Effect of obesity and erect/supine posture on lateral cephalometry: Relationship to sleep-disordered breathing

European Respiratory Journal

Volumn 13, Issue 2, 1999, Pages 398-402

  Brander, P E ^b   Mortimore, I L ^a   Douglas, N J ^a  

^a UNIVERSITY OF EDINBURGH   (United Kingdom)

^b HYVINKÄÄ HOSPITAL   (Finland)

Author keywords

Cephalometry; Obesity; Posture; Sleep apnoea

Indexed keywords

ADULT; ARTICLE; BODY POSTURE; CLINICAL ARTICLE; CONTROLLED STUDY; CRANIOFACIAL MORPHOLOGY; HUMAN; HYOID BONE; MALE; OBESITY; PATHOLOGICAL ANATOMY; PHARYNX; POLYSOMNOGRAPHY; PRIORITY JOURNAL; SLEEP APNEA SYNDROME; SUPINE POSITION;

ADULT; CEPHALOMETRY; HUMANS; JAW; MALE; MIDDLE AGED; OBESITY; PALATE, SOFT; PHARYNX; POLYSOMNOGRAPHY; POSTURE; RANDOM ALLOCATION; SLEEP APNEA SYNDROMES; SUPINE POSITION; UVULA;

EID: 0032982093     PISSN: 09031936     EISSN: None     Source Type: Journal    
DOI: 10.1183/09031936.99.13239899     Document Type: Article

References (26)

1. Guilleminault C. Van den Hoed J, Mitler MM. Clinical overview of the sleep apnea syndromes. In: Guilleminault C, Dement WC, eds. Sleep Apnea Syndromes, New York, Alan R Liss, 1978; pp. 1-12.
2. Rivlin J, Hofstein V, Kalbfleisch J, McNicholas W, Zamel N, Bryan AC. Upper airway morphology in patients with idiopathic obstructive sleep apnea. Am Rev Respir Dis 1984; 129: 355-360.
3. Stauffer JL, Buick MK, Bixler EO, et al. Morphology of the uvula in obstructive sleep apnea. Am Rev Respir Dis 1989; 140: 724-728.
4. Brown IG, Bradley TD, Phillipson EA, Zamel N, Hoffstein V. Pharyngeal compliance in snoring subjects with and without obstructive sleep apnea. Am Rev Respir Dis 1985; 132: 211-215.
5. Suratt PM, McTier RF, Wiljhoit SC. Upper airway muscle activation is augmented in patients with obstructive sleep apnea compared with in normal subjects. Am Rev Respir Dis 1988; 137: 889-894.
6. Mortimore IL, Douglas NJ. Palatal muscle EMG response to negative pressure in awake sleep apneics and controls. Am J Respir Crit Care Med 1997; 156: 867-873.
7. Jamieson A, Guilleminault C, Partinen M, Quera-Salva M. Obstructive sleep apnea patients have craniomandibular abnormalities. Sleep 1986; 9: 469-477.
8. Lyberg T, Krogstad O, Djupesland G. Cephalometric analysis in patients with obstructive sleep apnea syndrome. II. Soft tissue morphology. J Laryngol Otol 1989; 103: 293-297.
9. Maltais F, Carrier G, Cormier Y, Series F. Cephalometric measurements in snorers, non-snorers, and patients with sleep apnoea. Thorax 1991; 46: 419-123.
10. Lowe AA, Fleetham JA, Adachi S, Ryan CF. Cephalometric and computer tomographic predictors of obstructive sleep apnea severity. Am J Orthod Dentofac Orthop 1995; 107: 589-595.
11. Lyberg T, Krogstad O, Djupesland G. Cephalometric analysis in patients with obstructive sleep apnoea syndrome. I. Skeletal morphology. J Laryngol Otol 1989; 103: 287-292.
12. Lowe AA, Santamaria JD, Fleetham JA, Price C. Facial morphology and obstructive sleep apnea. Am J Orthod Dentofac Orthop 1986; 90: 484-491.
13. Tsuchiya M, Lowe AA, Pae E-K, Fleetham JA. Obstructive sleep apnea subtypes by cluster analysis. Am J Orthod Dentofac Orthop 1992; 101: 533-542.
14. Ferguson KA, Ono T, Lowe AA, Ryan F, Fleetham JA. The relationship between obesity and craniofacial structure in obstructive sleep apnea. Chest 1995; 108: 375-381.
15. Nelson S, Hans M. Contribution of craniofacial risk factors in increasing apneic activity among obese and non-obese habitual snorers. Chest 1997; 111: 154-162.
16. Mathur R, Douglas NJ. Family studies in patients with the sleep apnea-hypopnea syndrome. Ann Intern Med 1995; 122: 174-178.
17. Partinen M, Guilleminault C, Quera-Salva MA, Jamieson A. Obstructive sleep apnea and cephalometric roentgenograms. The role of anatomic upper airway abnormalities in the definition of abnormal breathing during sleep. Chest 1988; 93: 1199-1205.
18. Mayer P, Pepin J-L, Bettega G, et al. Relationship between body mass index, age and upper airway measurements in snorers and sleep apnoea patients. Eur Respir J 1996; 9: 1801-1809.
19. Douglas NJ, Thomas S, Jan MA. Clinical value of polysomnography. Lancet 1992; 339: 347-350.
20. Yildrim N, Fitzpatrick MF, Whyte KF, Jalleh R, Wightman AJA, Douglas AN. The effect of posture on upper airway dimensions in normal subjects and in patients with the sleep apnea/hypopnea syndrome. Am Rev Respir Dis 1991; 144: 845-847.
21. Wilding J. Obesity treatment. BMJ 1997; 315: 997-1000.
22. Douglas NJ, Jan MA, Yildirim N, Warren P, Drummond GB. Effect of posture and breathing route on genioglossal electromyogram activity in normal subjects and in patients with the sleep apnea/hypopnea syndrome. Am Rev Respir Dis 1993; 148: 1341-1345.
23. Pae E-K. Lowe AA, Sasaki K, Price C, Tsuchiya M, Fleetham JA. A cephalometric and electromyographic study of upper airway structures in the upright and supine positions. Am J Orthod Denofac Orthop 1994; 106: 52-59.
24. Mortimore IL, Mathur R, Douglas NJ. Effect of posture, route of respiration and negative pressure on palatal muscle activity in man. J Appl Physiol 1995; 79: 448-454.
25. Mortimore IL, Marshall I, Wraith P, Sellar R, Douglas NJ. Neck and total body fat deposition in non-obese and obese patients with sleep apnea compared with control subjects. Am J Respir Crit Care Med 1998; 157: 280-283.
26. Davies RJO, Stradling JR. The relationship between neck circumference, radiographic pharyngeal anatomy and the obstructive sleep apnea syndrome. Eur Respir J 1990; 3: 509-514.