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Int Arch Otorhinolaryngol 2013; 17(03): 321-328
DOI: 10.7162/S1809-977720130003000013
Original Article
Thieme Publicações Ltda Rio de Janeiro, Brazil

Correlation of cephalometric and anthropometric measures with obstructive sleep apnea severity

Paulo de Tarso M Borges
1   Master's degree completed. Doctorate in progress. Adjunct Professor of Otolaryngology (Federal University of Piaui).
,
Edson Santos Ferreira Filho
2   Physician (Federal University of Piaui).
,
Telma Maria Evangelista de Araujo
3   Doctoral degree completed. Adjunct Professor of Nursing (Federal University of Piaui).
,
Jose Machado Moita Neto
4   Doctoral degree completed. Associate Professor of Chemistry (Federal University of Piaui).
,
Nubia Evangelista de Sa Borges
5   Phonoaudiologist (Paulo Borges Clinic).
,
Baltasar Melo Neto
6   Physician (Federal University of Piaui).
,
Viriato Campelo
7   Doctoral degree completed. Associate Professor (Department of Parasitology and Microbiology, Federal University of Piaui).
,
Jorge Rizzato Paschoal
8   Doctoral degree completed. Associate Professor (Campinas State University (UNICAMP) School of Medicine).
,
Li M Li
9   Doctoral degree completed. Full Professor (Campinas State University (UNICAMP) School of Medicine).
› Author Affiliations
Further Information

Publication History

07 March 2013

07 April 2013

Publication Date:
21 January 2014 (online)

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Summary

Introduction: Patients with obstructive sleep apnea-hypopnea syndrome (OSAHS) often have associated changes in craniofacial morphology and distribution of body fat, either alone or in combination.

Aim: To correlate cephalometric and anthropometric measures with OSAHS severity by using the apnea-hypopnea index (AHI).

Method: A retrospective cephalometry study of 93 patients with OSAHS was conducted from July 2010 to July 2012. The following measurements were evaluated: body mass index (BMI), neck circumference (NC), waist circumference (WC), hip circumference (HC), the angles formed by the cranial base and the maxilla (SNA) and the mandible (SNB), the difference between SNA and SNB (ANB), the distance from the mandibular plane to the hyoid bone (MP-H), the space between the base of the tongue and the posterior pharyngeal wall (PAS), and the distance between the posterior nasal spine and the tip of the uvula (PNS-P). Means, standard deviations, and Pearson's correlation coefficients were calculated and analyzed.

Results: AHI correlated significantly with BMI (r = 0.207, p = 0.047), NC (r = 0.365, p = 0.000), WC (r = 0.337, p = 0.001), PNS-P (r = 0.282, p = 0.006), and MP-H (r = 0.235, p = 0.023).

Conclusion: Anthropometric measurements (BMI, NC, and WC) and cephalometric measurements (MP-H and PNS-P) can be used as predictors of OSAHS severity.

Keywords

Cephalometry - Sleep Apnea - Obstructive - Anthropometry - Body Mass Index - Abdominal Circumference - Waist Circumference
 

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