Evaluation of the relationship between obstructive sleep apnea syndrome severity and cephalometric and clinical variables

Süleyman Hakan Tuna, Önder Öztürk, Hakan Turkkahraman, Hüseyin Alkiş, Hüseyin Avni Balcioǧlu, Ahmet Akkaya

Research output: Contribution to journalArticle

Abstract

Aim: To evaluate the cephalometric features of patients with obstructive sleep apnea syndrome (OSAS) and to elucidate the relationship between the severity of OSAS and cephalometric and clinical variables. Materials and methods: Ninety-three patients (71M/22W) with OSAS were classified into 3 subgroups according to the apnea-hypopnea index (AHI). Various cephalometric and clinical measurements were carried out for all patients. Results: Inferior airway space (IAS), maximum soft palate thickness (MSPT), SNGoGn°, and distance of hyoid bone to mandibular plane (Hy-MPPerp) were found to be higher in severe OSAS for both sexes. Middle airway space, IAS, MSPT, and Hy-MPPerp were correlated positively with AHI; however, superior airway space (SAS) was correlated negatively. In the stepwise regression analysis, mean SaO2, neck circumferences for men, and mean SaO2 and uvula length (PNS-PA) for women were included in the model to estimate AHI properties. Conclusion: The values of IAS, MSPT, SNGoGn°, and Hy-MPPerp showed a tendency to increase with the severity of OSAS. Although the cephalometric variables used to estimate OSAS severity had no effect in men, PNS-PA was found to have an influence in women. However, it is thought that it is difficult to use cephalometric variables to estimate AHI severity in both sexes.

Original languageEnglish (US)
Pages (from-to)987-998
Number of pages12
JournalTurkish Journal of Medical Sciences
Volume42
Issue number6
DOIs
StatePublished - Dec 1 2012
Externally publishedYes

Fingerprint

Cephalometry
Obstructive Sleep Apnea
Apnea
Soft Palate
Uvula
Hyoid Bone
Neck
Regression Analysis

Keywords

  • AHI
  • Cephalometry
  • OSAS
  • Polysomnography

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Evaluation of the relationship between obstructive sleep apnea syndrome severity and cephalometric and clinical variables. / Tuna, Süleyman Hakan; Öztürk, Önder; Turkkahraman, Hakan; Alkiş, Hüseyin; Balcioǧlu, Hüseyin Avni; Akkaya, Ahmet.

In: Turkish Journal of Medical Sciences, Vol. 42, No. 6, 01.12.2012, p. 987-998.

Research output: Contribution to journalArticle

Tuna, Süleyman Hakan ; Öztürk, Önder ; Turkkahraman, Hakan ; Alkiş, Hüseyin ; Balcioǧlu, Hüseyin Avni ; Akkaya, Ahmet. / Evaluation of the relationship between obstructive sleep apnea syndrome severity and cephalometric and clinical variables. In: Turkish Journal of Medical Sciences. 2012 ; Vol. 42, No. 6. pp. 987-998.
@article{b30a3539ea2c43589235b1358c1e9f76,
title = "Evaluation of the relationship between obstructive sleep apnea syndrome severity and cephalometric and clinical variables",
abstract = "Aim: To evaluate the cephalometric features of patients with obstructive sleep apnea syndrome (OSAS) and to elucidate the relationship between the severity of OSAS and cephalometric and clinical variables. Materials and methods: Ninety-three patients (71M/22W) with OSAS were classified into 3 subgroups according to the apnea-hypopnea index (AHI). Various cephalometric and clinical measurements were carried out for all patients. Results: Inferior airway space (IAS), maximum soft palate thickness (MSPT), SNGoGn°, and distance of hyoid bone to mandibular plane (Hy-MPPerp) were found to be higher in severe OSAS for both sexes. Middle airway space, IAS, MSPT, and Hy-MPPerp were correlated positively with AHI; however, superior airway space (SAS) was correlated negatively. In the stepwise regression analysis, mean SaO2, neck circumferences for men, and mean SaO2 and uvula length (PNS-PA) for women were included in the model to estimate AHI properties. Conclusion: The values of IAS, MSPT, SNGoGn°, and Hy-MPPerp showed a tendency to increase with the severity of OSAS. Although the cephalometric variables used to estimate OSAS severity had no effect in men, PNS-PA was found to have an influence in women. However, it is thought that it is difficult to use cephalometric variables to estimate AHI severity in both sexes.",
keywords = "AHI, Cephalometry, OSAS, Polysomnography",
author = "Tuna, {S{\"u}leyman Hakan} and {\"O}nder {\"O}zt{\"u}rk and Hakan Turkkahraman and H{\"u}seyin Alkiş and Balcioǧlu, {H{\"u}seyin Avni} and Ahmet Akkaya",
year = "2012",
month = "12",
day = "1",
doi = "10.3906/sag-1105-55",
language = "English (US)",
volume = "42",
pages = "987--998",
journal = "Turkish Journal of Medical Sciences",
issn = "1300-0144",
publisher = "Turkiye Klinikleri",
number = "6",

