Gender-specific cephalometric features related to obesity in sleep apnea patients: trilogy of soft palate-mandible-hyoid bone
조석현, 전재윤, 장근수, 김상윤, 김경래, 류승호, 황경균,
소속 상세정보
조석현 ( Cho Seok-Hyun ) - Hanyang University College of Medicine Department of Otorhinolaryngology-Head and Neck Surgery
전재윤 ( Jeon Jae-Yun ) - Hanyang University College of Medicine Department of Dentistry Division of Oral and Maxillofacial Surgery
장근수 ( Jang Kun-Soo ) - Hanyang University College of Medicine Department of Dentistry Division of Oral and Maxillofacial Surgery
김상윤 ( Kim Sang-Yoon ) - Harvard Medical School Massachusetts General Hospital Department of Oral and Maxillofacial Surgery
김경래 ( Kim Kyung-Rae ) - Hanyang University College of Medicine Department of Otorhinolaryngology-Head and Neck Surgery
류승호 ( Ryu Seung-Ho ) - Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Occupational and Environmental Medicine
황경균 ( Hwang Kyung-Gyun ) - Hanyang University College of Medicine Department of Dentistry Division of Oral and Maxillofacial Surgery
Abstract
Background: The aim of this study is to investigate the relationship between gender-specific and obesity-related airway anatomy in patients with obstructive sleep apnea (OSA) by using cephalometric analyses.
Methods: We retrospectively evaluated 206 patients with suspected OSA undergoing polysomnography and anthropometric measurements such as body mass index, neck circumference, and waist-hip ratio. We checked lateral cephalometry to measure tissue landmarks including angle from A point to nasion to B point (ANB), soft palate length (SPL), soft palate thickness (SPT), retropalatal space (RPS), retrolingual space (RLS), and mandibular plane to hyoid (MPH).
Results: Male with OSA showed significantly increased SPL (P = .006) compared with controls. SPL and MPH had significant correlation with apnea-hypopnea index (AHI) and central obesity. Female with OSA showed significantly increased ANB (P = .013) and SPT (P = .004) compared with controls. The receiver operating characteristic curves revealed that SPT in male and ANB and SPT in female were significant in model 1 (AHI ≥ 5) and model 2 (AHI ≥ 15). MPH was also significant for male in model 2.
Conclusion: Male and female with OSA had distinct anatomic features of the upper airway and different interactions among soft palate, mandible, and hyoid bone.
키워드
Central obesity; Cephalometry; Gender; Sleep disorders; Airway
원문 및 링크아웃 정보
등재저널 정보