Obesity and Craniofacial Abnormalities are Independent Causal Factors for Obstructive Sleep Apnea-Hypopnea Syndrome
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概要
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OBJECTIVES:Obstructive sleep apnea-hypopnea syndrome is characterised by recurrent episodes offunctional pharyngeal airway obstruction during sleep. Here, we examined the craniofacial characteristicsand body mass index of patients with obstructive sleep apnea-hypopnea syndrome and healthy counterparts,and investigated the relationship between these factors and onset of obstructive sleep apnea-hypopneasyndrome.MATERIAL AND METHODS:Sixty non-edentulous male with obstructive sleep apnea-hypopnea syndromediagnosed by conventional polysomnography were divided into two groups according to their bodymass index, which was used as an index of obesity( <25 kg/m2:non-obese, ≥ 25 kg/m2:obese). Craniofacialcharacteristics were analysed by cephalogram using Ricketts' method and the Downs-Northwesternmethod.RESULTS:The mean body mass index was greater in patients with obstructive sleep apnea-hypopneasyndrome compared with their healthy counterparts. As for the craniofacial characteristics of patients withobstructive sleep apnea-hypopnea syndrome, the mandible was relatively small and located posteriorly, andthe hyoid bone was at a lower position. However, in patients with obstructive sleep apnea-hypopnea syndrome,there was no significant difference in any of the cephalometric measurements between non-obeseand obese patients.CONCLUSION:Obesity and craniofacial skeletal abnormalities are non-reciprocal, independent causalfactors for obstructive sleep apnea-hypopnea syndrome.
- 2014-03-25
著者
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Imai Yutaka
Department Of Clinical Pharmacology And Therapeutics Tohoku University
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Kawamata Hitoshi
Department Of Oral And Maxillofacial Surgery Dokkyo University School Of Medicine
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Narikawa Kimitaka
Department Of Oral And Maxillofacial Surgery, Dokkyo Medical University School Of Medicine
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Kanazawa Yumi
Department Of Oral And Maxillofacial Surgery, Dokkyo Medical University School Of Medicine
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