Mandibular width as a novel anthropometric measure for assessing obstructive sleep apnea risk.
Medicine (Baltimore)
; 98(4): e14040, 2019 Jan.
Article
em En
| MEDLINE
| ID: mdl-30681560
ABSTRACT
Craniofacial abnormalities are a known obstructive sleep apnea (OSA) risk factor, but still need to be better characterized. This study investigates the relationship between mandibular width and the risk of developing OSA.We retrospectively analyzed 3D reconstructions of head and neck computed tomography (CT) scans at our institution for mandibular width, neck circumference, neck fat volume (NFV), airway volume (AWV), and NFVAWV ratio. Age, gender, and BMI were also documented. Patients were contacted to complete a STOP-BANG survey to assess OSA risk. Only patients with reconstructable scans and completed STOP-BANG questionnaires were included in the study. Survey results were analyzed to assess the correlation between mandible width and STOP-BANG. Mandible association was also compared to the associations of the other known risk factors.The final analysis included 427 patients with a mean age of 58.98 years (standard deviationâ=â16.77), 56% of whom were male. Mandibular width was found to positively correlate with STOP-BANG score (râ=â.416, Pâ<â.001). Statistically significant differences between mandible size for each risk group was seen (Pâ<â.001). After controlling for age and sex, mandible size was significantly different only for the low risk vs. high risk groups (odds ratioâ=â1.11; 95% confidence intervalâ=â1.03-1.20; Pâ=â.007). Furthermore, when stratified according to mandible size, the small mandible group (<77.50âmm) predominantly consisted of low risk patients; the medium size mandible group (77.50-84.40âmm) was predominated by intermediate risk patients, and large mandible (>84.40âmm) was predominantly seen in high risk patients. Mandible width expressed a stronger association than NFVAWV ratio, but neck circumference and NFV had stronger associations than did mandible width.In addition to previously documented OSA risk factors, mandibular width is positively correlated with OSA as an independent risk factor. Observation of a wide mandible (jaw) should raise awareness of OSA risk and increase screening methods when appropriate.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Apneia Obstrutiva do Sono
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Mandíbula
Tipo de estudo:
Etiology_studies
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Observational_studies
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Risk_factors_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Medicine (Baltimore)
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Israel