Skip to main content
SpringerLink
Log in

Tongue Pathophysiology in OSAS Patients: A Surgically Oriented Perspective

  • Chapter
  • First Online:
TransOral Robotic Surgery for Obstructive Sleep Apnea

  • 562 Accesses

Abstract

The tongue is a complex organ composed of different groups of muscles, connective tissue, and fat deposits; it plays a central role in speech, deglutition, respiration and the pathophysiology of obstructive sleep apnea (OSA) because of its direct involvement in the collapse of upper airway. The tongue can be described in biomechanical terminology as a muscular hydrostat working within the framework of a rigid skeletal enclosure.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 119.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Sanders I, Mu L. A three-dimensional atlas of human tongue muscles. Anat Rec (Hoboken). 2013;296(7):1102–14.

    Article  Google Scholar 

  2. Kjajee Y, Pelteret J-PV, et al. The biomechanics of the human tongue. Int J Numer Method Biomed Eng. 2013;29:492–514.

    Article  Google Scholar 

  3. Kim AM, Keenan BT, Jackson N, Chan EL, Staley B, Poptani H, et al. Tongue fat and its relationship to obstructive sleep apnea. Sleep. 2014;37(10):1639–48.

    PubMed  PubMed Central  Google Scholar 

  4. Nashi N, Kang S, Barkdull GC, Lucas J, Davidson TM. Lingual fat at autopsy. Laryngoscope. 2007;117:1467–73.

    Article  PubMed  Google Scholar 

  5. Sung MW, Lee WH, Wee JH, et al. Factors associated with hypertrophy of the lingual tonsils in adults with sleep-disordered breathing. JAMA Otolaryngol Head Neck Surg. 2013;139:598–603.

    Article  PubMed  Google Scholar 

  6. Hwang MS, Salapatas AM, Yalamanchali S, Joseph NJ, Friedman M. Factors associated with hypertrophy of the lingual tonsils. Otolaryngol Head Neck Surg. 2015;152(5):851–5.

    Article  PubMed  Google Scholar 

  7. Moore KE, Phillips C. A practical method for describing patterns of tongue-base narrowing (modification of Fujita) in awake adult patients with obstructive sleep apnea. J Oral Maxillofac Surg. 2002;60(3):252–60.

    Article  PubMed  Google Scholar 

  8. Wang Y, Mcdonald JP, Liu Y, Pan K, Zhang X, Hu R. Dynamic alterations of the tongue in obstructive sleep apnea-hypopnea syndrome during sleep: analysis using ultrafast MRI. Genet Mol Res. 2014;13(2):4552–63.

    Article  CAS  PubMed  Google Scholar 

  9. McSharry DG, Saboisky JP, DeYoung P, Jordan AS, Trinder J, Smales E, et al. Physiological mechanisms of upper airway hypotonia during REM sleep. Sleep. 2014;37(3):561–9.

    PubMed  PubMed Central  Google Scholar 

  10. Lee SHL, Choi JH, Shin C, Lee HM, Kwon SY, Lee SH. How does open-mouth breathing influence upper airway anatomy. Laryngoscope. 2007;117:1102–6.

    Article  PubMed  Google Scholar 

  11. Eckert DJ, Malhotra A. Pathophysiology of adult obstructive sleep apnea. Proc Am Thorac Soc. 2008;5(2):144–53.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Head and Neck Department - ENT & Oral Surgery Unit - G.B. Morgagni - L. Pierantoni Hospital, Forlì – Infermi Hospital, Faenza - ASL of Romagna, Forlì, Italy

    Filippo Montevecchi M.D. & Claudio Vicini M.D.

  2. Department of Pathology, Head and Neck Department, Transfusion and Laboratory Medicine, G.B. Morgagni—L. Pierantoni Hospital, Via Carlo Forlanini, 34, Forlì, 47121, Italy

    Matteo Costantini M.D.

  3. Head and Neck Department—ENT & Oral Surgery Unit, G.B. Morgagni—L. Pierantoni Hospital, Forli - Infermi Hospital, Faenza - ASL of Romagna, Forlì, Italy

    Riccardo Gobbi M.D. & Elisabetta Firinu M.D.

  4. Otolaryngoloy and Audiology Unit, Head and Neck Surgery, Sant’Orsola-Malpighi Hospital, Bologna University, Via G.Massarenti 9, Bologna, 40138, Italy

    Ottavio Piccin M.D., M.Sc & Giovanni Sorrenti M.D.

Authors
  1. Filippo Montevecchi M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Claudio Vicini M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Matteo Costantini M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Riccardo Gobbi M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Elisabetta Firinu M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Ottavio Piccin M.D., M.Sc
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Giovanni Sorrenti M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Filippo Montevecchi M.D. .

Editor information

Editors and Affiliations

  1. Head and Neck Department - ENT & Oral Surgery Unit - G.B. Morgagni - L. Pierantoni Hospital, Forlì – Infermi Hospital, Faenza - ASL of Romagna, Italy

    Claudio Vicini

  2. Department of Otolaryngology - Head and Neck Surgery Ann Arbor, University of Michigan Health System, Ann Arbor, Michigan, USA

    Paul T. Hoff

  3. Head and Neck Department - ENT & Oral Surgery Unit - G.B. Morgagni - L. Pierantoni Hospital, Forlì – Infermi Hospital, Faenza - ASL of Romagna, Italy

    Filippo Montevecchi

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Montevecchi, F. et al. (2016). Tongue Pathophysiology in OSAS Patients: A Surgically Oriented Perspective. In: Vicini, C., Hoff, P., Montevecchi, F. (eds) TransOral Robotic Surgery for Obstructive Sleep Apnea. Springer, Cham. https://doi.org/10.1007/978-3-319-34040-1_2

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-34040-1_2

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-34038-8

  • Online ISBN: 978-3-319-34040-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation