Evaluation of the relationship between obstructive sleep apnea syndrome severity and cephalometric and clinical variables

Autor: Alkis, Huseyin, Turkkahraman, Muhammet Hakan, ÖZTÜRK, Önder, AKKAYA, Ahmet, Balcioglu, Huseyin Avni, Tuna, SÜLEYMAN HAKAN
Jazyk: turečtina
Rok vydání: 2014
Předmět:
Zdroj: Volume: 42, Issue: 6 987-998
Turkish Journal of Medical Sciences
ISSN: 1300-0144
1303-6165
Popis: To evaluate the cephalometric features of patients with obstructive sleep apnea syndrome (OSAS) and to elucidate the relationship between the severity of OSAS and cephalometric and clinical variables. Materials and methods: Ninety-three patients (71M/22W) with OSAS were classified into 3 subgroups according to the apnea-hypopnea index (AHI). Various cephalometric and clinical measurements were carried out for all patients. Results: Inferior airway space (IAS), maximum soft palate thickness (MSPT), SNGoGn°, and distance of hyoid bone to mandibular plane (Hy-MPPerp) were found to be higher in severe OSAS for both sexes. Middle airway space, IAS, MSPT, and Hy-MPPerp were correlated positively with AHI; however, superior airway space (SAS) was correlated negatively. In the stepwise regression analysis, mean SaO2, neck circumferences for men, and mean SaO2 and uvula length (PNS-PA) for women were included in the model to estimate AHI properties. Conclusion: The values of IAS, MSPT, SNGoGn°, and Hy-MPPerp showed a tendency to increase with the severity of OSAS. Although the cephalometric variables used to estimate OSAS severity had no effect in men, PNS-PA was found to have an influence in women. However, it is thought that it is difficult to use cephalometric variables to estimate AHI severity in both sexes.
Databáze: OpenAIRE