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2016 | 75 | 1 |

Tytuł artykułu

Morphological predictors of sleep apnoea severity

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Background: Obstructive sleep apnoea (OSA) does not always depend on obesity but on a certain morphological configuration. The study objective was to verify a hypothesis about a relation between anthropometric features and OSA occurrence and severity. Materials and methods: The study involved 138 patients, who had reported in Department and Clinic of Otolaryngology, Warsaw Medical University, due to suspected OSA. Each patient underwent morphological evaluation according to visual analogue scales. The assessment involved nasal septum morphology evaluation according to a 4-grade scale, palate morphology evaluation according to the 4-grade Friedman scale, whereas the facial profile, oropharyngeal isthmus, and the shape of the nasopharynx were assessed according to our own 3-grade scale. Results: Statistical analysis confirmed the high concordance of the basic polysomnographic parameters with the Friedman scale and the shape of the oropharyngeal isthmus. Conclusions: 1. The modified Mallampati score as well as evaluation of the shape of the oropharyngeal isthmus demonstrated high concordance with the basic polysomnographic parameters. 2. The neck circumference is a significant predictor of the apnoea-hypopnoea index value in males suffering from the OSA syndrome. (Folia Morphol 2016; 75, 1: 107–111)

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

75

Numer

1

Opis fizyczny

p.107-111,fig.,ref.

Twórcy

autor
  • Department of Dietetics and Food Evaluation, Institute of Health, Natural Faculty, Siedlce University of Natural Sciences and Humanities, Siedlce, Poland
  • Department and Clinic of Otolaryngology, Warsaw Medical University, Warsaw, Poland
autor
  • Department of Orthodontics, Warsaw Medical University, Nowogrodzka 59, 02–006 Warsaw, Poland
autor
  • Department and Clinic of Otolaryngology, Warsaw Medical University, Warsaw, Poland

Bibliografia

  • 1. Cuccia AM, Campisi G, Cannavale R, Colella G (2007) Obesity and craniofacial variables in subjects with obstructive sleep apnea syndrome: comparisons of cephalometric values. Head Face Med, 3: 41–50.
  • 2. Davies RJ, Ali NJ, Stradling JR (1992) Neck circumference and other clinical features in the diagnosis of obstructive sleep apnea syndrome. Thorax, 47: 101–105.
  • 3. Friedman M, Ibrahim H, Joseph NJ (2004) Staging of obstructive sleep apnea/hypopnea syndrome: a guide to appropriate treatment. Laryngoscope, 114: 454–459.
  • 4. Flemons WW, Whitelaw WA, Brant R, Remmers JE (1994) Likelihood ratios for a sleep apnea clinical prediction rule. Am J Respir Crit Care Med, 150: 1279–1285.
  • 5. Jacobowitz O (2006) Palatal and tongue base surgery for surgical treatment of obstructive sleep apnea: a prospective study. Otolaryngol Head Neck Surg, 135: 258–264.
  • 6. Hoffstein V, Mateika S (1992) Differences in abdominal and neck circumferences in patients with and without obstructive sleep apnoea. Eur Resplr J, 5: 377–381.
  • 7. Hukins C (2010) Mallampati class is not useful in the clinical assessment of sleep clinic patients. J Clin Sleep Med, 6: 545–549.
  • 8. Katz I, Stradling J, Sljutsky AS, Zamel N Hoffstein V (1990) Do patients with obstructive sleep apnea have thick necks? Am Rev Respir Dis, 141 (5 Part 1): 1228–1231.
  • 9. Liistro G, Rombaux Ph, Belge C, Dury M, Aubert G, Rodenstein DO (2003) High Mallampati score and nasal obstruction are associated risk factors for obstructive sleep apnoea. Eur Respir J, 21: 248–252.
  • 10. Maltais F, Carrier G, Cormier Y, Sériès F(1991) Cephalometric measurements in snorers. non-snorers. and patients with sleep apnoea. Thorax, 46: 419–423.
  • 11. Okubo M, Suzuki M, Horiuchi A, Okabe S, Ikeda K, Higano S, Mitani H, Hida W, Kobayashi T, Sugawara J (2006) Morphologic analyses of mandible and upper airway soft tissue by MRI of patients with obstructive sleep apnea hypopnea syndrome. Sleep, 29: 909–215.
  • 12. Schäfer H, Pauleit D, Sudhop T, Gouni-Berthold I, Ewig S, Berthold HK (2002) Body fat distribution, serum leptin, and cardiovascular risk factors in men with obstructive sleep apnea. Chest, 122: 829–833.
  • 13. Schellenberg JB, Maislin G, Schwab RJ (2000) Physical findings and the risk for obstructive sleep apnea: the importance of oropharyngeal structures. Am J Respir Crit Care Med, 162: 740–748.
  • 14. Schwab RJ (2001) Imaging for the snoring and sleep apnea patient. Dent Clin North Am, 45: 759–796.
  • 15. Shigeta Y, Ogawa T, Ando E, Clark GT, Enciso R (2011) Influence of tongue/mandible volume ratio on oropharyngeal airway in Japanese male patients with obstructive sleep apnea. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 111: 239–243.
  • 16. Welch KC, Foster GD, Ritter CT, Wadden TA, Arens R, Maislin G, Schwab RJ (2002) A novel volumetric magnetic resonance imaging paradigm to study upper airway anatomy. Sleep, 25: 532–542.
  • 17. Yagi H, Nakata S, Tsuge H, Yasuma F, Noda A, Morinaga M, Tagaya M, Nakashima T (2009) Morphological examination of upper airway in obstructive sleep apnea. Auris Nasus Larynx, 36: 444–449.
  • 18. Yu X, Fujimoto K, Urushibata K, Matsuzawa Y, Kubo K (2003) Cephalometric analysis in obese and nonobese patients with obstructive sleep apnea syndrome. Chest, 124: 212–218.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

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