Upper airway collapsibility and cephalometric variables in patients with obstructive sleep Apnea

American Journal of Respiratory and Critical Care Medicine

Volumn 161, Issue 2 I, 2000, Pages 347-352

  Sforza, Emilia ^a,b   Bacon, William ^a   Weiss, Thomas ^a   Thibault, Anne ^a   Petiau, Christophe ^a   Krieger, Jean ^a  

^a UNIVERSITY HOSPITAL OF STRASBOURG   (France)

^b Hôpital Belle Idèe   (Switzerland)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AIRWAY; APNEA; ARTICLE; CEPHALOMETRY; HUMAN; HYOID BONE; HYPOXEMIA; MAJOR CLINICAL STUDY; MALE; OBESITY; PATHOPHYSIOLOGY; PHARYNX; POLYSOMNOGRAPHY; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL; SLEEP APNEA SYNDROME;

EID: 0034051993     PISSN: 1073449X     EISSN: None     Source Type: Journal    
DOI: 10.1164/ajrccm.161.2.9810091     Document Type: Article

References (34)

1. Partinen, M., C. Guilleminault, M. A. Quera-Salva, and A. Jamieson. 1988. Obstructive sleep apnea and cephalometric roentgenograms: the role of anatomic upper airway abnormalities in the definition of abnormal breathing during sleep. Chest 93:1199-1205.
2. Lyberg, T., O. Krogsladt, and G. Djupesland. 1989. Cephalometric analysis in patients with obstructive sleep apnea syndrome: I. Skeletal morphology. J. Laryngol. Otol. 103:287-292.
3. Bacon, W. H., J. C. Turlot, J. Krieger, and J. L. Stierle. 1989. Cephalometric evaluation of pharyngeal obstructive factors in patients with sleep apnea syndrome. Angle Orthod. 60:115-121.
4. Mathur, R., and N. J. Douglas. 1995. Family studies in patients with the sleep apnea-hypopnea syndrome. Ann. Intern. Med. 122:174-178.
5. Nelson, S., and M. Hans. 1997. Contribution of craniofacial risk factors in increasing apneic activity among obese and nonobese habitual snorers. Chest 111:154-162.
6. Schwab, R. J., K. B. Guptka, W. B. Gefter, L. J. Metzger, E. A. Hoffman, and A. I. Pack. 1995. Upper airway and soft tissue anatomy in normal subjects and patients with sleep-disordered breathing: significance of the lateral pharyngeal walls. Am. J. Respir. Crit. Care Med. 152:1673-1689.
7. Gleadhill, I. C., A. R. Schwartz, N. Schubert, R. A. Wise, S. Permutt, and P. L. Smith. 1991. Upper airway collapsibility in snorers and in patients with obstructive sleep apnea. Am. Rev. Respir. Dis. 143:1300-1303.
8. Sforza, E., C. Petiau, T. Weiss, A. Thibault, and J. Krieger. 1999. Pharyngeal critical pressure in patients with obstructive sleep apnea syndrome: clinical implications. Am. J. Respir. Crit. Care Med. 159:149-157.
9. Horner, R. L., J. A. Innes, K. Murphy, and A. Guz. 1991. Evidence for reflex upper airway dilator muscle activation by sudden negative pressure in man. J. Physiol. 436:15-29.
10. Schwartz, A. R., N. Schubert, and W. Rothman. 1992. Effect of uvulopalatopharyngoplasty on upper airway collapsibility in obstructive sleep apnea syndrome. Am. Rev. Respir. Dis. 145:527-532.
11. Bacon, W. H., J. Krieger, J. C. Turlot, and J. L. Stierle. 1988. Craniofacial characteristics in patients with obstructive sleep apneas syndrome. Cleft Palate J. 25:374-378.
12. Rechtschaffen, A., and A. Kales. 1968. A manual of standardized terminology, technique and scoring system for sleep stages of human sleep. Los Angeles Brain Information Service. Brain Information Institute, UCLA.
13. Brown, I. G., T. D. Bradley, E. A. Phillipson, N. Zamel, and V. Hoffstein. 1985. Pharyngeal compliance in snoring subjects with and without obstructive sleep apnea. Am. Rev. Respir. Dis. 132:211-215.
14. Ryan, C. F., and L. L. Love. 1996. Mechanical properties of the velopharynx in obese patients with obstructive sleep apnea. Am. J. Respir. Crit. Care Med. 154:806-812.
15. Roberts, J. L., W. R. Reed, O. P. Mathew, A. A. Menon, and B. T. Thach. 1985. Assessment of pharyngeal airway stability in normal and micrognathic infants. J. Appl. Physiol. 58:290-299.
