Dynamic upper airway soft-tissue and caliber changes in healthy subjects and snoring patients

American Journal of Neuroradiology

Volumn 25, Issue 10, 2004, Pages 1846-1850

  Akan, Hüseyin ^a   Aksöz, Tolga ^a   Belet, Ümit ^a   Şeşen, Teoman ^a  

^a ONDOKUZ MAYIS UNIVERSITY SCHOOL OF MEDICINE   (Turkey)

Author keywords

[No Author keywords available]

Indexed keywords

AIRWAY CONSTRICTION; ARTICLE; BREATHING PATTERN; CLINICAL ARTICLE; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; HUMAN; HUMAN TISSUE; MASTICATORY MUSCLE; PHARYNX; RESPIRATORY TRACT PARAMETERS; SNORING; SOFT TISSUE; UPPER RESPIRATORY TRACT; ADIPOSE TISSUE; ADULT; BREATHING; CASE CONTROL STUDY; MIDDLE AGED; OROPHARYNX; PATHOPHYSIOLOGY; RADIOGRAPHY; SKELETAL MUSCLE;

ADIPOSE TISSUE; ADULT; CASE-CONTROL STUDIES; HUMANS; MIDDLE AGED; OROPHARYNX; PHARYNGEAL MUSCLES; RESPIRATION; SNORING; TOMOGRAPHY, X-RAY COMPUTED;

EID: 16644388730     PISSN: 01956108     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (36)

