Cephalometric pattern and nasal patency in children with primary snoring: the evidence of a direct correlation
Sleep disordered breathing (SDB) might affect craniofacial growth and children with obstructive sleep apnea syndrome present an increase in total and lower anterior heights of the face and a more anterior and inferior position of the hyoid bone when compared to nasal breathers. To investigate the co...
Gespeichert in:
| Veröffentlicht in: | PloS one 2014-10, Vol.9 (10), p.e111675-e111675 |
|---|---|
| Hauptverfasser: | , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | e111675 |
|---|---|
| container_issue | 10 |
| container_start_page | e111675 |
| container_title | PloS one |
| container_volume | 9 |
| creator | Zicari, Anna Maria Duse, Marzia Occasi, Francesca Luzzi, Valeria Ortolani, Emanuela Bardanzellu, Flaminia Bertin, Serena Polimeni, Antonella |
| description | Sleep disordered breathing (SDB) might affect craniofacial growth and children with obstructive sleep apnea syndrome present an increase in total and lower anterior heights of the face and a more anterior and inferior position of the hyoid bone when compared to nasal breathers.
To investigate the correlation between rhinomanometric and cephalometric parameters in children with primary snoring (PS), without apnea or gas exchange abnormalities.
Thirty children with habitual snoring (16 females and 14 males) aged 4-8 years (mean age 6.85±1.51 years) were selected by a SDB validate questionnaire. All subjects underwent lateral cephalometric, panoramic radiographies.
In our sample 10 children (33%) had snoring 3 nights/week, 11 (37%) 4-6 nights/week and 9 (30%) every night/week. Overall 7 patients (23.3%) were affected by adenoid hypertrophy (AH), 4 (13.3%) by tonsillar hypertrophy (TH) and 13 (43.3%) by AH and TH. We found a more vertical position of the hyoid bone to the mandibular plane (H⊥VT) in patients with a higher frequency (7.3±2.7 vs 7.6±3.7 vs 10.9±2.5 in children snoring 3 nights/week, 4-6 nights/week and every night/week respectively; p = 0.032). Concerning nasal patency significant correlations were found with ANB (maxillary and jaw position with respect to the cranial base), NS∧Ar (growth predictor), sumangle, FMA (total divergence), SnaSnp∧GoMe (inferior divergence), BaN∧PtGn (facial growth pattern), Phw1_PsP (posterosuperior airway space), AHC3H (the horizontal distance between the most anterosuperior point of the hyoid bone and the third cervical vertebra).
The present study supports the relationship between nasal obstruction and specific craniofacial characteristics in children with primary snoring and lead us to hypothesize that nasal obstruction might explain the indirect link between snoring and cephalometric alterations. |
| doi_str_mv | 10.1371/journal.pone.0111675 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_plos_</sourceid><recordid>TN_cdi_plos_journals_1619083753</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A417145039</galeid><doaj_id>oai_doaj_org_article_f008fa56ed2f4a60b57d96477932c854</doaj_id><sourcerecordid>A417145039</sourcerecordid><originalsourceid>FETCH-LOGICAL-c692t-165faf55a00a7278fadfbd3f17b4ee40cdc4fe70a031fcede5ba11009c4e5f283</originalsourceid><addsrcrecordid>eNqNk1trFDEUxwdRbK1-A9GAIPqwazKZzOz6IJTFS6FQ8PYaziYnO1myyTbJVvvtzdhp2ZU-SB4STn7nfy7JqarnjE4Z79i7ddhFD266DR6nlDHWduJBdczmvJ60NeUP985H1ZOU1pQKPmvbx9VRLXhLW0aPK7_AbQ8ubDBHq8gWcsboCXhNPCRwgwW9uibWE9VbpyN68svmnmyj3UC8JsmHaP3qPck9EryyuuBIgiFAtI2oMlEhRnSQbfBPq0cGXMJn435S_fj08fviy-T84vPZ4vR8otp5nSesFQaMEEApdHU3M6DNUnPDumWD2FClVWOwo0A5Mwo1iiUwRulcNShMPeMn1csb3a0LSY6tSpK1bE5nvBO8EGc3hA6wlmMxMoCVfw0hriTEbJVDaSgtGYgWdW0aaOlSdHreNl1X2qtmoilaH8Zou-UGtUKfI7gD0cMbb3u5CleyqUtGfEj3zSgQw-UOU5YbmxQ6Bx7Dbsi7prQWTAzoq3_Q-6sbqRWUAqw3ocRVg6g8bVjHGkH5vFDTe6iyNG6sKv_K2GI_cHh74FCYjL_zCnYpybNvX_-fvfh5yL7eY3sEl_sU3G74MukQbG5AFUNKEc1dkxmVw1jcdkMOYyHHsShuL_Yf6M7pdg74HxljCP8</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1619083753</pqid></control><display><type>article</type><title>Cephalometric pattern and nasal patency in children with primary snoring: the evidence of a direct correlation</title><source>PubMed Central Free</source><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Public Library of Science (PLoS) Journals Open Access</source><source>Free Full-Text Journals in Chemistry</source><creator>Zicari, Anna Maria ; Duse, Marzia ; Occasi, Francesca ; Luzzi, Valeria ; Ortolani, Emanuela ; Bardanzellu, Flaminia ; Bertin, Serena ; Polimeni, Antonella</creator><contributor>Esposito, Susanna</contributor><creatorcontrib>Zicari, Anna Maria ; Duse, Marzia ; Occasi, Francesca ; Luzzi, Valeria ; Ortolani, Emanuela ; Bardanzellu, Flaminia ; Bertin, Serena ; Polimeni, Antonella ; Esposito, Susanna</creatorcontrib><description>Sleep disordered breathing (SDB) might affect craniofacial growth and children with obstructive sleep apnea syndrome present an increase in total and lower anterior heights of the face and a more anterior and inferior position of the hyoid bone when compared to nasal breathers.
