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...

Descripción completa

Detalles Bibliográficos
Autores principales: Cho, Seok Hyun, Jeon, Jae-Yun, Jang, Kun-Soo, Kim, Sang Yoon, Kim, Kyung Rae, Ryu, Seungho, Hwang, Kyung-Gyun
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