The Link between Obstructive Sleep Apnea Syndrome and Cephalometric Assessment of Upper Airways and Hyoid Bone Position
- PMID:36143890
- PMCID: PMC9505103
- DOI: 10.3390/medicina58091213
The Link between Obstructive Sleep Apnea Syndrome and Cephalometric Assessment of Upper Airways and Hyoid Bone Position
Abstract
Background and Objectives: To determine whether there are changes in the cephalometric characteristics of the upper airways and hyoid bone, in patients diagnosed with obstructive sleep apnea syndrome (OSAS) compared to a healthy control group. Material and Methods: This retrospective case−control study included 24 patients diagnosed with OSAS (apnea−hypopnea index (AHI) > 5 obtained after polysomnography) and 24 healthy subjects as a control group that completed the STOP-Bang questionnaire to determine whether they had OSAS. Lateral cephalometric examinations were recommended for all these patients. The software used for the cephalogram interpretation was CS 3D Imaging and CS Airway imaging from Carestream Dental. Results: The subjects with OSAS had a smaller superior posterior airway space (SPAS), with an average of 10.32 mm compared to a 12.20 mm mean in the control group (p = 0.03). Patients with OSAS, had a lowered middle airway space (MAS) with a mean of 7.96 mm in the OSAS group and a 10.96 mm mean in the control group (p = 0.00). All the measurements made for the hyoid bone, such as—H-MnP, H-C3, and H-B—showed increased values (means of 26.31 mm, 39.08 mm, 60.05 mm, respectively), for the OSAS group (p = 0.00). Conclusions: Patients suffering from OSAS had reduced dimensions of the SPAS and MAS values. The hyoid bone had a more inferior position in the study group (with increased values for H-MnP, H-C3, and H-B) compared to the control group.
Keywords: OSAS; hyoid bone position; lateral cephalogram; upper airways.
Conflict of interest statement
The authors declare no conflict of interest.
Figures
Similar articles
- Cephalometric Measurements With Multislice Computed Tomography in Patients With Obstructive Sleep Apnea Syndrome.Sakat MS, Sütbeyaz Y, Yüceler Z, Kantarci M, Kilic K, Kurt S.Sakat MS, et al.J Craniofac Surg. 2016 Jan;27(1):82-6. doi: 10.1097/SCS.0000000000002267.J Craniofac Surg. 2016.PMID:26745191
- [Lateral cephalometric radiography of the upper airways for evaluation of surgical treatment of obstructive sleep apnea syndrome].Teitelbaum J, Diminutto M, Comiti S, Pépin JL, Deschaux C, Raphaël B, Bettega G.Teitelbaum J, et al.Rev Stomatol Chir Maxillofac. 2007 Feb;108(1):13-20. doi: 10.1016/j.stomax.2005.12.004. Epub 2007 Jan 29.Rev Stomatol Chir Maxillofac. 2007.PMID:17261321French.
- Facial features and hyoid bone position in preschool children with obstructive sleep apnea syndrome.Vieira BB, Itikawa CE, de Almeida LA, Sander HH, Aragon DC, Anselmo-Lima WT, Matsumoto M, Valera FC.Vieira BB, et al.Eur Arch Otorhinolaryngol. 2014 May;271(5):1305-9. doi: 10.1007/s00405-013-2770-z. Epub 2013 Oct 26.Eur Arch Otorhinolaryngol. 2014.PMID:24162766
- Maxillomandibular advancement in obstructive sleep apnea syndrome patients: a restrospective study on the sagittal cephalometric variables.Ronchi P, Cinquini V, Ambrosoli A, Caprioglio A.Ronchi P, et al.J Oral Maxillofac Res. 2013 Jul 1;4(2):e5. doi: 10.5037/jomr.2013.4205.J Oral Maxillofac Res. 2013.PMID:24422033Free PMC article.Review.
- Lateral teleradiography of the head as a diagnostic tool used to predict obstructive sleep apnea.Armalaite J, Lopatiene K.Armalaite J, et al.Dentomaxillofac Radiol. 2016;45(1):20150085. doi: 10.1259/dmfr.20150085. Epub 2015 Aug 3.Dentomaxillofac Radiol. 2016.PMID:26234535Free PMC article.Review.
References
- Azarbarzin A., Sands S.A., Younes M., Taranto-Montemurro L., Sofer T., Vena D., Alex R.M., Kim S.-W., Gottlieb D.J., White D.P., et al. The Sleep Apnea-Specific Pulse-Rate Response Predicts Cardiovascular Morbidity and Mortality. Am. J. Respir. Crit. Care Med. 2021;203:1546–1555. doi: 10.1164/rccm.202010-3900OC. - DOI - PMC - PubMed
- Benjafield A.V., Ayas N.T., Eastwood P.R., Heinzer R., Ip M.S., Morrell M.J., Nunez C.M., Patel S.R., Penzel T., Pépin J.L., et al. Estimation of the global prevalence and burden of obstructive sleep apnea: A literature-based analysis. Lancet Respir. Med. 2019;7:687–698. doi: 10.1016/S2213-2600(19)30198-5. - DOI - PMC - PubMed
MeSH terms
Related information
LinkOut - more resources
Full Text Sources
Research Materials
Miscellaneous