}

TY - JOUR

T1 - Evaluation of the relationship between obstructive sleep apnea syndrome severity and cephalometric and clinical variables

AU - Tuna, Süleyman Hakan

AU - Öztürk, Önder

AU - Turkkahraman, Hakan

AU - Alkiş, Hüseyin

AU - Balcioǧlu, Hüseyin Avni

AU - Akkaya, Ahmet

PY - 2012/12/1

Y1 - 2012/12/1

N2 - Aim: To evaluate the cephalometric features of patients with obstructive sleep apnea syndrome (OSAS) and to elucidate the relationship between the severity of OSAS and cephalometric and clinical variables. Materials and methods: Ninety-three patients (71M/22W) with OSAS were classified into 3 subgroups according to the apnea-hypopnea index (AHI). Various cephalometric and clinical measurements were carried out for all patients. Results: Inferior airway space (IAS), maximum soft palate thickness (MSPT), SNGoGn°, and distance of hyoid bone to mandibular plane (Hy-MPPerp) were found to be higher in severe OSAS for both sexes. Middle airway space, IAS, MSPT, and Hy-MPPerp were correlated positively with AHI; however, superior airway space (SAS) was correlated negatively. In the stepwise regression analysis, mean SaO2, neck circumferences for men, and mean SaO2 and uvula length (PNS-PA) for women were included in the model to estimate AHI properties. Conclusion: The values of IAS, MSPT, SNGoGn°, and Hy-MPPerp showed a tendency to increase with the severity of OSAS. Although the cephalometric variables used to estimate OSAS severity had no effect in men, PNS-PA was found to have an influence in women. However, it is thought that it is difficult to use cephalometric variables to estimate AHI severity in both sexes.

AB - Aim: To evaluate the cephalometric features of patients with obstructive sleep apnea syndrome (OSAS) and to elucidate the relationship between the severity of OSAS and cephalometric and clinical variables. Materials and methods: Ninety-three patients (71M/22W) with OSAS were classified into 3 subgroups according to the apnea-hypopnea index (AHI). Various cephalometric and clinical measurements were carried out for all patients. Results: Inferior airway space (IAS), maximum soft palate thickness (MSPT), SNGoGn°, and distance of hyoid bone to mandibular plane (Hy-MPPerp) were found to be higher in severe OSAS for both sexes. Middle airway space, IAS, MSPT, and Hy-MPPerp were correlated positively with AHI; however, superior airway space (SAS) was correlated negatively. In the stepwise regression analysis, mean SaO2, neck circumferences for men, and mean SaO2 and uvula length (PNS-PA) for women were included in the model to estimate AHI properties. Conclusion: The values of IAS, MSPT, SNGoGn°, and Hy-MPPerp showed a tendency to increase with the severity of OSAS. Although the cephalometric variables used to estimate OSAS severity had no effect in men, PNS-PA was found to have an influence in women. However, it is thought that it is difficult to use cephalometric variables to estimate AHI severity in both sexes.

KW - AHI

KW - Cephalometry

KW - OSAS

KW - Polysomnography

UR - http://www.scopus.com/inward/record.url?scp=84868693097&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84868693097&partnerID=8YFLogxK

U2 - 10.3906/sag-1105-55

DO - 10.3906/sag-1105-55

M3 - Article

VL - 42

SP - 987

EP - 998

JO - Turkish Journal of Medical Sciences

JF - Turkish Journal of Medical Sciences

SN - 1300-0144

IS - 6

ER -