital, Taoyuan, Taiwan
Search for more papers by this authorCorresponding Author
Ning-Hung Chen
Sleep Center, Department of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital, Taoyuan, Taiwan
Department of Respiratory Therapy, Chang Gung University, Taoyuan, Taiwan
Correspondence: Ning-Hung Chen, Sleep Center, Department of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital, No 5, Fuxing St., Guishan District, Taoyuan City 333, Taiwan. Email: [email protected]Search for more papers by this authorShih-Wei Lin
Sleep Center, Department of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital, Taoyuan, Taiwan
Search for more papers by this authorKate Sutherland
Centre for Sleep Health and Research, Department of Respiratory Medicine, Royal North Shore Hospital, Sydney, NSW, Australia
Sydney Medical School, University of Sydney, Sydney, NSW, Australia
Search for more papers by this authorYu-Fang Liao
Sleep Center, Department of Craniofacial Orthodontics, Chang Gung Memorial Hospital, Taoyuan, Taiwan
Search for more papers by this authorPeter A. Cistulli
Centre for Sleep Health and Research, Department of Respiratory Medicine, Royal North Shore Hospital, Sydney, NSW, Australia
Sydney Medical School, University of Sydney, Sydney, NSW, Australia
Search for more papers by this authorLi-Pang Chuang
Sleep Center, Department of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital, Taoyuan, Taiwan
Search for more papers by this authorYu-Ting Chou
Department of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital, Chiayi, Taiwan
Search for more papers by this authorChih-Hao Chang
Sleep Center, Department of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital, Taoyuan, Taiwan
Search for more papers by this authorChung-Shu Lee
Sleep Center, Department of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital, Taoyuan, Taiwan
Search for more papers by this authorLi-Fu Li
Sleep Center, Department of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital, Taoyuan, Taiwan
Search for more papers by this authorCorresponding Author
Ning-Hung Chen
Sleep Center, Department of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital, Taoyuan, Taiwan
Department of Respiratory Therapy, Chang Gung University, Taoyuan, Taiwan
Correspondence: Ning-Hung Chen, Sleep Center, Department of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital, No 5, Fuxing St., Guishan District, Taoyuan City 333, Taiwan. Email: [email protected]Search for more papers by this authorABSTRACT
Background and objective
Craniofacial structure is an important determinant of obstructive sleep apnoea (OSA) syndrome risk. Three-dimensional stereo-photogrammetry (3dMD) is a novel technique which allows quantification of the craniofacial profile. This study compares the facial images of OSA patients captured by 3dMD to three-dimensional computed tomography (3-D CT) and two-dimensional (2-D) digital photogrammetry. Measurements were correlated with indices of OSA severity.
Methods
Thirty-eight patients diagnosed with OSA were included, and digital photogrammetry, 3dMD and 3-D CT were performed. Distances, areas, angles and volumes from the images captured by three methods were analysed.
Results
Almost all measurements captured by 3dMD showed strong agreement with 3-D CT measurements. Results from 2-D digital photogrammetry showed poor agreement with 3-D CT. Mandibular width, neck perimeter size and maxillary volume measurements correlated well with the severity of OSA using all three imaging methods. Mandibular length, facial width, binocular width, neck width, cranial base triangle area, cranial base area 1 and middle cranial fossa volume correlated well with OSA severity using 3dMD and 3-D CT, but not with 2-D digital photogrammetry.
Conclusion
3dMD provided accurate craniofacial measurements of OSA patients, which were highly concordant with those obtained by CT, while avoiding the radiation associated with CT.
Supporting Information
| Filename | Description |
|---|---|
| resp13261-sup-0001-AppendixS1.docWord document, 2.3 MB |
Figure S1 Areas and volumes of craniofacial structures. Figure S2 3dMD capture and analysis. |
| resp13261-sup-0002-VideoS1.mp4MPEG-4 video, 2.9 MB |
Video S1 Video of 3dMD craniofacial imaging. |
Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
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