To investigate the correlation between rhinomanometric and cephalometric parameters in children with primary snoring (PS), without apnea or gas exchange abnormalities.
Thirty children with habitual snoring (16 females and 14 males) aged 4-8 years (mean age 6.85±1.51 years) were selected by a SDB validate questionnaire. All subjects underwent lateral cephalometric, panoramic radiographies.
In our sample 10 children (33%) had snoring 3 nights/week, 11 (37%) 4-6 nights/week and 9 (30%) every night/week. Overall 7 patients (23.3%) were affected by adenoid hypertrophy (AH), 4 (13.3%) by tonsillar hypertrophy (TH) and 13 (43.3%) by AH and TH. We found a more vertical position of the hyoid bone to the mandibular plane (H⊥VT) in patients with a higher frequency (7.3±2.7 vs 7.6±3.7 vs 10.9±2.5 in children snoring 3 nights/week, 4-6 nights/week and every night/week respectively; p = 0.032). Concerning nasal patency significant correlations were found with ANB (maxillary and jaw position with respect to the cranial base), NS∧Ar (growth predictor), sumangle, FMA (total divergence), SnaSnp∧GoMe (inferior divergence), BaN∧PtGn (facial growth pattern), Phw1_PsP (posterosuperior airway space), AHC3H (the horizontal distance between the most anterosuperior point of the hyoid bone and the third cervical vertebra).
The present study supports the relationship between nasal obstruction and specific craniofacial characteristics in children with primary snoring and lead us to hypothesize that nasal obstruction might explain the indirect link between snoring and cephalometric alterations.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0111675</identifier><identifier>PMID: 25360610</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Abnormalities ; Adenoid ; Airway management ; Apnea ; Breathers ; Breathing ; Cardiac arrhythmia ; Cephalometry ; Child ; Child, Preschool ; Children ; Children & youth ; Comparative analysis ; Correlation ; Craniofacial growth ; Divergence ; Female ; Females ; Gas exchange ; Humans ; Hyoid bone ; Hypertrophy ; Jaw ; Male ; Males ; Mandible ; Medicine and Health Sciences ; Morphology ; Night ; Nose - physiopathology ; Otolaryngology ; Patients ; Pediatrics ; Respiration ; Respiratory tract ; Sects ; Sleep ; Sleep apnea ; Sleep disorders ; Snoring - physiopathology ; Spine ; Tonsil ; Vertebrae ; Vertical orientation</subject><ispartof>PloS one, 2014-10, Vol.9 (10), p.e111675-e111675</ispartof><rights>COPYRIGHT 2014 Public Library of Science</rights><rights>2014 Zicari et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2014 Zicari et al 2014 Zicari et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-165faf55a00a7278fadfbd3f17b4ee40cdc4fe70a031fcede5ba11009c4e5f283</citedby><cites>FETCH-LOGICAL-c692t-165faf55a00a7278fadfbd3f17b4ee40cdc4fe70a031fcede5ba11009c4e5f283</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4216138/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4216138/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,865,886,2103,2929,23871,27929,27930,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25360610$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Esposito, Susanna</contributor><creatorcontrib>Zicari, Anna Maria</creatorcontrib><creatorcontrib>Duse, Marzia</creatorcontrib><creatorcontrib>Occasi, Francesca</creatorcontrib><creatorcontrib>Luzzi, Valeria</creatorcontrib><creatorcontrib>Ortolani, Emanuela</creatorcontrib><creatorcontrib>Bardanzellu, Flaminia</creatorcontrib><creatorcontrib>Bertin, Serena</creatorcontrib><creatorcontrib>Polimeni, Antonella</creatorcontrib><title>Cephalometric pattern and nasal patency in children with primary snoring: the evidence of a direct correlation</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Sleep disordered breathing (SDB) might affect craniofacial growth and children with obstructive sleep apnea syndrome present an increase in total and lower anterior heights of the face and a more anterior and inferior position of the hyoid bone when compared to nasal breathers.
