Obesity and craniofacial variables in subjects with obstructive sleep apnea syndrome: comparisons of cephalometric values

6533b861fe1ef96bd12c43da

RESEARCH PRODUCT

Obesity and craniofacial variables in subjects with obstructive sleep apnea syndrome: comparisons of cephalometric values

Antonino Marco Cuccia Giuseppina Campisi Rosangela Cannavale Giuseppe Colella

subject

Adult Male Pediatrics medicine.medical_specialty lcsh:Specialties of internal medicine Cephalometry Polysomnography Clinical Neurology Dentistry Review Polysomnography Sensitivity and Specificity Severity of Illness Index Body Mass Index Tongue lcsh:RC581-951 Reference Values Risk Factors Severity of illness medicine Humans Obesity Craniofacial General Dentistry Aged Sleep Apnea Obstructive medicine.diagnostic_test Dentistry(all)business.industry Incidence Sleep apnea Middle Aged Craniometry medicine.disease Obesity respiratory tract diseases Obstructive sleep apnea Jaw Otorhinolaryngology Case-Control Studies Pharynx Female Neurology (clinical)Palate Soft business Body mass index

description

AbstractBackgroundThe aim of this paper was to determine the most common craniofacial changes in patients suffering Obstructive Sleep Apnea Syndrome (OSAS) with regards to the degree of obesity. Accordingly, cephalometric data reported in the literature was searched and analyzed.MethodsAfter a careful analysis of the literature from 1990 to 2006, 5 papers with similar procedural criteria were selected. Inclusion criteria were: recruitment of Caucasian patients with an apnea-hypopnea index (AHI) >10 as grouped in non-obese (Body Mass Index – [BMI] < 30)vs. obese (BMI ≥ 30).ResultsA low position of the hyoid bone was present in both groups. In non-obese patients, an increased value of the ANB angle and a reduced dimension of the cranial base (S-N) were found to be the most common finding, whereas major skeletal divergence (ANS-PNS ^Go-Me) was evident among obese patients. No strict association was found between OSAS and length of the soft palate.ConclusionIn both non-obese and obese OSAS patients, skeletal changes were often evident; with special emphasis of intermaxillary divergence in obese patients. Unexpectedly, in obese OSAS patients, alterations of oropharyngeal soft tissue were not always present and did not prevail.

year	journal	country	edition	language
2007-12-01	Head & Face Medicine

https://doi.org/10.1186/1746-160x-3-41