Characterıstıcs Of Obstructıve Sleep Apnea Patıents Wıth Dıfferent Natural Head Postures

Although Obstructive Sleep Apnea (OSA) patients usually exhibit a cranio-cervical extension in the natural head posture (NHP), individual variations can be observed. This study was carried out in 121 male OSA patients (Apnea+Hypopnea Index= AHI>10) to identify potential differences in upper airwa...

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Main Authors: M. Murat Özbek, Alan A. Lowe
Format: Article
Language:English
Published: Galenos Yayinevi 1997-04-01
Series:Turkish Journal of Orthodontics
Subjects:
Online Access: http://www.turkjorthod.org/archives/archive-detail/article-preview/characterstcs-of-obstructve-sleep-apnea-patents-wt/54130
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author M. Murat Özbek
Alan A. Lowe
author_facet M. Murat Özbek
Alan A. Lowe
author_sort M. Murat Özbek
collection DOAJ
description Although Obstructive Sleep Apnea (OSA) patients usually exhibit a cranio-cervical extension in the natural head posture (NHP), individual variations can be observed. This study was carried out in 121 male OSA patients (Apnea+Hypopnea Index= AHI>10) to identify potential differences in upper airway, tongue, soft palate, hyoid, obesity and apnea severity variables between Craniocervical Extension (CCE) and Craniocervical Flexion (CCF) groups. Established NHP angles (NSLOPT and NSLCVT) were used to divide the patients into CCE (n= 86) and CCF (n= 35) groups, and t-tests were performed to test mean differences. Significant differences between groups were found for tongue (longer, p<0.001, and larger in CCE, p<0.05) hyoid (lower in CCE, p<0.001), and upper airway variables (smaller hypopharyngeal airway cross-sectional area in CCF, p<0.001), but the soft plate measurements were similar. OSA patients with CCE exhibited a slightly higher BMI (p<0.05). The apnea severity variables (AHI and Apnea Index) did not differ significantly between the two groups. We conclude that certain anatomic and demographic characteristics may trigger the adaptations in the NHP and that different factors may be responsible from OSA inpatients who exhibit a CCE and CCF in the NHP. Supported by MRC (Canada) Grant MT-3849.
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spelling doaj.art-c6ac40cd4b4f4495ba561545b5c419112023-08-01T13:06:01ZengGalenos YayineviTurkish Journal of Orthodontics2528-96592148-95051997-04-01101556010.13076/1300-3550-10-1-5513049054Characterıstıcs Of Obstructıve Sleep Apnea Patıents Wıth Dıfferent Natural Head PosturesM. Murat Özbek0Alan A. Lowe1 Ankara Üniversitesi, Diş Hekimliği Fakültesi, Ortodonti Anabilim Dalı British Columbia Üniversitesi, Klinik Dental Bilimler Departmenı Although Obstructive Sleep Apnea (OSA) patients usually exhibit a cranio-cervical extension in the natural head posture (NHP), individual variations can be observed. This study was carried out in 121 male OSA patients (Apnea+Hypopnea Index= AHI>10) to identify potential differences in upper airway, tongue, soft palate, hyoid, obesity and apnea severity variables between Craniocervical Extension (CCE) and Craniocervical Flexion (CCF) groups. Established NHP angles (NSLOPT and NSLCVT) were used to divide the patients into CCE (n= 86) and CCF (n= 35) groups, and t-tests were performed to test mean differences. Significant differences between groups were found for tongue (longer, p<0.001, and larger in CCE, p<0.05) hyoid (lower in CCE, p<0.001), and upper airway variables (smaller hypopharyngeal airway cross-sectional area in CCF, p<0.001), but the soft plate measurements were similar. OSA patients with CCE exhibited a slightly higher BMI (p<0.05). The apnea severity variables (AHI and Apnea Index) did not differ significantly between the two groups. We conclude that certain anatomic and demographic characteristics may trigger the adaptations in the NHP and that different factors may be responsible from OSA inpatients who exhibit a CCE and CCF in the NHP. Supported by MRC (Canada) Grant MT-3849. http://www.turkjorthod.org/archives/archive-detail/article-preview/characterstcs-of-obstructve-sleep-apnea-patents-wt/54130 natural head postureobstructive sleep apneacephalometry
spellingShingle M. Murat Özbek
Alan A. Lowe
Characterıstıcs Of Obstructıve Sleep Apnea Patıents Wıth Dıfferent Natural Head Postures
Turkish Journal of Orthodontics
natural head posture
obstructive sleep apnea
cephalometry
title Characterıstıcs Of Obstructıve Sleep Apnea Patıents Wıth Dıfferent Natural Head Postures
title_full Characterıstıcs Of Obstructıve Sleep Apnea Patıents Wıth Dıfferent Natural Head Postures
title_fullStr Characterıstıcs Of Obstructıve Sleep Apnea Patıents Wıth Dıfferent Natural Head Postures
title_full_unstemmed Characterıstıcs Of Obstructıve Sleep Apnea Patıents Wıth Dıfferent Natural Head Postures
title_short Characterıstıcs Of Obstructıve Sleep Apnea Patıents Wıth Dıfferent Natural Head Postures
title_sort characteristics of obstructive sleep apnea patients with different natural head postures
topic natural head posture
obstructive sleep apnea
cephalometry
url http://www.turkjorthod.org/archives/archive-detail/article-preview/characterstcs-of-obstructve-sleep-apnea-patents-wt/54130
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