To investigate the correlation between rhinomanometric and cephalometric parameters in children with primary snoring (PS), without apnea or gas exchange abnormalities.
Thirty children with habitual snoring (16 females and 14 males) aged 4-8 years (mean age 6.85±1.51 years) were selected by a SDB validate questionnaire. All subjects underwent lateral cephalometric, panoramic radiographies.
In our sample 10 children (33%) had snoring 3 nights/week, 11 (37%) 4-6 nights/week and 9 (30%) every night/week. Overall 7 patients (23.3%) were affected by adenoid hypertrophy (AH), 4 (13.3%) by tonsillar hypertrophy (TH) and 13 (43.3%) by AH and TH. We found a more vertical position of the hyoid bone to the mandibular plane (H⊥VT) in patients with a higher frequency (7.3±2.7 vs 7.6±3.7 vs 10.9±2.5 in children snoring 3 nights/week, 4-6 nights/week and every night/week respectively; p = 0.032). Concerning nasal patency significant correlations were found with ANB (maxillary and jaw position with respect to the cranial base), NS∧Ar (growth predictor), sumangle, FMA (total divergence), SnaSnp∧GoMe (inferior divergence), BaN∧PtGn (facial growth pattern), Phw1_PsP (posterosuperior airway space), AHC3H (the horizontal distance between the most anterosuperior point of the hyoid bone and the third cervical vertebra).
The present study supports the relationship between nasal obstruction and specific craniofacial characteristics in children with primary snoring and lead us to hypothesize that nasal obstruction might explain the indirect link between snoring and cephalometric alterations.</description><subject>Abnormalities</subject><subject>Adenoid</subject><subject>Airway management</subject><subject>Apnea</subject><subject>Breathers</subject><subject>Breathing</subject><subject>Cardiac arrhythmia</subject><subject>Cephalometry</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Children & youth</subject><subject>Comparative analysis</subject><subject>Correlation</subject><subject>Craniofacial growth</subject><subject>Divergence</subject><subject>Female</subject><subject>Females</subject><subject>Gas exchange</subject><subject>Humans</subject><subject>Hyoid bone</subject><subject>Hypertrophy</subject><subject>Jaw</subject><subject>Male</subject><subject>Males</subject><subject>Mandible</subject><subject>Medicine and Health Sciences</subject><subject>Morphology</subject><subject>Night</subject><subject>Nose - physiopathology</subject><subject>Otolaryngology</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Respiration</subject><subject>Respiratory tract</subject><subject>Sects</subject><subject>Sleep</subject><subject>Sleep apnea</subject><subject>Sleep disorders</subject><subject>Snoring - physiopathology</subject><subject>Spine</subject><subject>Tonsil</subject><subject>Vertebrae</subject><subject>Vertical orientation</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk1trFDEUxwdRbK1-A9GAIPqwazKZzOz6IJTFS6FQ8PYaziYnO1myyTbJVvvtzdhp2ZU-SB4STn7nfy7JqarnjE4Z79i7ddhFD266DR6nlDHWduJBdczmvJ60NeUP985H1ZOU1pQKPmvbx9VRLXhLW0aPK7_AbQ8ubDBHq8gWcsboCXhNPCRwgwW9uibWE9VbpyN68svmnmyj3UC8JsmHaP3qPck9EryyuuBIgiFAtI2oMlEhRnSQbfBPq0cGXMJn435S_fj08fviy-T84vPZ4vR8otp5nSesFQaMEEApdHU3M6DNUnPDumWD2FClVWOwo0A5Mwo1iiUwRulcNShMPeMn1csb3a0LSY6tSpK1bE5nvBO8EGc3hA6wlmMxMoCVfw0hriTEbJVDaSgtGYgWdW0aaOlSdHreNl1X2qtmoilaH8Zou-UGtUKfI7gD0cMbb3u5CleyqUtGfEj3zSgQw-UOU5YbmxQ6Bx7Dbsi7prQWTAzoq3_Q-6sbqRWUAqw3ocRVg6g8bVjHGkH5vFDTe6iyNG6sKv_K2GI_cHh74FCYjL_zCnYpybNvX_-fvfh5yL7eY3sEl_sU3G74MukQbG5AFUNKEc1dkxmVw1jcdkMOYyHHsShuL_Yf6M7pdg74HxljCP8</recordid><startdate>20141031</startdate><enddate>20141031</enddate><creator>Zicari, Anna Maria</creator><creator>Duse, Marzia</creator><creator>Occasi, Francesca</creator><creator>Luzzi, Valeria</creator><creator>Ortolani, Emanuela</creator><creator>Bardanzellu, Flaminia</creator><creator>Bertin, Serena</creator><creator>Polimeni, Antonella</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20141031</creationdate><title>Cephalometric pattern and nasal patency in children with primary snoring: the evidence of a direct