1. Palomaki H, Partinen M, Erkinjuntti T, Kaste M. Snoring, sleep apnea syndrome, and stroke. Neurology 1992;42:75-82
2. Hoffstein V. Snoring. Chest 1996;109:201-222
3. Block AJ, Boysen PG, Wynne JW, Hunt LA. Sleep apnea, hypopnea and oxygen desaturation in normal subjects: a strong male predominance. N Engl J Med 1979;300:513-517
4. Wetter DW, Young TB, Bidwell TR, Badr MS, Palta M. Smoking as a risk factor for sleep-disordered breathing. Arch Intern Med 1994;154:2219-2224
5. Galvin JR, Rooholamini SA, Stanford W. Obstructive sleep apnea: diagnosis with ultra fast CT. Radiology 1989;171:775-778
6. Green DA, Block AJ, Collop AN, Hellard DW. Pharyngeal volume in asymptomatic snorers compared with nonsnoring volunteers. Chest 1991;99:49-53
7. Haponik EF, Smith PL, Bohlman ME, Allen RP, Goldman SM, Bleecker ER. Computerized tomography in obstructive sleep apnea. Correlation of airway size with physiology during sleep and wakefulness. Am Rev Respir Dis 1983;127:221-226
8. Bradley TD, Brown IG, Grossman RF, et al. Pharyngeal size in snorers, nonsnorers, and patients with obstructive sleep apnea. N Engl J Med 1986;315:1327-1331
9. Stein MG, Gamsu G, de Greer G, Golden JA, Crumley RL, Webb WR. Cine CT in obstructive sleep apnea. AJR Am J Roentgenol 1987;148:1069-1074
10. Schwab RJ, Gefter WB, Pack AL, Hoffman EA. Dynamic imaging of the upper airway during respiration in normal subjects. J Appl Physiol 1993;74:1504-1514
11. Ell SR, Jolles H, Galvin JR. Cine CT demonstration of nonfixed upper airway obstruction. AJR Am J Roentgenol 1986;146:669-677
12. Schwab RJ, Gefter WB, Huffman EA, Gupta KB, Pack AL. Dynamic upper airway imaging during awake respiration in normal subjects and patients with sleep disordered breathing. Am Rev Respir Dis 1993;148:1385-1400
13. Beck R, Odeh M, Oliven A, Gavriely N. The acoustic properties of snores. Eur Respir J 1995;8:2120-2128
14. Sovijarvi ARA, Malmberg LP, Charnonneau G, et al. Characteristics of breath sounds and adventitious respiratory sounds. Eur Respir Rev 2000;10:77:591-596
15. Huang L, Williams JEF. Neuromechanical interaction in human snoring and upper airway obstruction. J Appl Physiol 1999;86:1759-1763
16. Hudgel DW, Hendricks C. Palate and hypopharynx-sites of inspiratory narrowing of the upper airway during sleep. Am Rev Respir Dis 1988;138:1542-1547
17. Arens R, McDonough JM, Costarino AT, et al. Magnetic resonance imaging of the upper airway structure of children with obstructive sleep apnea syndrome. Am J Respir Crit Care Med 2001;164:698-703
18. Shelton KE, Woodson H, Gay S, Suratt PM. Pharyngeal fat in obstructive sleep apnea. Am Rev Respir Dis 1993;148:462-466
19. Welch KC, Foster GD, Ritter CT, et al. A novel volumetric magnetic resonance imaging paradigm to study upper airway anatomy. Sleep 2002;25:532-542
20. Rivlin J, Hoffstein V, Kalbfleisch J, McNicholas W, Zamel H, Bryan AC. Upper airway morphology in patients with idiopathic obstructive sleep apnea. Am Rev Respir Dis 1984;129:355-360
21. Schwab RJ, Gupta KB, Gefter WB, Metzger LJ, Hoffman EA, Pack AL. 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 1995;152:1673-1689
22. Horner RL, Mohiaddin RH, Lowell DG, et al. Sites and sizes of fat deposits around the pharynx in obese patients with obstructive sleep apnoea and weight matched controls. Eur Respir J 1989;2:613-622
23. Mortimor IL, Marshall I, Wraith PK, Sellar J, Douglas NJ. Neck and total body fat deposition in nonobese and obese patients with sleep apnea compared with that in control subjects. Am J Respir Care Med 1998;157:280-283
24. Suratt PM, McTier RF, Findley LJ, Pohl SL, Wilhoit SC. Changes in breathing and the pharynx after weigh loss in obstructive sleep apnea. Chest 1987;92:631-633
25. Zohar Y, Sabo R, Strauss M, Schwartz A, Gal R, Oksenberg A. Oropharyngeal fatty infiltration in obstructive sleep apnea patients: a histologic study. Ann Otol Rhinol Laryngol 1998;107:170-174
26. Smith PL, Gold AR, Meyers DA, Haponik EF, Bleeker ER. Weight loss in mildly to moderately obese patients with obstructive sleep apnea. Ann Intern Med 1985;103:850-855
27. Hudgel DW. Mechanisms of obstructive sleep apnea. Chest 1992;101:541-549
28. Stoohs R, Guilleminault C. Snoring during NREM sleep: respiratory timing, esophageal pressure and EEG arousal. Respir Physiol 1991;85:151-167
29. Skatrud JB, Dempsey JA. Airway resistance and respiratory muscle function in snorers during NREM sleep. J Appl Physiol 1985;59:328-335
30. Gledhill IG, Schwartz AR, Schubert N, et al. Upper airway collapsibility in snorers and in patients with obstructive hypopnea and apnea. Am Rev Respir Dis 1991;143:1300-1303
31. Schwartz AR, Smith PL, Gold AR, et al. Induction of upper airway occlusion in sleeping normal humans. J Appl Physiol 1988;64:535-542
32. Smirne S, Iannaccone S, Ferini-Strambi L, et al. Muscle fiber type and habitual snoring. Lancet 1991;337:597-599
33. Thompson SR, Ackermann U, Horner RL. Sleep as a teaching tool for integrating respiratory physiology and motor control. Adv Physiol Educ 2001;25:29-44
34. Phillipson EA, Kozar LF, Rebuck AS, Murphy E. Ventilatory and waking responses to CO2 in sleeping dogs. Am Rev Respir Dis 1977;115:251-259
35. Ayappa I, Rapoport DM. The upper airway in sleep: physiology of the pharynx. Sleep Medicine Reviews 2003;7:9-33
36. Mahadevia AK, Onal E, Lopata M. Effects of expiratory positive airway pressure on sleep-induced respiratory abnormalities in patients with hypersomnia-sleep apnea syndrome. Am Rev Respir Dis 1983;128:708-711