Predictive value of hyoid cephalometrics for retroglossal obstruction in patients with obstructive sleep apnoea hypopnea syndrome

2019 ◽  
Vol 133 (2) ◽  
pp. 119-124
Author(s):  
R Y Hei ◽  
J Qin ◽  
S H Li
Keyword(s):  
Obstructive Sleep Apnoea ◽  
Horizontal Plane ◽  
Cervical Vertebra ◽  
Diagnostic Value ◽  
Sleep Apnoea ◽  
Coronal Plane ◽  
Strongly Correlated ◽  
Obstructive Sleep ◽  
Hypopnea Syndrome ◽  
Obstruction Severity

AbstractObjectiveTo examine the diagnostic value of hyoid cephalometrics in predicting retroglossal obstruction severity in patients with obstructive sleep apnoea hypopnea syndrome.MethodsNinety-six obstructive sleep apnoea hypopnea syndrome patients diagnosed by polysomnography were recruited. Polysomnography was repeated with a nasopharyngeal tube after eliminating rhinal and palatopharyngeal obstruction. Cervical vertebra lateral films and hyoid cephalometric measurements were obtained, including the distances of the hyoid to the: mental tubercle, prevertebral plane, mental tubercle coronal plane and mental tubercle horizontal plane.ResultsThe apnoea-hypopnoea index for nasopharyngeal tube polysomnography was significantly correlated with distances from the hyoid to: prevertebral plane (r = 0.350), coronal plane (r = 0.477), horizontal plane (r = 0.529) and mental tubercle (r = 0.560). It was strongly correlated with the hyoid to mental tubercle distance/hyoid to prevertebral plane distance value (r = 0.683), and (hyoid to coronal plane distance plus hyoid to horizontal plane distance)/hyoid to prevertebral plane distance value (r = 0.675).ConclusionObstructive sleep apnoea hypopnea syndrome patients with longer hyoid to mental tubercle distances, and/or more inferior and posterior hyoid bone position, are more prone to retroglossal stenosis and obstruction. Hyoid cephalometrics are valuable for predicting retroglossal obstruction severity.

scholarly journals Effects of adenotonsillectomy on the growth of children with obstructive sleep apnoea-hypopnea syndrome (OSAHS): protocol for a systematic review

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e030866 ◽  
Author(s):  
Fang Hua ◽  
Tingting Zhao ◽  
Tanya Walsh ◽  
Qiao Sun ◽  
Xiong Chen ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cohort Studies ◽  
Obstructive Sleep Apnoea ◽  
Sleep Apnoea ◽  
Risk Of Bias ◽  
Controlled Trials ◽  
Cochrane Central Register ◽  
Adenotonsillar Hypertrophy ◽  
Obstructive Sleep ◽  
Hypopnea Syndrome

IntroductionObstructive sleep apnoea-hypopnea syndrome (OSAHS) is characterised by recurring episodes of complete or partial upper airway collapse during sleep. Persistent OSAHS is associated with long-term consequences, such as growth failure, cardiovascular and neurocognitive problems in children. Different from the aetiology of OSAHS in adults, the most common cause of paediatric OSAHS is adenotonsillar hypertrophy. Adenotonsillectomy (AT) has been recommended as the first-line treatment of paediatric OSAHS. Several studies have suggested that retarded growth caused by OSAHS can improve after AT during the prepubertal period. This review will systematically search and summarise the available evidence on the effects of AT on children’s growth.Methods and analysisWe will conduct electronic searches in MEDLINE (via PubMed), Embase, Google Scholar and the Cochrane Central Register of Controlled Trials for randomised controlled trials (RCTs) or cohort studies that included a control group. Additional records will be searched by checking the references included in the selected studies and relevant reviews. At least two authors will undertake selection of studies and data extraction independently and in duplicate. The Cochrane Risk of Bias tool and Risk Of Bias In Non-randomised Studies—of Interventions will be used to assess the risk of bias of RCT and cohort studies, respectively. A random-effects model will be used for meta-analyses. Data synthesis and other analyses will be carried out using the RevMan V.5.3 software. The Grades of Recommendation, Assessment, Development and Evaluation will be used to assess the quality of the supporting evidence behind each main comparison.Ethics and disseminationThere is no ethical issue in this systematic review given that we will only include published studies. The results will be disseminated via peer-reviewed publications and social networks.PROSPERO registration numberCRD42019125882

scholarly journals Impact of bariatric surgery on obstructive sleep apnoea–hypopnea syndrome in morbidly obese patients

2017 ◽  
Vol 13 (4) ◽  
pp. 291 ◽  
Author(s):  
Sandeep Aggarwal ◽  
Pratyusha Priyadarshini ◽  
VijayPal Singh ◽  
Harshit Garg ◽  
Sanjeev Sinha ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Obstructive Sleep Apnoea ◽  
Sleep Apnoea ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Obstructive Sleep ◽  
Hypopnea Syndrome

scholarly journals Frequency of insomnia report in patients with obstructive sleep apnoea hypopnea syndrome (OSAHS)

2004 ◽  
Vol 5 (5) ◽  
pp. 449-456 ◽  
Author(s):  
Simon Smith ◽  
Karen Sullivan ◽  
Wendy Hopkins ◽  
James Douglas
Keyword(s):  
Obstructive Sleep Apnoea ◽  
Sleep Apnoea ◽  
Obstructive Sleep ◽  
Hypopnea Syndrome

scholarly journals Evaluation of the subjective efficacy of nasal surgery

2016 ◽  
Vol 131 (1) ◽  
pp. 37-43 ◽  
Author(s):  
J Wu ◽  
H R Zang ◽  
T Wang ◽  
B Zhou ◽  
J Y Ye ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Obstructive Sleep Apnoea ◽  
Analogue Scale ◽  
Sleep Apnoea ◽  
Subjective Symptoms ◽  
Nasal Surgery ◽  
Nasal Blockage ◽  
Obstructive Sleep ◽  
Hypopnea Syndrome

AbstractObjectives:This study aimed to evaluate subjective symptom changes in obstructive sleep apnoea hypopnea syndrome patients following nasal surgery, and to explore treatment efficacy in improving patient quality of life.Methods:Patients with nasal blockage accompanied by habitual snoring were stratified into four groups. Their subjective symptoms were evaluated before and after nasal surgery.Results:There was a significant decrease in the nasal blockage symptom visual analogue scale, Epworth Sleepiness Scale, Snore Outcomes Survey, Spouse/Bed Partners Survey and Sino-Nasal Outcome Test 20 scores for all patients at six months after surgery. The visual analogue scale score for subjective olfactory function was significantly improved in the severe obstructive sleep apnoea hypopnea syndrome patient group.Conclusion:Nasal surgery can effectively improve the subjective symptoms of patients with simple snoring accompanied by nasal blockage and of patients with obstructive sleep apnoea hypopnea syndrome, thus improving their quality of life.

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