Anatomic Changes of Patients With Obstructive Sleep Apnea Syndrome at Different Stages.

IF 1 4区 医学 Q3 SURGERY
Semahat Doğru Yuvarlakbaş, Neslihan Boyan, Sedat Kuleci, Hüseyin Tuğsan Balli
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引用次数: 0

Abstract

Aim: In this study, it was aimed to determine the changes in the anatomic structures of individuals with obstructive sleep apnea syndrome (OSAS) classified according to the apnea-hypopnea index (AHI).

Materials and methods: Individuals were divided into groups as group 1 (AHI=0, n=20), group 2 (AHI ˂5, n=20), group 3 (AHI=5-15, n=20), group 4 (AHI=16-30, n=20), group 5 (AHI ˃30, n=20). The individuals left lateral cervical vertebra radiographs were taken. Measurements were made from the morphometric points determined using the "Enlil PACS" program on the radiologic images (mm). These measurements are categorized into soft tissue, hyoid bone, airway size, and craniofacial variables.

Results: As AHI increased, age, body mass index, neck circumference, and Epworth Sleep Scale scores increased in all groups. Soft palate and tongue length, hyoid-mandible, hyoid-posterior pharyngeal wall, and hyoid-spina nasalis posterior distances lengthened. An increase was found between spina nasalis anterior, spina nasalis posterior, distance between condylion and gnathion, and total facial length and lower face length in all groups.

Conclusions: It is thought that the results obtained due to the differentiation in anatomic structures may help the methods that will facilitate the diagnosis and treatment of OSAS.

阻塞性睡眠呼吸暂停综合征患者不同阶段的解剖变化。
目的:本研究旨在了解根据呼吸暂停低通气指数(AHI)分类的阻塞性睡眠呼吸暂停综合征(OSAS)患者的解剖结构变化。材料与方法:将个体分为1组(AHI=0, n=20)、2组(AHI小于5,n=20)、3组(AHI=5-15, n=20)、4组(AHI=16-30, n=20)、5组(AHI≤30,n=20)。拍摄个体左侧颈椎侧位x线片。使用“Enlil PACS”程序在放射图像(mm)上确定的形态测量点进行测量。这些测量分为软组织、舌骨、气道大小和颅面变量。结果:随AHI升高,各组年龄、体重指数、颈围、Epworth睡眠量表评分均升高。软腭和舌长,舌骨-下颌骨,舌骨-咽后壁,舌骨-鼻棘后距离变长。所有组鼻前棘、鼻后棘、髁突与牙突之间的距离、总面长和下面长均增加。结论:由于解剖结构上的差异,所获得的结果可能有助于OSAS的诊断和治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.70
自引率
11.10%
发文量
968
审稿时长
1.5 months
期刊介绍: ​The Journal of Craniofacial Surgery serves as a forum of communication for all those involved in craniofacial surgery, maxillofacial surgery and pediatric plastic surgery. Coverage ranges from practical aspects of craniofacial surgery to the basic science that underlies surgical practice. The journal publishes original articles, scientific reviews, editorials and invited commentary, abstracts and selected articles from international journals, and occasional international bibliographies in craniofacial surgery.
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