PMID- 31403838 OWN - NLM STAT- MEDLINE DCOM- 20200814 LR - 20210504 IS - 1945-7103 (Electronic) IS - 0003-3219 (Print) IS - 0003-3219 (Linking) VI - 90 IP - 1 DP - 2020 Jan TI - Reliability of lateral cephalometric radiographs in the assessment of the upper airway in children: A retrospective study. PG - 47-55 LID - 10.2319/022119-131.1 [doi] AB - OBJECTIVES: To test the reliability of Lateral cephalometric radiographs (LCRs) for use in the assessment of the upper airway, hyoid bone, soft palate, and tongue. MATERIALS AND METHODS: The records of 57 healthy Chinese children from a nonhospital population (mean age = 12.6 years, SD = 0.5, 28 males and 29 females) who received two consecutive LCRs in the natural head posture were retrospectively analyzed. Fifteen linear, angular, and area measurements were used to describe the airway, hyoid bone, soft palate, and tongue. The reliability between the two LCRs was assessed with the intraclass correlation coefficient (ICC) and F-test. Errors were estimated with the Dahlberg and Bland-Altman method, and intra- and inter-assessor agreements were determined. RESULTS: Measurements of upper airway and hyoid bone had excellent method reliability, intra-assessor reliability, and inter-assessor reliability (ICC > 0.8). However, the method reliability and the inter-assessor reliability for soft palate and tongue was less favorable (ICC from 0.60 to 0.96). Soft palate area and thickness were the most critical parameters. Intra-assessor reliability was greater than both method reliability and inter-assessor reliability (which were similar). CONCLUSIONS: The measurement of upper airway morphology, defined as the intramural space, and of the hyoid bone position were highly reliable on LCRs of children. However, the limited reliability in the assessment of tongue and soft palate area may compromise the diagnostic application of LCRs to these structures. FAU - Savoldi, Fabio AU - Savoldi F FAU - Xinyue, Gou AU - Xinyue G FAU - McGrath, Colman P AU - McGrath CP FAU - Yang, Yanqi AU - Yang Y FAU - Chow, Shiu Cheuk AU - Chow SC FAU - Tsoi, James K H AU - Tsoi JKH FAU - Gu, Min AU - Gu M LA - eng PT - Journal Article DEP - 20190812 PL - United States TA - Angle Orthod JT - The Angle orthodontist JID - 0370550 SB - IM MH - *Cephalometry MH - Child MH - Female MH - Humans MH - Hyoid Bone MH - Male MH - *Palate, Soft/anatomy & histology/diagnostic imaging MH - *Pharynx/anatomy & histology/diagnostic imaging MH - Reproducibility of Results MH - Retrospective Studies MH - Tongue PMC - PMC8087055 OTO - NOTNLM OT - Cephalogram OT - Hyoid bone OT - Obstructive sleep apnea OT - Sleep-disordered breathing OT - Tongue EDAT- 2019/08/14 06:00 MHDA- 2020/08/15 06:00 PMCR- 2020/01/01 CRDT- 2019/08/13 06:00 PHST- 2019/08/14 06:00 [pubmed] PHST- 2020/08/15 06:00 [medline] PHST- 2019/08/13 06:00 [entrez] PHST- 2020/01/01 00:00 [pmc-release] AID - Customer: 022119-131R [pii] AID - 10.2319/022119-131.1 [doi] PST - ppublish SO - Angle Orthod. 2020 Jan;90(1):47-55. doi: 10.2319/022119-131.1. Epub 2019 Aug 12.