TITLE

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

AUTHOR(S)
TUNA, Süleyman Hakan; ÖZTÜRK, Önder; TÜRKKAHRAMAN, Muhammet Hakan; ALKIŞ, Hüseyin; BALCIOĞLU, Hüseyin Avni; AKKAYA, Ahmet
PUB. DATE
December 2012
SOURCE
Turkish Journal of Medical Sciences;Dec2012, Vol. 42 Issue 6, p987
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Aim: 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.
ACCESSION #
89168936

 

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