Confiabilidad de la evaluación de las dimensiones de la vía aérea superior con tomografía de haz cónico : scoping review
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Fecha
2022
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Facultad/escuela
Idioma
es
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Universidad Andrés Bello
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Licencia CC
Licencia CC
Resumen
Objetivo: analizar la evidencia científica disponible, que estudia la precisión y
confiabilidad de la tomografía computarizada tipo Cone Beam para la evaluación de la
vía aérea superior. Metodología: el presente Scoping Review se llevó a cabo de acuerdo
a la metodología del Joanna Briggs Institute (JBI) para revisiones de alcance. Se realizó
una estrategia de búsqueda para cada base de datos: PUBMED, SCIELO y SCOPUS.
Los criterios de inclusión fueron estudios imagenológicos realizados en humanos, que
analizaran y/o evaluaran la confiabilidad del estudio de la vía aérea superior por medio
de una tomografía computarizada tipo Cone Beam. Resultados: fueron incluidos 11
estudios sin limitación de fecha de publicación para la extracción de datos,
correspondientes a estudios de comparación de métodos diagnósticos, observacionales
transversales retrospectivos, analíticos transversales y revisiones
sistemáticas/metanálisis. Las conclusiones más reportadas fueron que el cefalograma
lateral entrega información parcial de la vía aérea superior y que existe una débil
correlación entre este examen y CBCT, y que el CBCT mostró ser confiable para la
evaluación de la vía aérea superior y es, sin embargo, dependiente de varios factores
relacionados al proceso de adquisición. Conclusiones: CBCT es relativamente confiable
para la evaluación de las dimensiones de la vía aérea superior gracias a softwares
validados para entregar mediciones precisas y acertadas, pero para lograr la máxima
precisión y confiabilidad, se debe estandarizar el método de obtención de este examen
porque las dimensiones varían según la posición del paciente y de la cabeza, delimitación
de la vía aérea y localización de puntos de referencia, entre otros.
Objective: to analyze the available scientific evidence, which studies the accuracy and reliability of Cone Beam computed tomography for the evaluation of the upper airway. Methodology: this Scoping Review was carried out according to the Joanna Briggs Institute (JBI) methodology for scoping reviews. A search strategy was carried out for each database: PUBMED, SCIELO and SCOPUS. The inclusion criteria were imaging studies performed in humans, which analyzed and/or evaluated the reliability of the study of the upper airway by means of a Cone Beam computed tomography. Results: 11 studies were included without limitation of publication date for data extraction, corresponding to comparison studies of diagnostic methods, retrospective cross-sectional observational studies, cross-sectional analytical studies and systematic reviews/meta-analyses. The most reported conclusions were that the lateral cephalogram provides partial information on the upper airway and that there is a weak correlation between this test and CBCT, and that the CBCT proved to be reliable for the evaluation of the upper airway and is, however, dependent on several factors related to the acquisition process. Conclusions: CBCT is relatively reliable for the evaluation of the dimensions of the upper airway thanks to validated software to deliver accurate and correct measurements, but to achieve maximum precision and reliability, the method of obtaining this test must be standardized because the dimensions they vary according to the position of the patient and the head, delimitation of the airway and location of reference points, among others.
Objective: to analyze the available scientific evidence, which studies the accuracy and reliability of Cone Beam computed tomography for the evaluation of the upper airway. Methodology: this Scoping Review was carried out according to the Joanna Briggs Institute (JBI) methodology for scoping reviews. A search strategy was carried out for each database: PUBMED, SCIELO and SCOPUS. The inclusion criteria were imaging studies performed in humans, which analyzed and/or evaluated the reliability of the study of the upper airway by means of a Cone Beam computed tomography. Results: 11 studies were included without limitation of publication date for data extraction, corresponding to comparison studies of diagnostic methods, retrospective cross-sectional observational studies, cross-sectional analytical studies and systematic reviews/meta-analyses. The most reported conclusions were that the lateral cephalogram provides partial information on the upper airway and that there is a weak correlation between this test and CBCT, and that the CBCT proved to be reliable for the evaluation of the upper airway and is, however, dependent on several factors related to the acquisition process. Conclusions: CBCT is relatively reliable for the evaluation of the dimensions of the upper airway thanks to validated software to deliver accurate and correct measurements, but to achieve maximum precision and reliability, the method of obtaining this test must be standardized because the dimensions they vary according to the position of the patient and the head, delimitation of the airway and location of reference points, among others.
Notas
Tesis (Cirujano Dentista)
Palabras clave
Tomografía Computarizada de Haz Cónico, Análisis, Radiografía Dental, Técnica, Upper airway,, Cone beam, dimensions, reliability