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Predictive value of hyoid cephalometrics for retroglossal obstruction in patients with obstructive sleep apnoea hypopnea syndrome

Published online by Cambridge University Press:  25 January 2019

R Y Hei ,
J Qin  and
S H Li
R Y Hei
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, General Hospital of Shenyang Military Area Command, China
J Qin
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, General Hospital of Shenyang Military Area Command, China
S H Li*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, General Hospital of Shenyang Military Area Command, China
*
Author for correspondence: Dr Shuhua Li, No. 83 Wenhua Road, Shenyang City, Liaoning Province, 110016, China E-mail: jadehry@126.com
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Abstract

Objective

To examine the diagnostic value of hyoid cephalometrics in predicting retroglossal obstruction severity in patients with obstructive sleep apnoea hypopnea syndrome.

Methods

Ninety-six obstructive sleep apnoea hypopnea syndrome patients diagnosed by polysomnography were recruited. Polysomnography was repeated with a nasopharyngeal tube after eliminating rhinal and palatopharyngeal obstruction. Cervical vertebra lateral films and hyoid cephalometric measurements were obtained, including the distances of the hyoid to the: mental tubercle, prevertebral plane, mental tubercle coronal plane and mental tubercle horizontal plane.

Results

The apnoea-hypopnoea index for nasopharyngeal tube polysomnography was significantly correlated with distances from the hyoid to: prevertebral plane (r = 0.350), coronal plane (r = 0.477), horizontal plane (r = 0.529) and mental tubercle (r = 0.560). It was strongly correlated with the hyoid to mental tubercle distance/hyoid to prevertebral plane distance value (r = 0.683), and (hyoid to coronal plane distance plus hyoid to horizontal plane distance)/hyoid to prevertebral plane distance value (r = 0.675).

Conclusion

Obstructive sleep apnoea hypopnea syndrome patients with longer hyoid to mental tubercle distances, and/or more inferior and posterior hyoid bone position, are more prone to retroglossal stenosis and obstruction. Hyoid cephalometrics are valuable for predicting retroglossal obstruction severity.

Keywords

Sleep Apnea, ObstructivePolysomnographyHyoid BoneCephalometry
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 2 , February 2019 , pp. 119 - 124
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Dr S Li takes responsibility for the integrity of the content of the paper

References

1Friedman, M, Ibrahim, H, Joseph, NJ. Staging of obstructive sleep apnea/hypopnea syndrome: a guide to appropriate treatment. Laryngoscope 2004;114:454–9Google Scholar
2Li, S, Wu, D, Shi, H. Reoperation on patients with obstructive sleep apnea–hypopnea syndrome after failed uvulopalatopharyngoplasty. Eur Arch Otorhinolaryngol 2015;272:407–12Google Scholar
3Singh, A, Al-Reefy, H, Hewitt, R, Kotecha, B. Evaluation of ApneaGraph in the diagnosis of sleep-related breathing disorders. Eur Arch Otorhinolaryngol 2008;265:1489–94Google Scholar
4Tanyeri, H, Serin, GM, Ayanoglu, EA, Polat, S, Cuhadaroglu, C. Effect of uvulopalatopharyngoplasty on retropalatal region. Eur Arch Otorhinolaryngol 2013;270:1161–5Google Scholar
5Vilaseca, I, Morelló, A, Montserrat, JM, Santamaría, J, Iranzo, A. Usefulness of uvulopalatopharyngoplasty with genioglossus and hyoid advancement in the treatment of obstructive sleep apnea. Arch Otolaryngol Head Neck Surg 2002;128:435–40Google Scholar
6Richard, W, Timmer, F, van Tinteren, H, de Vries, N. Complications of hyoid suspension in the treatment of obstructive sleep apnea syndrome. Eur Arch Otorhinolaryngol 2011;268:631–5Google Scholar
7Cao, X, Ye, J, Zhang, J, Tan, J, Dong, J. Effects of hyoid position on surgical treatment outcome for patients with obstructive sleep apnea hypopnea syndrome [in Chinese]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2015;50:281–5Google Scholar
8Vieira, BB, Itikawa, CE, de Almeida, LA, Sander, HS, Fernandes, RM, Anselmo-Lima, WT. Cephalometric evaluation of facial pattern and hyoid bone position in children with obstructive sleep apnea syndrome. Int J Pediatr Otorhinolaryngol 2011;75:383–6Google Scholar
9Iber, C, Ancoli-Israel, S, Chesson, AL, Quan, SF. The AASM Manual for the Scoring of Sleep and Associated Events: Rules, Terminology and Technical Specifications. Westchester, IL: American Academy of Sleep Medicine, 2007Google Scholar
10Li, S, Wu, D, Bao, J, Shi, H. The nasopharyngeal tube: a simple and effective tool to indicate the need for uvulopalatopharyngoplasty. Laryngoscope 2014;124:1023–8Google Scholar
11Li, SH, Wu, DH, Bao, JM, Shi, HJ. Outcomes of upper airway reconstructive surgery for obstructive sleep apnea syndrome based on polysomnography after nasopharyngeal tube insertion. Chin Med J (Engl) 2013;126:4674–8Google Scholar