Craniofacial differences according to AHI scores of children with obstructive sleep apnoea syndrome: Cephalometric study in 39 patients

Background: Cephalometry is useful as a screening test for anatomical abnormalities in patients with obstructive sleep apnoea syndrome (OSAS). Objective: To evaluate comprehensively the cephalo metric features of children with OSAS, with or without adenotonsillar hypertrophy, and to elucidate the relationship between cephalometric variables and apnoea-hypopnoea index (AHI) severity. Materials and methods: The study population consisted of 39 children, aged 4-12 years, with OSAS. Cephalometry was analysed using 11 measurements of the bony structures, their relationships and the size of the airways. Additionally, adenoid and tonsillar hypertrophy were graded. Results: Cranial base angles (BaSN and BaSPNS) were found to correlate with increasing levels of AHI scores (P < 0.001). Protrusion of the maxilla (SNA) and mandible (SNB) did not correlate with AHI scores (P > 0.05). The length of the mandibular plane (GnGo) and the minimal posterior airway space (MPAS) were inversely correlated with AHI scores (P < 0.001). There was positive correlation between MPAS and GnGo (r = 0.740, P < 0.001), and negative correlation between MPAS and gonial angle (ArGoGn) (r = -0.541, P < 0.001). There was significant correlation between cephalometric data and adenotonsillar hypertrophy concerning BaSN, BaSPNS, ArGoGn, GnGoH, BaN-GnGo, MPAS, GnGO and MPH (P < 0.001). Conclusions: There is significant correlation between cephalometric data and AHI score severity in children with OSAS. Adenotonsillar hypertrophy affects the cephalometric measurements adversely. The study clearly mandates the institution of early and effective therapy of adenotonsillar hypertrophy in children with OSAS. © Springer-Verlag 2004.

Yazar Özdemir H.
Altin R.
Sögüt A.
Çinar F.
Mahmutyazicioglu K.
Kart L.
Uzun L.
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/4942
Tek Biçim Adres 10.1007/s00247-004-1168-x
Konu Başlıkları Adenotonsillar hypertrophy
Apnoe-hypopnoea index
Cephalometry
Child
Obstructive sleep apnoea syndrome
Radiography
Skull
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
Scopus İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı Pediatric Radiology
Dergi Cilt Bilgisi 34
Dergi Sayısı 5
Sayfalar 393 - 399
Yayın Yılı 2004
Eser Adı
[dc.title]
Craniofacial differences according to AHI scores of children with obstructive sleep apnoea syndrome: Cephalometric study in 39 patients
Yazar
[dc.contributor.author]
Özdemir H.
Yazar
[dc.contributor.author]
Altin R.
Yazar
[dc.contributor.author]
Sögüt A.
Yazar
[dc.contributor.author]
Çinar F.
Yazar
[dc.contributor.author]
Mahmutyazicioglu K.
Yazar
[dc.contributor.author]
Kart L.
Yazar
[dc.contributor.author]
Uzun L.
Yayın Yılı
[dc.date.issued]
2004
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Background: Cephalometry is useful as a screening test for anatomical abnormalities in patients with obstructive sleep apnoea syndrome (OSAS). Objective: To evaluate comprehensively the cephalo metric features of children with OSAS, with or without adenotonsillar hypertrophy, and to elucidate the relationship between cephalometric variables and apnoea-hypopnoea index (AHI) severity. Materials and methods: The study population consisted of 39 children, aged 4-12 years, with OSAS. Cephalometry was analysed using 11 measurements of the bony structures, their relationships and the size of the airways. Additionally, adenoid and tonsillar hypertrophy were graded. Results: Cranial base angles (BaSN and BaSPNS) were found to correlate with increasing levels of AHI scores (P < 0.001). Protrusion of the maxilla (SNA) and mandible (SNB) did not correlate with AHI scores (P > 0.05). The length of the mandibular plane (GnGo) and the minimal posterior airway space (MPAS) were inversely correlated with AHI scores (P < 0.001). There was positive correlation between MPAS and GnGo (r = 0.740, P < 0.001), and negative correlation between MPAS and gonial angle (ArGoGn) (r = -0.541, P < 0.001). There was significant correlation between cephalometric data and adenotonsillar hypertrophy concerning BaSN, BaSPNS, ArGoGn, GnGoH, BaN-GnGo, MPAS, GnGO and MPH (P < 0.001). Conclusions: There is significant correlation between cephalometric data and AHI score severity in children with OSAS. Adenotonsillar hypertrophy affects the cephalometric measurements adversely. The study clearly mandates the institution of early and effective therapy of adenotonsillar hypertrophy in children with OSAS. © Springer-Verlag 2004.
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Adenotonsillar hypertrophy
Konu Başlıkları
[dc.subject]
Apnoe-hypopnoea index
Konu Başlıkları
[dc.subject]
Cephalometry
Konu Başlıkları
[dc.subject]
Child
Konu Başlıkları
[dc.subject]
Obstructive sleep apnoea syndrome
Konu Başlıkları
[dc.subject]
Radiography
Konu Başlıkları
[dc.subject]
Skull
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
0301-0449
İlk Sayfa Sayısı
[dc.identifier.startpage]
393
Son Sayfa Sayısı
[dc.identifier.endpage]
399
Dergi Adı
[dc.relation.journal]
Pediatric Radiology
Dergi Sayısı
[dc.identifier.issue]
5
Dergi Cilt Bilgisi
[dc.identifier.volume]
34
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1007/s00247-004-1168-x
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/4942
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
49
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
09 Nisan 2024 07:15
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Tıklayınız
between hypertrophy correlation cephalometric children adenotonsillar scores measurements correlate severity significant Cephalometry mandible positive correlated maxilla mandibular inversely (MPAS) length posterior minimal (GnGo) airway Background Springer-Verlag therapy effective institution mandates clearly adversely affects Adenotonsillar Conclusions
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