[Relationship between craniofacial and airway structure and pediatric obstructive sleep apnea and hyponea syndromes:
Jin-rong Deng1, Xue-mei Gao, Xiang-long Zeng
1Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing 100081, China.
Insights
Children with obstructive sleep apnea and hyponea syndromes exhibit distinct craniofacial features, including altered mandible length and hyoid position. These findings highlight key differences in airway anatomy for pediatric OSAHS patients.
Area of Science:
- Dentistry
- Pediatrics
- Sleep Medicine
Background:
- Obstructive sleep apnea and hyponea syndromes (OSAHS) in children is a growing global concern.
- Research on craniofacial characteristics in pediatric OSAHS is limited.
Purpose of the Study:
- To investigate and evaluate the craniofacial features of children diagnosed with obstructive sleep apnea and hyponea syndromes.
Main Methods:
- A case-control study comparing pediatric OSAHS patients with age- and sex-matched controls.
- Lateral head radiographs and cephalometric measurements were analyzed for both groups.
Main Results:
- Significant differences were observed in SNB angle, PG-NB value, lower facial height, hyoid bone position, and adenoid/tonsil size.
- Pediatric OSAHS patients showed a smaller SNB angle, increased PG-NB, greater lower facial height, and lower hyoid position compared to controls.
Conclusions:
- Children with OSAHS present unique craniofacial morphology, including mandibular and hyoid bone positioning, and enlarged adenoids and tonsils.
- These craniofacial differences are critical for understanding the pathophysiology of pediatric OSAHS.
Objective:
The children obstructive sleep apnea and hyponea syndromes has become a global research hot spot, but the research of craniofacial features in obstructive sleep apnea and hyponea syndromes (OSAHS) children was scarce. To evaluate the craniofacial features of obstructive sleep apnea and hyponea syndromes children.
Methods:
The subjects involved in this study fell into two groups: the patient group and the control one. The patients and controls were strictly matched by age and sex. Lateral head radiographs and cephalometric measurements were obtained and then compared between the two groups.
Results:
The findings demonstrated marked differences in terms of SNB, PG-NB, lower facial height, H-C3Me and A&T/P. The SNB angle (75.8±4.3) in the patient group was smaller than that in the control one (78.7±2.6) and the P value was 0.035; the PG/NB value in the patient group (1.3±0.8) mm was higher than that in the control one (0.6±0.6) mm and the P value was 0.02. The anterior face height was (65.1±5.9) mm in the patient group (P=0.04), while the anterior face height in the control group was (61.5±3.2) mm. The position of hyoid was lower in the patient group(5.3±3.7) mm, compared with the control one (2.6±2.6) mm, and the P value was 0.03. Furthermore, the patients of OSAHS had more swelled adenoids and tonsils than the controls.
Conclusion:
The patient group differed from the control group in the length of mandible, lower facial height, position of hyoid and the chin, and the size of the adenoids and tonsils.
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