Cephalometric Analysis in Obese and Nonobese Patients With Obstructive Sleep Apnea Syndrome

Yu, Xiu-Jun; Fujimoto, Keisaku; Urushibata, Kazuhisa; Matsuzawa, Y.; Kubo, Keishi

doi:10.1378/chest.124.1.212

Cited by 149 publications

(111 citation statements)

References 26 publications

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“…Lower and anterior position of hyoid bone in obese patients seems to be related to increased fat deposition on the tongue, which increases its volume. 26 OSAHS patients presenting maxilla and mandible within normal limits, that is, 96mm and 125mm, respectively, may reveal a retropositioned mandible as well as caudal hyoid bone 27 . Cakirer et al 28 , using two anthropometric measurements -the cranial index (the ratio between the highest cranial width and the highest cranial length, that is, highest width x 100/highest length) and the facial index (the ratio between the nasogenian height and the bizygomatic width, that is, the nasogenian height X 100/bizigomatic length), could determine the patient's facial type.…”

Section: Cephalometric Analysis In the Etiological Diagnosis Of Osahsmentioning

confidence: 99%

Síndrome da apnéia e hipopnéia obstrutiva do sono: análise cefalométrica

Salles

Campos

Andrade

et al. 2005

Rev. Bras. Otorrinolaringol.

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Obstructi ve sleep apnea and hypopnea syndrome (OSAHS) are characterized by repeated pauses in breathing during sleep, usually associated with sleep interruption and decreased oxyhemoglobin saturation. Cephalometric analysis has become an important method in diagnosis, reporting specific craniofacial characteristics such as posterior air pharyngeal space, tongue length and hyoid position, which may predispose some people to develop SAHOS. The purpose of this revision is to present several anatomic aspects by cephalometric analysis that may have a predisposition to the development of upper airway occlusion.

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Section: Cephalometric Analysis In the Etiological Diagnosis Of Osahsmentioning

confidence: 99%

Síndrome da apnéia e hipopnéia obstrutiva do sono: análise cefalométrica

Salles

Campos

Andrade

et al. 2005

Rev. Bras. Otorrinolaringol.

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“…Técnicas de imagem das vias aéreas superiores têm promovido importante avanço na avaliação biomecânica da SAOS, auxiliando na escolha das diferentes condutas terapêuticas disponíveis, que incluem dispositivo de pressão contínua (CPAP), perda de peso, aparelhos dentários e cirurgia (5)(6)(7) .…”

Section: Lista De Tabelasunclassified

“…A região RL se estende da ponta da úvula à base da epiglote (11) . Muitos estudos têm sido realizados na tentativa de demonstrar que o tamanho e a morfologia das estruturas que compõem as vias aéreas superiores e as dimensões das estruturas a ela adjacentes influenciam o calibre da via aérea superior dos pacientes com SAOS (5,6,(11)(12)(13)18,29,(32)(33)(34)(35)(36)(37)(38)(39)(40)(41) .…”

Section: Anatomia Das Vias Aéreas Superioresunclassified

“…A quantidade de tecidos moles foi maior nos pacientes obesos, o que indica que a deposição adiposa na via aérea superior pode agravar a SAOS (5) .…”

Section: Radiografia Cefalométrica Lateralunclassified

“…Estudos cefalométricos demonstram fatores de risco craniofaciais para a apneia, como deficiência mandibular, comum em orientais, aumento da língua, do palato mole, e posição baixa do osso hioide (5) . Sendo esta última, avaliada pela distância MP-H, que é uma medida já consagrada na cefalometria.…”

Section: Mandíbula E Distância Mp-hunclassified

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Avaliação da faringe de pacientes portadores de apneia obstrutiva do sono, por meio da tomografia computadorizada multislice obtida em vigília e durante o sono

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International Consensus Statement on Obstructive Sleep Apnea

Chang

Goldberg

Alt

et al. 2023

Int Forum Allergy Rhinol

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Background: Evaluation and interpretation of the literature on obstructive sleep apnea (OSA) allows for consolidation and determination of the key factors important for clinical management of the adult OSA patient. Toward this goal, an international collaborative of multidisciplinary experts in sleep apnea evaluation and treatment have produced the International Consensus statement on Obstructive Sleep Apnea (ICS:OSA). Methods: Using previously defined methodology, focal topics in OSA were assigned as literature review (LR), evidence-based review (EBR), or evidencebased review with recommendations (EBR-R) formats. Each topic incorporated the available and relevant evidence which was summarized and graded on study quality. Each topic and section underwent iterative review and the ICS:OSA was created and reviewed by all authors for consensus. Results: The ICS:OSA addresses OSA syndrome definitions, pathophysiology, epidemiology, risk factors for disease, screening methods, diagnostic testing types, multiple treatment modalities, and effects of OSA treatment on multiple OSA-associated comorbidities. Specific focus on outcomes with positive airway pressure (PAP) and surgical treatments were evaluated. Conclusion:This review of the literature consolidates the available knowledge and identifies the limitations of the current evidence on OSA. This effort aims to create a resource for OSA evidence-based practice and identify future research needs. Knowledge gaps and research opportunities include improving the metrics of OSA disease, determining the optimal OSA screening paradigms, developing strategies for PAP adherence and longitudinal care, enhancing selection of PAP alternatives and surgery, understanding health risk outcomes, and translating evidence into individualized approaches to therapy.

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Cephalometric Analysis in Obese and Nonobese Patients With Obstructive Sleep Apnea Syndrome

Cited by 149 publications

References 26 publications

Síndrome da apnéia e hipopnéia obstrutiva do sono: análise cefalométrica

Síndrome da apnéia e hipopnéia obstrutiva do sono: análise cefalométrica

Avaliação da faringe de pacientes portadores de apneia obstrutiva do sono, por meio da tomografia computadorizada multislice obtida em vigília e durante o sono

International Consensus Statement on Obstructive Sleep Apnea

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