Author:
Cuccia Antonino M,Campisi Giuseppina,Cannavale Rosangela,Colella Giuseppe
Abstract
Abstract
Background
The aim of this paper was to determine the most common craniofacial changes in patients suffering Obstructive Sleep Apnea Syndrome (OSAS) with regards to the degree of obesity. Accordingly, cephalometric data reported in the literature was searched and analyzed.
Methods
After a careful analysis of the literature from 1990 to 2006, 5 papers with similar procedural criteria were selected. Inclusion criteria were: recruitment of Caucasian patients with an apnea-hypopnea index (AHI) >10 as grouped in non-obese (Body Mass Index – [BMI] < 30) vs. obese (BMI ≥ 30).
Results
A low position of the hyoid bone was present in both groups. In non-obese patients, an increased value of the ANB angle and a reduced dimension of the cranial base (S-N) were found to be the most common finding, whereas major skeletal divergence (ANS-PNS ^Go-Me) was evident among obese patients. No strict association was found between OSAS and length of the soft palate.
Conclusion
In both non-obese and obese OSAS patients, skeletal changes were often evident; with special emphasis of intermaxillary divergence in obese patients. Unexpectedly, in obese OSAS patients, alterations of oropharyngeal soft tissue were not always present and did not prevail.
Publisher
Springer Science and Business Media LLC
Subject
Clinical Neurology,General Dentistry,Otorhinolaryngology
Reference35 articles.
1. American Academy of Sleep Medicine Task Force: Sleep-Related Breathing Disorders in Adults: Recommendations for Syndrome Definition and Measurement Techniques in Clinical Research. Sleep. 1999, 22: 667-689.
2. Guilleminault C: Sleep and breathing. Sleeping and waking disorders: indications and techniques. Edited by: Guilleminault C. 1982, MenloPark, CA: Addison-Wesley Publishing, 155-182.
3. Guilleminault C, Stoohs R, Clerk A, Cetel M, Maistro P: A cause of excessive daytime sleepiness: the upper airway resistance syndrome. Chest. 1993, 104: 781-787. 10.1378/chest.104.3.781.
4. Tan WC, Koh TH: Evaluation of obstructive sleep apnoea in Singapore using computerised polygraphic monitoring. Ann Acad Med Singapore. 1991, 20 (2): 196-200.
5. Horner RL, Mohiaddin RH, Lowell DG, Shea SA, Burman FD, Longmore DB, Guz A: Sites and size of fat depositis around the pharynx in obese patients with obstructive sleep apnea and weight matched control. Eur Respir J. 1989, 2: 613-622.
Cited by
40 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献