Advertisement

Craniofacial differences according to the body mass index of patients withobstructive sleep apnoea syndrome: cephalometric study in 85 patients

      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      We examined the craniofacial characteristics of patients with obstructive sleep apnoea syndrome (OSAS) and correlated them with the body mass index (BMI (weight (kg) * height(m)2)). Eighty-five men with OSAS diagnosed by conventional polysomonography were divided into two groups according to their BMI (<30 and ≥ 30). Cephalometry was analysed by using 31 measurements of the size of the bone structures, their relationships and the size of the airways.
      The groups were comparable for age and the apnoea-hypopnoea index (mean 49, standard deviation (SD) 23). Patient with a BMI < 30 had a shorter anterior floor of cranial base, a smaller mandible and retroposition of the mandible compared with severly obese patients. These skeletal differences were associated with narrower velopharyngeal and linguopharyngeal spaces. This study sh ows that there is a craniofacial difference between two populations, divided according to their BMI.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to British Journal of Oral and Maxillofacial Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Riley R
        • Guilleminault C
        • Herran J
        Cephalometric analyses and flow-volume loops in obstructive sleep apnoea patients.
        Sleep. 1983; 6:: 311
        • Downs WB
        Analysis of dentofacial profile.
        Angle Orthod. 1956; 26: 191-211
        • Steiner CC
        Cephalometrics for you and me.
        Am J Orthod. 1953; 39: 729-755
        • Tweed CH
        The Frankfort mandibular plane angle in orthodontic diagnosis, classification, treatment planning and prognosis.
        Am J Orthod. 1946; 32: 175-230
        • Miles PG
        • Vig PS
        • Weyant RJ
        Craniofacial structure and obstructive sleep apnoea syndrome – a qualitative analysis and meta-analysis of the literature.
        Am J Orthod Dentofacial Orthop. 1996; 109: 163-172
        • Ferguson KA
        • Ono T
        • Lowe AA
        The relationship between obesity and craniofacial structure in obstructive sleep apnoea.
        Chest. 1995; 108: 375-381
        • Hierl T
        • Humpfner-Hierl H
        • Frerich B
        Obstructive sleep apnoea syndrome: results and conclusions of a principalcomponent analysis.
        J Craniomaxillofac Surg. 1997; 25: 181-185
        • Partinen M
        • Guilleminault C
        • Salva Ma Quera
        Obstructive sleep apnoea and cephalometric roentgenograms. The role of anatomic upper airway abnormalities in the definition of abnormal breathing during sleep.
        Chest. 1998; 93: 1199-1205
        • Nelson S
        • Hans M
        Contribution of craniofacial risk factors in increasing apneic activity among obese and nonobese habitual snorers.
        Chest. 1997; 111: 154-162
        • Mayer P
        • Pepin JL
        • Bettega G
        Relationship between body mass index, age and upper airway measurements in snorers and sleep apnoea patients.
        Eur Respir J. 1996; 9:: 1801-1809
        • Tsuchiya M
        • Lowe AA
        • Pae EK
        Obstructive sleep apnoea subtypes by cluster analysis.
        Am J Orthod Dentofacial Orthop. 1992; 101: 533-542
        • Lyberg T
        • Krogstad O
        • Djupesland G
        Cephalometric analysis in patients with obstructive sleep apnoea syndrome: II. Soft tissue morphology.
        J Laryngol Otol. 1989; 103: 293-297
        • Tangugsorn V
        • Skatvedt O
        • Krogstad O
        Obstructive sleep apnoea: a cephalometric study. Part II. Uvulo-glossopharyngeal morphology.
        Eur J Orthod. 1995; 17: 57-67
        • Steinberg B
        • Fraser B
        The cranial base in obstructive sleep apnoea.
        J Oral Maxillofac Surg. 1995; 53: 1150-1154
        • Battagel JM
        • L'Estrange PR
        The cephalometric morphology of patients with obstructive sleep apnoea (OSA).
        Eur J Orthod. 1996; 18: 557-569
        • Bacon WH
        • Turlot JC
        • Krieger J
        Cephalometric evaluation of pharyngeal obstructive factors in patients with sleep apnoeas syndrome.
        Angle Orthod. 1990; 60: 115-122
        • Andersson L
        • Brattstrom V
        Cephalometric analysis of permanently snoring patients with and without obstructive sleep apnoea syndrome.
        Int J Oral Maxillofac Surg. 1991; 20: 159-162
        • Zucconi M
        • Strambi L
        • Ferini SP
        Craniofacial cephalometric evaluation in habitual snorers with and without obstructive sleep apnoea.
        Otolaryngol Head Neck Surg. 1993; 109: 1007-1013
        • Tangugsorn V
        • Skatvedt O
        • Krogstad O
        Obstructive sleep apnoea: a cephalometric study. Part I. Cervico-craniofacialskeletal morphology.
        Eur J Orthod. 1995; 17: 45-56
        • Hochban W
        • Brandenburg U
        Morphology of the viscerocranium in obstructive sleep apnoea syndrome – cephalometric evaluation of 400 patients.
        J Craniomaxillofac Surg. 1994; 22: 205-213
        • Jamieson A
        • Guilleminault C
        • Partinen M
        Obstructive sleep apneic patients have craniomandibular abnormalities.
        Sleep. 1986; 9: 469-477
        • Zucconi M
        • Ferini SL
        • Palazzi S
        Habitual snoring with and without obstructive sleep apnoea: the importance of cephalometric variables.
        Thorax. 1992; 47: 157-161
        • Colmenero C
        • Esteban R
        • Albarino AR
        Sleep apnoeasyndrome associated with maxillofacial abnormalities.
        J Laryngol Otol. 1991; 105: 94-100
        • Guilleminault C
        • Riley R
        • Powell N
        Sleep apnoea in normalsubjects following mandibular osteotomy with retrusion.
        Chest. 1985; 88: 776-778
        • Hochban W
        • Conradt R
        • Brandenburg U
        Surgicalmaxillofacial treatment of obstructive sleep apnoea.
        PlastReconstr Surg. 1997; 99: 619-626