PL EN


Preferencje help
Widoczny [Schowaj] Abstrakt
Liczba wyników

Czasopismo

2017 | 76 | 3 |

Tytuł artykułu

Location of the narrowest area of the pharynx regarding body mass index and obstructive sleep apnoea severity

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Background: Among authors studying morphological determinants of the obstructive sleep apnoea (OSA) controversies exist on the location of the narrowest area within the pharynx, critical for development of obstruction. Those disagreements primarily revolve around differences between obese and nonobese OSA patients. Determination whether the location and size of the narrowest area within the pharynx differentiates the obese and nonobese OSA patients. Materials and methods: A population of 55 subjects was investigated after being diagnosed with OSA in the Polysomnography Laboratory of the Department and Clinic of Otolaryngology in the Medical University of Warsaw, Poland. Additionally a head computed tomography (CT) was performed in all the subjects. The CT images were used to do several crucial measurements which described the geometry of the facial skeleton as well as soft tissues of the head. The obtained results were correlated with apnoea-hypopnoea index (AHI) and body mass index (BMI) values. The data were statistically analysed. Results: The distance between the hard palate and posterior pharyngeal wall parallel to the horizontal plane as well as the shortest distance between the soft palate and posterior pharyngeal wall significantly differentiated patients in the subgroups by AHI but not by BMI. Conclusions: Pharyngeal obstruction at the level of the hard and soft palate differentiates patients with severe OSA from patients with mild and moderate OSA regardless of BMI. (Folia Morphol 2017; 76, 3: 491–500)

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

76

Numer

3

Opis fizyczny

p.491-500,fig.,ref.

Twórcy

autor
  • Department of Orthodontics, Warsaw Medical University, Warsaw, Poland
autor
  • Department of Dietetics and Food Evaluation, Institute of Health, Siedlce University of Natural Sciences and Humanities, Siedlce, Poland
  • Department and Clinic of Otolaryngology, Warsaw Medical University, Warsaw, Poland
autor
  • Department and Clinic of Otolaryngology, Warsaw Medical University, Warsaw, Poland
autor
  • Department and Clinic of Otolaryngology, Warsaw Medical University, Warsaw, Poland

