Assessing the prevalence of velopharyngeal dysfunction and obstructive sleep apnea by correlating cone beam computed tomography parameters of soft palate with the stop bang questionnaire

Introduction: The relationship between soft palate length and nasopharyngeal depth can be used to determine the velopharyngeal dysfunction and is called Need's ratio. Need's ratio should be in a range of 0.6–0.7 in normal subjects. Any increase greater than 80% demonstrated a risk for deve...

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Main Authors: V S Madhu Preetha, B G Harsha Vardhan, K Saraswathi Gopal, Arathy S Lankupalli
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Journal of Indian Academy of Oral Medicine and Radiology
Subjects:
Online Access:http://www.jiaomr.in/article.asp?issn=0972-1363;year=2021;volume=33;issue=3;spage=294;epage=300;aulast=Madhu
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author V S Madhu Preetha
B G Harsha Vardhan
K Saraswathi Gopal
Arathy S Lankupalli
author_facet V S Madhu Preetha
B G Harsha Vardhan
K Saraswathi Gopal
Arathy S Lankupalli
author_sort V S Madhu Preetha
collection DOAJ
description Introduction: The relationship between soft palate length and nasopharyngeal depth can be used to determine the velopharyngeal dysfunction and is called Need's ratio. Need's ratio should be in a range of 0.6–0.7 in normal subjects. Any increase greater than 80% demonstrated a risk for developing velopharyngeal dysfunction. Aim: To assess the prevalence risk rate of obstructive sleep apnea using snoring, tiredness, observed apnea, blood pressure, body mass index, age, neck circumference, gender (STOP-BANG) questionnaire and to evaluate various parameters of the soft palate, pharyngeal depth, and determination of Need's ratio using CBCT. Materials and Method: In this prospective study, patients who reported for CBCT assessment in the age group ranging from 20 to 50 years were included. The sample size of the study was calculated to be 42. Furthermore, the patients were screened with the STOP- BANG questionnaire and shapes of the soft palate, velar length, width, and pharyngeal depth were obtained with the CBCT sections, and Need's ratio was calculated. Results: The collected data were analyzed with IBM. SPSS software 23.0. Based on the results of the STOP- BANG questionnaire, P value was found to be significant. Based on the CBCT parameters, the most common shape was the leaf-shaped soft palate. The velar length, width, and pharyngeal depth were found to be higher in males. Need's ratio was found to be increasing with an increase in age. A significant correlation of risk for OSA was established based on a comparison of questionnaire results with the results obtained from CBCT parameters with Need's ratio. Conclusion: CBCT is a static imaging technique, it can identify the anatomic risk factors for developing sleep apnea.
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spelling doaj.art-7fe7274f897542c3987ac0c3063ba4a62022-12-21T21:28:21ZengWolters Kluwer Medknow PublicationsJournal of Indian Academy of Oral Medicine and Radiology0972-13632021-01-0133329430010.4103/jiaomr.jiaomr_81_21Assessing the prevalence of velopharyngeal dysfunction and obstructive sleep apnea by correlating cone beam computed tomography parameters of soft palate with the stop bang questionnaireV S Madhu PreethaB G Harsha VardhanK Saraswathi GopalArathy S LankupalliIntroduction: The relationship between soft palate length and nasopharyngeal depth can be used to determine the velopharyngeal dysfunction and is called Need's ratio. Need's ratio should be in a range of 0.6–0.7 in normal subjects. Any increase greater than 80% demonstrated a risk for developing velopharyngeal dysfunction. Aim: To assess the prevalence risk rate of obstructive sleep apnea using snoring, tiredness, observed apnea, blood pressure, body mass index, age, neck circumference, gender (STOP-BANG) questionnaire and to evaluate various parameters of the soft palate, pharyngeal depth, and determination of Need's ratio using CBCT. Materials and Method: In this prospective study, patients who reported for CBCT assessment in the age group ranging from 20 to 50 years were included. The sample size of the study was calculated to be 42. Furthermore, the patients were screened with the STOP- BANG questionnaire and shapes of the soft palate, velar length, width, and pharyngeal depth were obtained with the CBCT sections, and Need's ratio was calculated. Results: The collected data were analyzed with IBM. SPSS software 23.0. Based on the results of the STOP- BANG questionnaire, P value was found to be significant. Based on the CBCT parameters, the most common shape was the leaf-shaped soft palate. The velar length, width, and pharyngeal depth were found to be higher in males. Need's ratio was found to be increasing with an increase in age. A significant correlation of risk for OSA was established based on a comparison of questionnaire results with the results obtained from CBCT parameters with Need's ratio. Conclusion: CBCT is a static imaging technique, it can identify the anatomic risk factors for developing sleep apnea.http://www.jiaomr.in/article.asp?issn=0972-1363;year=2021;volume=33;issue=3;spage=294;epage=300;aulast=Madhucbctneed's ratioobstructive sleep apnoeaquestionnairevelopharyngeal dysfunction
spellingShingle V S Madhu Preetha
B G Harsha Vardhan
K Saraswathi Gopal
Arathy S Lankupalli
Assessing the prevalence of velopharyngeal dysfunction and obstructive sleep apnea by correlating cone beam computed tomography parameters of soft palate with the stop bang questionnaire
Journal of Indian Academy of Oral Medicine and Radiology
cbct
need's ratio
obstructive sleep apnoea
questionnaire
velopharyngeal dysfunction
title Assessing the prevalence of velopharyngeal dysfunction and obstructive sleep apnea by correlating cone beam computed tomography parameters of soft palate with the stop bang questionnaire
title_full Assessing the prevalence of velopharyngeal dysfunction and obstructive sleep apnea by correlating cone beam computed tomography parameters of soft palate with the stop bang questionnaire
title_fullStr Assessing the prevalence of velopharyngeal dysfunction and obstructive sleep apnea by correlating cone beam computed tomography parameters of soft palate with the stop bang questionnaire
title_full_unstemmed Assessing the prevalence of velopharyngeal dysfunction and obstructive sleep apnea by correlating cone beam computed tomography parameters of soft palate with the stop bang questionnaire
title_short Assessing the prevalence of velopharyngeal dysfunction and obstructive sleep apnea by correlating cone beam computed tomography parameters of soft palate with the stop bang questionnaire
title_sort assessing the prevalence of velopharyngeal dysfunction and obstructive sleep apnea by correlating cone beam computed tomography parameters of soft palate with the stop bang questionnaire
topic cbct
need's ratio
obstructive sleep apnoea
questionnaire
velopharyngeal dysfunction
url http://www.jiaomr.in/article.asp?issn=0972-1363;year=2021;volume=33;issue=3;spage=294;epage=300;aulast=Madhu
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