Craniofacial morphology and head posture in Chinese subjects with obstructive sleep apnea

作者: Poh Kang Ang , Andrew Sandham , Wan Cheng Tan

DOI: 10.1053/J.SODO.2003.10.008

关键词:

摘要: This study measured craniofacial and head posture variables from standardized lateral cephalometric radiographs in Chinese subjects with obstructive sleep apnea (OSA) referred to a university hospital. The investigation was performed the Sleep Laboratory of Department Respiratory Medicine, National University Singapore. sample consisted 61 male subjects, 25 mild 36 moderate-to-severe OSA diagnosed using overnight polysomnographic studies. Standardized were used record linear angular dimensions for morphology. compared group, as ethical reasons no control group available. Significant differences found between hyoid positions samples OPA. more caudally placed when mandibular border (ML; P < 0.05) maxillary plane (NL; 0.01). No significant other measured, but anterior cranial base shorter, angle smaller, gonial greater sample, this did not reach level significance. There also values recorded variables, so data pooled existing published studies both white subjects. revealed marked increase craniocervical angulation (P 0.001) total craniovertical (NSL/VER), (NSL/OPT), craniohorizontal (OPT/HOR) each various groups. provides evidence that caudal bone position are OSA.

参考文章(36)
Robert Riley, Christian Guilleminault, Juan Herran, Nelson Powell, Cephalometric analyses and flow-volume loops in obstructive sleep apnea patients. Sleep. ,vol. 6, pp. 303- 311 ,(1983) , 10.1093/SLEEP/6.4.303
William H. Bacon, Jean-Louis Stierle, Jean Christophe Turlot, Jean Krieger, Cephalometric evaluation of pharyngeal obstructive factors in patients with sleep apneas syndrome. Angle Orthodontist. ,vol. 60, pp. 115- 122 ,(1990) , 10.1043/0003-3219(1990)060<0115:CEOPOF>2.0.CO;2
N. J. Douglas, The Obstructive Sleep Apnoea/Hypopnoea Syndrome Practical Neurology. ,vol. 3, pp. 22- 29 ,(2003) , 10.1046/J.1474-7766.2003.00110.X
W McNicholas, N Zamel, J Kalbfleisch, J Rivlin, V Hoffstein, A C Bryan, Upper airway morphology in patients with idiopathic obstructive sleep apnea The American review of respiratory disease. ,vol. 129, pp. 355- 360 ,(2015) , 10.1164/ARRD.1984.129.3.355
Wan Ariffin Bin Abdullah, Singapore Med J ,(1993)
Nonglak Pracharktam, Kingman P. Strohl, Susan Redline, Mark G. Hans, Upright and supine cephalometric evaluation of obstructive sleep apnea syndrome and snoring subjects. Angle Orthodontist. ,vol. 64, pp. 63- 73 ,(2009) , 10.1043/0003-3219(1994)064<0063:UASCEO>2.0.CO;2
Daniel L. Jones, Uwe Frohberg, Robert J. Naples, Cephalometric comparison of characteristics in chronically snoring patients with and without sleep apnea syndrome Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontology. ,vol. 80, pp. 28- 33 ,(1995) , 10.1016/S1079-2104(95)80012-3
M Zucconi, L Ferini-Strambi, S Palazzi, C Orena, S Zonta, S Smirne, Habitual snoring with and without obstructive sleep apnoea: the importance of cephalometric variables. Thorax. ,vol. 47, pp. 157- 161 ,(1992) , 10.1136/THX.47.3.157
Harry Fjellvang, Bent Solow, Craniocervical postural relations and craniofacial morphology in 30 blind subjects American Journal of Orthodontics and Dentofacial Orthopedics. ,vol. 90, pp. 327- 334 ,(1986) , 10.1016/0889-5406(86)90089-2
AARON E. SHER, MICHAEL J. THORPY, ROBERT J. SHPRINTZEN, ARTHUR J. SPIELMAN, BERNARD BURACK, PETER A. MCGREGOR, Predictive value of Müller maneuver in selection of patients for uvulopalatopharyngoplasty. Laryngoscope. ,vol. 95, pp. 1483- 1487 ,(1985) , 10.1288/00005537-198512000-00009