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Facial features and hyoid bone position in preschool children with obstructive sleep apnea syndrome

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Abstract

The aim of the study was to evaluate facial features and hyoid bone position in children with obstructive sleep apnea syndrome (OSAS) by cephalometric radiography. A prospective cross-sectional study was conducted in a tertiary referral hospital. Twenty-nine children in the 3–6 year age bracket were evaluated: 14 children with OSAS and 15 nasal-breathing children. All children underwent otorhinolaryngologic examination, and those with OSAS also underwent in-laboratory polysomnography for diagnostic confirmation. The children were then submitted to orthodontic evaluation and cephalometry. Lateral cephalometric radiographs from children with OSAS were compared to those of nasal-breathing children. We found no differences between the two groups regarding the linear and angular measurements of the face. However, the children with OSAS presented, already at the preschool age, with an inferiorly positioned hyoid bone, thus increasing the pharyngeal area. In children with OSAS, the hyoid bone appears to be in a significantly inferior position at an early age. Our findings provide evidence that there is a relationship between the position of the hyoid bone and OSAS in children, which could contribute to the persistence of OSAS into adulthood.

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References

  1. Shintani T, Asakura K, Kataura A (1996) Adenotonsillar hypertrophy and skeletal morphology of children with obstructive sleep apnea syndrome. Acta Otolaryngol Suppl 523:222–224

    CAS  PubMed  Google Scholar 

  2. Valera FC, Travitzki LV, Mattar SE, Matsumoto MA, Elias AM, Anselmo-Lima WT (2003) Muscular, functional and orthodontic changes in pre school children with enlarged adenoids and tonsils. Int J Pediatr Otorhinolaryngol 67:761–770

    Article  PubMed  Google Scholar 

  3. Bower C, Buckmiller L (2001) What’s new in pediatric obstructive sleep apnea. Curr Opin Otolaryngol Head Neck Surg 9:352–358

    Article  Google Scholar 

  4. Zettergren-Wijk L, Forsberg CM, Linder-Aronson S (2006) Changes in dentofacial morphology after adeno-/tonsillectomy in young children with obstructive sleep apnoea—a 5-year follow-up study. Eur J Orthod 28:319–326

    Article  PubMed  Google Scholar 

  5. Marcus CL, Greene MG, Carroll JL (1998) Blood pressure in children with obstructive sleep apnea. Am J Respir Crit Care Med 157:1098–1103

    Article  CAS  PubMed  Google Scholar 

  6. Gozal D, Wang M, Pope DW Jr (2001) Objective sleepiness measures in pediatric obstructive sleep apnea. Pediatrics 108:693–697

    Article  CAS  Google Scholar 

  7. Segal Y, Malhotra A, Pillar G (2008) Upper airway length may be associated with the severity of obstructive sleep apnea syndrome. Sleep Breath 12:311–316

    Article  PubMed  Google Scholar 

  8. Zucconi M, Ferini-Strambi L, Palazzi S, Orena C, Zonta S, Smirne S (1992) Habitual snoring with and without obstructive sleep apnoea: the importance of cephalometric variables. Thorax 47:157–161

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  9. Battagel JM, Johal A, Smith AM, Kotecha B (2002) Postural variation in oropharyngeal dimensions in subjects with sleep disordered breathing: a cephalometric study. Eur J Orthod 24:263–276

    Article  PubMed  Google Scholar 

  10. Vieira BB, Itikawa CE, de Almeida LA et al (2011) Cephalometric evaluation of facial pattern and hyoid bone position in children with obstructive sleep apnea syndrome. Int J Pediatr Otorhinolaryngol 75:383–386

    Article  PubMed  Google Scholar 

  11. Li KK, Guilleminault C, Riley RW, Powell NB (2002) Obstructive sleep apnea and maxillomandibular advancement: an assessment of airway changes using radiographic and nasopharyngoscopic examinations. J Oral Maxillofac Surg 60:526–530

    Article  PubMed  Google Scholar 

  12. American Academy of Sleep Medicine (2007) The AASM manual for the scoring of sleep and associated Events: rules, terminology and technical specifications, 1st ed. Westchester, IL

  13. Ozdemir H, Altin R, Söğüt A et al (2004) Craniofacial differences according to AHI scores of children with obstructive sleep apnoea syndrome: cephalometric study in 39 patients. Pediatr Radiol 34:393–399

    Article  PubMed  Google Scholar 

  14. Gulati A, Chate RA, Howes TQ (2010) Can a single cephalometric measurement predict obstructive sleep apnea severity? J Clin Sleep Med 156:64–68

    Google Scholar 

  15. Peltomäki T (2007) The effect of mode of breathing on craniofacial growth–revisited. Eur J Orthod 29:426–429

    Article  PubMed  Google Scholar 

  16. Juliano ML, Machado MAC, de Carvalho LBC, do Prado LBF, do Prado GF (2009) Mouth breathing children have cephalometric patterns similar to those of adult patients with obstructive sleep apnea syndrome. Arq Neuropsiquiatr 67:860–865

    Article  PubMed  Google Scholar 

  17. Pirilä-Parkkinen K, Löppönen H, Nieminen P, Tolonen U, Pirttiniemi P (2010) Cephalometric evaluation of children with nocturnal sleep-disordered breathing. Eur J Orthod 32:662–671

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Orthodontics, Ribeirão Prêto School of Dentistry, University of São Paulo, Ribeirão Prêto, Brazil

    Bruno B. Vieira, Carla E. Itikawa & Mirian Matsumoto

  2. Department of Neurology, Ribeirão Prêto School of Medicine, University of São Paulo, Ribeirão Prêto, Brazil

    Leila A. de Almeida & Heidi H. Sander

  3. Department of Pediatrics, Ribeirão Prêto School of Medicine, University of São Paulo, Ribeirão Prêto, Brazil

    Davi C. Aragon

  4. Department of Ophthalmology, Otolaryngology, and Head & Neck Surgery, at Ribeirão Prêto School of Medicine, University of São Paulo, Ribeirão Prêto, Brazil

    Wilma T. Anselmo-Lima & Fabiana C. P. Valera

  5. Av. Monte Alegre, 3900, 12º andar, Monte Alegre, Ribeirão Prêto, SP, 14051-130, Brazil

    Fabiana C. P. Valera

Authors
  1. Bruno B. Vieira
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  2. Carla E. Itikawa
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  3. Leila A. de Almeida
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  4. Heidi H. Sander
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  5. Davi C. Aragon
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  6. Wilma T. Anselmo-Lima
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  7. Mirian Matsumoto
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  8. Fabiana C. P. Valera
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Corresponding author

Correspondence to Fabiana C. P. Valera.

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Vieira, B.B., Itikawa, C.E., de Almeida, L.A. et al. Facial features and hyoid bone position in preschool children with obstructive sleep apnea syndrome. Eur Arch Otorhinolaryngol 271, 1305–1309 (2014). https://doi.org/10.1007/s00405-013-2770-z

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  • DOI: https://doi.org/10.1007/s00405-013-2770-z

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