Improvements in Obstructive Sleep Apnea Syndrome (OSAs) in Patient with Treacher Collins Syndrome (TCs): A Multidisciplinary Approach
Bibliographic record
Abstract
Introduction : The aim of this work is to present the improvements of a proper management of OSAs in a patient with TCs through a multidisciplinary approach with Oral-Maxillofacial team. Obstructive Sleep Apnea syndrome (OSAs) is characterized by upper airway obstruction during sleep and an increase airflow resistance mainly at the level of oropharynx, resulting in reduced pulmonary ventilation and hypoxia. Results and Discussion : Computed tomography shows an improvement in axial and sagittal section of the Minimal Cross Sectional Areas of the pharyngeal airway. The Cephalometric analysis showed an increased of SNA, MP-H, Go-Gn/H and a decrease of SNB, ANB, PAS, AHI. The different modifications of the LeFort I osteotomy have been proved to diminish the nasal airway resistance. Conclusions :Five years after surgery, the patient has a stable clinical result with a good aesthetic and a harmonious facial balance. He does not suffer from snoring, daytime somnolence or fatigue and has not required the use of c-PAP since surgery.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".