Bibliografia

  • 1. Chebbo A, Tfaili A, Ghamande S. Anatomy and physiology of obstructive sleep apnea. Sleep Med Clin. 2013; 8(4): 425–431, doi:10.1016/j.jsmc.2013.07.016.
  • 2. Cuccia AM, Campisi G, Cannavale R, et al. Obesity and craniofacial variables in subjects with obstructive sleep apnea syndrome: comparisons of cephalometric values. Head Face Med. 2007; 3: 41–50, doi: 10.1186/1746-160X3-41, indexed in Pubmed: 18154686.
  • 3. Davies RJO, Stradling JR. The relationship between neck circumference, radiographic pharangeal anatomy, and the obstructive sleep apnoea syndrome. Eur Respir J. 1990; 3: 509–514.
  • 4. Dreher A, de la Chaux R, Klemens C, et al. Correlation between otorhinolaryngologic evaluation and severity of obstructive sleep apnea syndrome in snorers. Arch Otolaryngol Head Neck Surg. 2005; 131(2): 95–98, doi: 10.1001/archotol.131.2.95, indexed in Pubmed: 15723938.
  • 5. Fajdiga I. Snoring imaging: could Bernoulli explain it all? Chest. 2005; 128(2): 896–901, doi: 10.1378/chest.128.2.896, indexed in Pubmed: 16100183.
  • 6. Finkelstein Y, Wexler D, Horowitz E, et al. Frontal and lateral cephalometry in patients with sleep-disordered breathing. Laryngoscope. 2001; 111(4): 634–641, doi: 10.1097/00005537-200104000-00014, indexed in Pubmed: 11359132.
  • 7. Finkelstein Y, Wolf L, Nachmani A, et al. Velopharyngeal anatomy in patients with obstructive sleep apnea versus normal subjects. J Oral Maxillofac Surg. 2014; 72(7): 1350–1372, doi: 10.1016/j.joms.2013.12.006, indexed in Pubmed: 24485981.
  • 8. Friedman M, Ibrahim H, Bass L. Clinical staging for sleep-disordered breathing. Otolaryngol Head Neck Surg. 2002; 127(1): 13–21, doi:10.1067/mhn.2002.126477, indexed in Pubmed: 12161725.
  • 9. Haponik EF, Smith PL, Bohlman ME, et al. Computerized tomography in obstructive sleep apnea. Correlation of airway size with physiology during sleep and wakefulness. Am Rev Respir Dis. 1983; 127(2): 221–226, doi: 10.1164/arrd.1983.127.2.221, indexed in Pubmed: 6830039.
  • 10. Hochban W, Brandenburg U. Morphology of the viscerocranium in obstructive sleep apnoea syndrome-cephalometric evaluation of 400 patients. J Craniomaxillofac Surg. 1994; 22(4): 205–213, indexed in Pubmed: 7962567.
  • 11. Hou HM, Hägg U, Sam K, et al. Dentofacial characteristics of Chinese obstructive sleep apnea patients in relation to obesity and severity. Angle Orthod. 2006; 76(6): 962–969, doi: 10.2319/081005-273, indexed in Pubmed: 17090158.
  • 12. Iida-Kondo C, Yoshino N, Kurabayashi T, et al. Comparison of tongue volume/oral cavity volume ratio between obstructive sleep apnea syndrome patients and normal adults using magnetic resonance imaging. J Med Dent Sci. 2006; 53(2): 119–126, indexed in Pubmed: 16913573.
  • 13. Koren A, Groselj LD, Fajdiga I. CT comparison of primary snoring and obstructive sleep apnea syndrome: role of pharyngeal narrowing ratio and soft palatetongue contact in awake patient. Eur Arch Otorhinolaryngol. 2009; 266(5): 727–734, doi: 10.1007/s00405-008-0800-z, indexed in Pubmed:18797909.
  • 14. Kubota Y, Nakayama H, Takada T, et al. Facial axis angle as a risk factor for obstructive sleep apnea. Intern Med. 2005; 44(8): 805–810, indexed in Pubmed: 16157977.
  • 15. Kushida CA, Efron B, Guilleminault C. A predictive morphometric model for the obstructive sleep apnea syndrome. Ann Intern Med. 1997; 127(8): 581–587, indexed in Pubmed: 9341055.
  • 16. Li KK, Kushida C, Powell NB, et al. Obstructive sleep apnea syndrome: a comparison between Far-East Asian and white men. Laryngoscope. 2000; 110(10 Pt 1): 1689–1693, doi: 10.1097/00005537-200010000-00022, indexed in Pubmed: 11037826.
  • 17. Maltais F, Carrier G, Cormier Y, et al. Cephalometric measurements in snorers, non-snorers, and patients with sleep apnoea. Thorax. 1991; 46(6): 419–423, indexed in Pubmed: 1858079.
  • 18. Mortimore IL, Marshall I, Wraith PK, et al. Neck and total body fat deposition in nonobese and obese patients with sleep apnea compared with that in control subjects. Am J Respir Crit Care Med. 1998; 157(1): 280–283, doi: 10.1164/ajrccm.157.1.9703018, indexed in Pubmed: 9445310.
  • 19. Nelson S, Hans M. Contribution of craniofacial risk factors in increasing apneic activity among obese and nonobese habitual snorers. Chest. 1997; 111(1): 154–162, indexed in Pubmed: 8996010.
  • 20. Okubo M, Suzuki M, Horiuchi A, et al. Morphologic analyses of mandible and upper airway soft tissue by MRI of patients with obstructive sleep apnea hypopnea syndrome. Sleep. 2006; 29(7): 909–915, indexed in Pubmed: 16895258.
  • 21. Pahkala R, Seppä J, Ikonen A, et al. The impact of pharyngeal fat tissue on the pathogenesis of obstructive sleep apnea. Sleep Breath. 2014; 18(2): 275–282, doi: 10.1007/s11325-013-0878-4, indexed in Pubmed: 23877124.
  • 22. Rama AN, Tekwani SH, Kushida CA. Sites of obstruction in obstructive sleep apnea. Chest. 2002; 122(4): 1139–1147, indexed in Pubmed: 12377834.
  • 23. Sakakibara H, Tong M, Matsushita K, et al. Cephalometric abnormalities in non-obese and obese patients with obstructive sleep apnoea. Eur Respir J. 1999; 13(2): 403–410, indexed in Pubmed: 10065689.
  • 24. Schellenberg JB, Maislin G, Schwab RJ. Physical findings and the risk for obstructive sleep apnea. The importance of oropharyngeal structures. Am J Respir Crit Care Med. 2000; 162(2 Pt 1): 740–748, doi: 10.1164/ajrccm.162.2.9908123, indexed in Pubmed: 10934114.
  • 25. Schwab RJ. Imaging for the snoring and sleep apnea patient. Dent Clin North Am. 2001; 45(4): 759–796, indexed in Pubmed: 11699240.
  • 26. Shigeta Y, Ogawa T, Ando E, et al. 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. 2011; 111(2): 239–243, doi: 10.1016/j.tripleo.2010.10.013, indexed in Pubmed:21237441.
  • 27. Tangugsorn V, Skatvedt O, Krogstad O, et al. Obstructive sleep apnoea: a cephalometric study. Part I. Cervicocraniofacial skeletal morphology. Eur J Orthodont. 1995; 17(1): 45–56, doi: 10.1093/ejo/17.1.45.
  • 28. Tsuchiya M, Lowe AA, Pae EK, et al. Obstructive sleep apnea subtypes by cluster analysis. Am J Orthod Dentofacial Orthop. 1992; 101(6): 533–542, doi:10.1016/0889-5406(92)70128-W, indexed in Pubmed: 1598893.
  • 29. Vos W, De Backer J, Devolder A, et al. Correlation between severity of sleep apnea and upper airway morphology based on advanced anatomical and functional imaging. J Biomech. 2007; 40(10): 2207–2213, doi: 10.1016/j.jbiomech.2006.10.024, indexed in Pubmed: 17178125.
  • 30. Welch KC, Foster GD, Ritter CT, et al. A novel volumetric magnetic resonance imaging paradigm to study upper airway anatomy. Sleep. 2002; 25(5): 532–542, indexed in Pubmed: 12150320.
  • 31. Wilhelm CP, deShazo RD, Tamanna S, et al. The nose, upper airway, and obstructive sleep apnea. Ann Allergy Asthma Immunol. 2015; 115(2): 96–102, doi: 10.1016/j.anai.2015.06.011, indexed in Pubmed: 26250769.
  • 32. Yagi H, Nakata S, Tsuge H, et al. Morphological examination of upper airway in obstructive sleep apnea. Auris Nasus Larynx. 2009; 36(4): 444–449, doi: 10.1016/j.anl.2008.11.003, indexed in Pubmed: 19097716.
  • 33. Yu X, Fujimoto K, Urushibata K, et al. Cephalometric analysis in obese and nonobese patients with obstructive sleep apnea syndrome. Chest. 2003; 124(1): 212–218, indexed in Pubmed: 12853525.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

bwmeta1.element.agro-d9ffd637-0ecb-48bb-9f68-717b362861b5
JavaScript jest wyłączony w Twojej przeglądarce internetowej. Włącz go, a następnie odśwież stronę, aby móc w pełni z niej korzystać.