16. Morrison, D. L., S. H. Launois, S. Isono, T. R. Feroah, W. A. Whitelaw, and J. E. Remmers. 1993. Pharyngeal narrowing and closing pressure in patients with obstructive sleep apnea. Am. Rev. Respir. Dis. 148:606-611.
17. Ferguson, K. A., T. Ono, A. A. Lowe, C. F. Ryan, and J. A. Fleetham. 1995. The relationship between obesity and craniofacial structure in obstructive sleep apnea. Chest 108:375-381.
18. Schwartz, A. R., A. R. Gold, N. Schubert, A. Stryzak, R. A. Wise, S. Permutt, and P. L. Smith. 1991. Effect of weight loss on upper airway collapsibility in obstructive sleep apnea. Am. Rev. Respir. Dis. 144:494-498.
19. Smirne, S., S. Iannacone, L. Ferini-Strambi, M. Comola, E. Colombo, and R. Nemni. 1991. Muscle fibre type and habitual snoring. Lancet 337:597-599.
20. Friberg, D., T. Ansved, K. Borg, B. Carlsson-Nordlander, H. Larsson, and E. Svanborg. 1998. Histological indications of a progressive snorers disease in an upper airway muscle. Am. J. Respir. Crit. Care Med. 157:586-593.
21. Larsson, H., B. Carlsson-Nordlander, L. E. Linblad, O. Norbeck, and E. Svanborg. 1992. Temperature threshold in the oropharynx of patients with obstructive sleep apnea syndrome. Am. Rev. Respir. Dis. 146:1246-1249.
22. Woodson, B. T., J. C. Garancis, and R. J. Toohill. 1991. Histopathological changes in snoring and obstructive sleep apnea syndrome. Laryngoscope 101:1318-1322.
23. Series, F., C. Coté, J. A. Simoneau, S. St. Pierre, and I. Marc. 1996. Upper airway collapsibility and contractile and metabolic characteristics of muscular uvula. FASEB J. 10:897-904.
24. Mezzanotte, W. S., D. K. Tangel, and D. P. White. 1996. Influence of sleep onset on upper-airway activity in apnea patients versus normal controls. Am. J. Respir. Crit. Care Med. 153:1880-1887.
25. Ferguson, K. A., L. L. Love, and C. F. Ryan. 1997. Effect of mandibular and tongue protrusion on upper airway size during wakefulness. Am. J. Respir. Crit. Care Med. 155:1748-1754.
26. Isono, S., A. Tanaka, Y. Sho, A. Konno, and T. Nishino. 1995. Advancement of the mandible improves velopharyngeal airway patency. J. Appl. Physiol. 79:2132-2138.
27. Neill, A. M., S. M. Angus, D. Sajkov, and R. D. McEvoy. 1997. Effects of sleep posture on upper airway stability in patients with obstructive sleep apnea. Am. J. Respir. Crit. Care Med. 155:199-204.
28. Isono, S., J. E. Remmers, A. Tanaka, Y. Sho, J. Saro, and T. Nishino. 1997. Anatomy of the pharynx in patients with obstructive sleep apnea and in normal subjects. J. Appl. Physiol. 82:1319-1326.
29. Schwartz, A. R., C. R. O'Donnell, J. Baron, N. Schubert, D. Alam, S. D. Samadi, and P. L. Smith. 1998. The hypotonic upper airway in obstructive sleep apnea: role of structures and neuromuscular activity. Am. J. Respir. Crit. Care Med. 157:1051-1057.
30. Isono, S., A. Shimada, M. Utsugi, A. Konno, and T. Nishino. 1998. Comparison of static mechanical properties of the passive pharynx between normal children and children with sleep disordered breathing. Am. J. Respir. Crit. Care Med. 157:1204-1212.
31. Pae, E. K., A. A. Lowe, K. Sasaki, C. Price, M. Tsuchiya, and J. A. Fleetham. 1994. A cephalometric and electromyographic study of upper airway structures in the upright and supine positions. Am. J. Orthod. Dentofacial Orthop. 106:52-59.
32. Schwab, R. J., A. I. Pack, K. B. Gupta, L. J. Metzger, E. Oh, J. E. Getsy, E. A. Hoffman, and W. B. Gefter. 1996. Upper airway and soft tissue structural changes induced by CPAP in normal subjects. Am. J. Respir. Crit. Care Med. 154:1106-1116.
33. Horner, R. L., R. H. Mohiaddin, D. G. Lowell, S. A. Shea, E. D. Burman, D. B. Longmore, and A. Guz. 1989. Sites and sizes of fat deposits around the pharynx in obese patients with obstructive sleep apnea and weight matched controls. Eur. Respir. J. 2:513-522.
34. Leiter, J. C. 1996. Upper airway shape: is it important in the pathogenesis of obstructive sleep apnea? Am. J. Respir. Crit. Care Med. 153:894-898.