Airway findings of nasolaryngoscopy and cephalometry associated with obstructive sleep apnea
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Date
2018Authors
Espinoza Quiñones, Jorge LuisReyes Pinos, Fernanda Eliana
Hidalgo Martínez, Patricia
Ospina, Juan
Otero, Liliana
Corporate Author(s)
Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Cirugía y Especialidades. Grupo de Investigación de Cirugía y Especialidades
Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Medicina Interna. Neumología
Facultad de Medicina. Departamento de Cirugía y Especialidades. Otorrinolaringología
Type
Artículo de revista
ISSN
2333-9756
Pages
5-10
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Abstract
Study Objectives: Obstructive sleep apnea (OSA) is associated with obstruction of the upper airway. The objectives of the current
study were to determine the correlation between the findings of the fiberoptic nasolaryngoscopy and lateral cephalometry, and to
evaluate the relationship between obstructions in the airway identified in both diagnostic methods and OSA in adults.
Methods: Fiberoptic nasolaryngoscopy and lateral cephalometry were performed in 29 patients with OSA (7 men and 22 women)
and 24 healthy subjects (9 men and 15 women). Obstructions in nasopharynx, hypopharynx, and larynx areas were identified with
nasolaryngoscopy. Cephalometric measures included upper and lower pharynx spaces, hyoid bone position, mandibular and maxilla
size and position, and skeletal malocclusion. Concordance between the findings reported in both diagnostic tools were evaluated by
kappa test and χ2, student t and Mann-Whitney U tests were used for association analysis and adjusted by age, sex, and weight.
Results: No correlation between cephalometric and nasolaryngoscopy measurements were found. Statistical significant difference
was shown for obstructions in hypopharynx and OSA (odds ratio 4.06, confidence interval 1.10–14.89, P = .034). The superior position
of hyoid bone was found as a protective factor for OSA (odds ratio 0.02, confidence interval 0.001–0.57, P = .02).
Conclusions: This study showed no correlation between fiberoptic nasolaryngoscopy and cephalometric measures. Hypopharynx
obstructions identified by nasolaryngoscopy were associated with OSA in adults.
Spatial coverage (cities)
Bogotá (Colombia)Spatial coverage
ColombiaLink to the resource
https://aadsm.org/docs/Article_1.pdfSource
Journal of Dental Sleep Medicine; Volumen 5 Número 1 (2018)
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