Obstructive sleep apnoea: a cephalometric study. Part I. Cervico-craniofacial skeletal morphology.
A comprehensive cephalometric analysis of cervico-craniofacial skeletal morphology in 100 male patients with obstructive sleep apnoea (OSA) and 36 male controls was performed. The significant aberrations in the OSA group feature: (1) shorter dimension of cranial base with slight counter-clockwise rotation and depression of clivus; (2) shorter maxillary length with normal height; (3) maxillo-mandibular retrognathia related to nasion perpendicular plane (N perpendicular FH) despite normal angles of prognathism; (4) 47 per cent of the OSA group had mandibular retrognathia; (5) increased anterior lower facial height and mandibular plane angle; (6) reduced size of bony pharynx; (7) inferiorly positioned hyoid bone at C4-C6 level; (8) deviated head posture with larger cranio-cervical angle. Cephalometric analysis is highly recommended in OSA patients as one of the most important tools in diagnosis and treatment planning.
Tangugsorn
V
V
Department of Orthodontics, University of Oslo, Norway.
Skatvedt
O
O
Krogstad
O
O
Lyberg
T
T
D000328:Adult; D000368:Aged; D016022:Case-Control Studies; D002508:Cephalometry; D002574:Cervical Vertebrae / Q000473:pathology*; D005147:Facial Bones / Q000473:pathology*; D006801:Humans; D006928:Hyoid Bone / Q000473:pathology; D008297:Male; D008334:Mandible / Q000473:pathology; D008437:Maxilla / Q000473:pathology; D008875:Middle Aged; D010614:Pharynx / Q000473:pathology; D011187:Posture; D063173:Retrognathia / Q000473:pathology; D012399:Rotation; D012886:Skull / Q000473:pathology*; D012891:Sleep Apnea Syndromes / Q000473:pathology*