[Relationship of lingual region upper airway stricture and lingua-palate position type in obstructive sleep apnea hypopnea syndrome patients].
OBJECTIVE
To explore the relationship ol lingual region upper airway stricture and lingua-palate position type in obstructive sleep apnea hypopnea syndrome (OSAHS) patients.


METHODS
One hundred patients with OSAHS were included in the study and divided into 4 groups by lingua-palate age, AHI, BMI and lowest SaO2, the dimensions and area of lingual region airway, the thickness of retropharyngeal and lateral pharyngeal tissue, the tongue width, tongue length and tongue area were compared among four groups. The multinomial step regression process was performed with SPSS software to explore the effects of lingua-palate position type on lingual region upper airway stricture.


RESULTS
There were no statistical difference of age, BMI, AHI and lowest pulse oxygen among four groups OSAHS patients (P > 0.05). And the CT results showed: starting from type I to type IV, the area, coronal and arrowe diameter of lingual region upper airways were decreasing, tongue length, tongue area and the percentage of lingual region airway stricture were increasing, the percentage of lingual region airway stricture were 0/25, 3/39, 7/22, 14/14, respectively (P < 0.05). The multinomial step regression analysis showed that the area of lingual airway was the most important factor of lingua-palate position type, the unstandardized coefficient was -0.39, and standardized coefficient was -0.545.


CONCLUSIONS
The study suggests that there is evident correlation between lingual region airway stricture and lingua-palate position type, and lingual region airway stricture can be roughly determined by lingua-palate position type.
Li
Shu-hua
SH
Department of Otorhinolaryngolgoy, Shenyang General Hospital of Chinese People's Liberation Army, Shenyang 110016, China. lishsy@sina.com
Shi
Hon-jin
HJ
Wu
Da-hai
DH
Dong
Wei-dong
WD
Zou
Lian-gui
LG
Liu
Rong
R
D000328:Adult; D000368:Aged; D000402:Airway Obstruction / Q000175:diagnosis; D006801:Humans; D008297:Male; D008875:Middle Aged; D010159:Palate / Q000000981:diagnostic imaging*; D010614:Pharynx / Q000000981:diagnostic imaging*; D011859:Radiography; D020181:Sleep Apnea, Obstructive / Q000000981:diagnostic imaging*; D014059:Tongue / Q000000981:diagnostic imaging*; D055815:Young Adult