Cargando…
Gender-specific cephalometric features related to obesity in sleep apnea patients: trilogy of soft palate-mandible-hyoid bone
BACKGROUND: The aim of this study is to investigate the relationship between gender-specific and obesity-related airway anatomy in patients with obstructive sleep apnea (OSA) by using cephalometric analyses. METHODS: We retrospectively evaluated 206 patients with suspected OSA undergoing polysomnogr...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6904695/ https://www.ncbi.nlm.nih.gov/pubmed/31879661 http://dx.doi.org/10.1186/s40902-019-0242-0 |
_version_ | 1783478042961641472 |
---|---|
author | Cho, Seok Hyun Jeon, Jae-Yun Jang, Kun-Soo Kim, Sang Yoon Kim, Kyung Rae Ryu, Seungho Hwang, Kyung-Gyun |
author_facet | Cho, Seok Hyun Jeon, Jae-Yun Jang, Kun-Soo Kim, Sang Yoon Kim, Kyung Rae Ryu, Seungho Hwang, Kyung-Gyun |
author_sort | Cho, Seok Hyun |
collection | PubMed |
description | BACKGROUND: The aim of this study is to investigate the relationship between gender-specific and obesity-related airway anatomy in patients with obstructive sleep apnea (OSA) by using cephalometric analyses. METHODS: We retrospectively evaluated 206 patients with suspected OSA undergoing polysomnography and anthropometric measurements such as body mass index, neck circumference, and waist-hip ratio. We checked lateral cephalometry to measure tissue landmarks including angle from A point to nasion to B point (ANB), soft palate length (SPL), soft palate thickness (SPT), retropalatal space (RPS), retrolingual space (RLS), and mandibular plane to hyoid (MPH). RESULTS: Male with OSA showed significantly increased SPL (P = .006) compared with controls. SPL and MPH had significant correlation with apnea-hypopnea index (AHI) and central obesity. Female with OSA showed significantly increased ANB (P = .013) and SPT (P = .004) compared with controls. The receiver operating characteristic curves revealed that SPT in male and ANB and SPT in female were significant in model 1 (AHI ≥ 5) and model 2 (AHI ≥ 15). MPH was also significant for male in model 2. CONCLUSION: Male and female with OSA had distinct anatomic features of the upper airway and different interactions among soft palate, mandible, and hyoid bone. |
format | Online Article Text |
id | pubmed-6904695 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-69046952019-12-26 Gender-specific cephalometric features related to obesity in sleep apnea patients: trilogy of soft palate-mandible-hyoid bone Cho, Seok Hyun Jeon, Jae-Yun Jang, Kun-Soo Kim, Sang Yoon Kim, Kyung Rae Ryu, Seungho Hwang, Kyung-Gyun Maxillofac Plast Reconstr Surg Research BACKGROUND: The aim of this study is to investigate the relationship between gender-specific and obesity-related airway anatomy in patients with obstructive sleep apnea (OSA) by using cephalometric analyses. METHODS: We retrospectively evaluated 206 patients with suspected OSA undergoing polysomnography and anthropometric measurements such as body mass index, neck circumference, and waist-hip ratio. We checked lateral cephalometry to measure tissue landmarks including angle from A point to nasion to B point (ANB), soft palate length (SPL), soft palate thickness (SPT), retropalatal space (RPS), retrolingual space (RLS), and mandibular plane to hyoid (MPH). RESULTS: Male with OSA showed significantly increased SPL (P = .006) compared with controls. SPL and MPH had significant correlation with apnea-hypopnea index (AHI) and central obesity. Female with OSA showed significantly increased ANB (P = .013) and SPT (P = .004) compared with controls. The receiver operating characteristic curves revealed that SPT in male and ANB and SPT in female were significant in model 1 (AHI ≥ 5) and model 2 (AHI ≥ 15). MPH was also significant for male in model 2. CONCLUSION: Male and female with OSA had distinct anatomic features of the upper airway and different interactions among soft palate, mandible, and hyoid bone. Springer Berlin Heidelberg 2019-12-11 /pmc/articles/PMC6904695/ /pubmed/31879661 http://dx.doi.org/10.1186/s40902-019-0242-0 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Research Cho, Seok Hyun Jeon, Jae-Yun Jang, Kun-Soo Kim, Sang Yoon Kim, Kyung Rae Ryu, Seungho Hwang, Kyung-Gyun Gender-specific cephalometric features related to obesity in sleep apnea patients: trilogy of soft palate-mandible-hyoid bone |
title | Gender-specific cephalometric features related to obesity in sleep apnea patients: trilogy of soft palate-mandible-hyoid bone |
title_full | Gender-specific cephalometric features related to obesity in sleep apnea patients: trilogy of soft palate-mandible-hyoid bone |
title_fullStr | Gender-specific cephalometric features related to obesity in sleep apnea patients: trilogy of soft palate-mandible-hyoid bone |
title_full_unstemmed | Gender-specific cephalometric features related to obesity in sleep apnea patients: trilogy of soft palate-mandible-hyoid bone |
title_short | Gender-specific cephalometric features related to obesity in sleep apnea patients: trilogy of soft palate-mandible-hyoid bone |
title_sort | gender-specific cephalometric features related to obesity in sleep apnea patients: trilogy of soft palate-mandible-hyoid bone |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6904695/ https://www.ncbi.nlm.nih.gov/pubmed/31879661 http://dx.doi.org/10.1186/s40902-019-0242-0 |
work_keys_str_mv | AT choseokhyun genderspecificcephalometricfeaturesrelatedtoobesityinsleepapneapatientstrilogyofsoftpalatemandiblehyoidbone AT jeonjaeyun genderspecificcephalometricfeaturesrelatedtoobesityinsleepapneapatientstrilogyofsoftpalatemandiblehyoidbone AT jangkunsoo genderspecificcephalometricfeaturesrelatedtoobesityinsleepapneapatientstrilogyofsoftpalatemandiblehyoidbone AT kimsangyoon genderspecificcephalometricfeaturesrelatedtoobesityinsleepapneapatientstrilogyofsoftpalatemandiblehyoidbone AT kimkyungrae genderspecificcephalometricfeaturesrelatedtoobesityinsleepapneapatientstrilogyofsoftpalatemandiblehyoidbone AT ryuseungho genderspecificcephalometricfeaturesrelatedtoobesityinsleepapneapatientstrilogyofsoftpalatemandiblehyoidbone AT hwangkyunggyun genderspecificcephalometricfeaturesrelatedtoobesityinsleepapneapatientstrilogyofsoftpalatemandiblehyoidbone |