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[Cephalometric analysis of the craniofacial bony structures in patients with obstructive sleep apnea]
1Department of Respiratory Diseases, Nanjing Military General Hospital, Nanjing 210002.
Objective:
To explore the craniofacial bony structure abnormalities and their possible contributions to the apneic severity in patients with obstructive sleep apnea (OSA).
Methods:
One-night polysomnographic examination and a lateral cephalogram were performed in 102 male OSA patients and 37 healthy men. Sixteen variables representing craniofacial angle, distances and areas were measured by a computer software (NIH Image).
Results:
Compared with normal subjects, OSA patients presented with: a shortened cranial base (71 +/- 4) mm: (74 +/- 3) mm, (P < 0.001), maxillum (52 +/- 5) mm: (55 +/- 4) mm, (P < 0.01), mandible (74 +/- 5) mm: (77 +/- 6) mm, (P < 0.05) and bony nasopharygeal airway dimensions, a more inferiorly and anteriorly placed hyoid bone, and retrognathia deformity. Multiple stepwise regression analysis disclosed that maxilla deficiency, retrognathia and hyoid bone misposition were important contributing factors to the apneic severity (R2 = 0.447, F = 15.471, P < 0.0001).
Conclusions:
OSA patients had certain craniofacial bony structure defects and cephalometric analysis of these defects is useful both in the investigation of the pathogenesis and the selection of an optimel treatment modality for each OSA patients.