correlation</title><author>Zicari, Anna Maria ; Duse, Marzia ; Occasi, Francesca ; Luzzi, Valeria ; Ortolani, Emanuela ; Bardanzellu, Flaminia ; Bertin, Serena ; Polimeni, Antonella</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-165faf55a00a7278fadfbd3f17b4ee40cdc4fe70a031fcede5ba11009c4e5f283</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Abnormalities</topic><topic>Adenoid</topic><topic>Airway management</topic><topic>Apnea</topic><topic>Breathers</topic><topic>Breathing</topic><topic>Cardiac arrhythmia</topic><topic>Cephalometry</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Children & youth</topic><topic>Comparative analysis</topic><topic>Correlation</topic><topic>Craniofacial growth</topic><topic>Divergence</topic><topic>Female</topic><topic>Females</topic><topic>Gas exchange</topic><topic>Humans</topic><topic>Hyoid bone</topic><topic>Hypertrophy</topic><topic>Jaw</topic><topic>Male</topic><topic>Males</topic><topic>Mandible</topic><topic>Medicine and Health Sciences</topic><topic>Morphology</topic><topic>Night</topic><topic>Nose - physiopathology</topic><topic>Otolaryngology</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Respiration</topic><topic>Respiratory tract</topic><topic>Sects</topic><topic>Sleep</topic><topic>Sleep apnea</topic><topic>Sleep disorders</topic><topic>Snoring - physiopathology</topic><topic>Spine</topic><topic>Tonsil</topic><topic>Vertebrae</topic><topic>Vertical orientation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zicari, Anna Maria</creatorcontrib><creatorcontrib>Duse, Marzia</creatorcontrib><creatorcontrib>Occasi, Francesca</creatorcontrib><creatorcontrib>Luzzi, Valeria</creatorcontrib><creatorcontrib>Ortolani, Emanuela</creatorcontrib><creatorcontrib>Bardanzellu, Flaminia</creatorcontrib><creatorcontrib>Bertin, Serena</creatorcontrib><creatorcontrib>Polimeni, Antonella</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection (ProQuest)</collection><collection>Natural Science Collection (ProQuest)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zicari, Anna Maria</au><au>Duse, Marzia</au><au>Occasi, Francesca</au><au>Luzzi, Valeria</au><au>Ortolani, Emanuela</au><au>Bardanzellu, Flaminia</au><au>Bertin, Serena</au><au>Polimeni, Antonella</au><au>Esposito, Susanna</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cephalometric pattern and nasal patency in children with primary snoring: the evidence of a direct correlation</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2014-10-31</date><risdate>2014</risdate><volume>9</volume><issue>10</issue><spage>e111675</spage><epage>e111675</epage><pages>e111675-e111675</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Sleep disordered breathing (SDB) might affect craniofacial growth and children with obstructive sleep apnea syndrome present an increase in total and lower anterior heights of the face and a more anterior and inferior position of the hyoid bone when compared to nasal breathers.
To investigate the correlation between rhinomanometric and cephalometric parameters in children with primary snoring (PS), without apnea or gas exchange abnormalities.
Thirty children with habitual snoring (16 females and 14 males) aged 4-8 years (mean age 6.85±1.51 years) were selected by a SDB validate questionnaire. All subjects underwent lateral cephalometric, panoramic radiographies.
In our sample 10 children (33%) had snoring 3 nights/week, 11 (37%) 4-6 nights/week and 9 (30%) every night/week. Overall 7 patients (23.3%) were affected by adenoid hypertrophy (AH), 4 (13.3%) by tonsillar hypertrophy (TH) and 13 (43.3%) by AH and TH. We found a more vertical position of the hyoid bone to the mandibular plane (H⊥VT) in patients with a higher frequency (7.3±2.7 vs 7.6±3.7 vs 10.9±2.5 in children snoring 3 nights/week, 4-6 nights/week and every night/week respectively; p = 0.032). Concerning nasal patency significant correlations were found with ANB (maxillary and jaw position with respect to the cranial base), NS∧Ar (growth predictor), sumangle, FMA (total divergence), SnaSnp∧GoMe (inferior divergence), BaN∧PtGn (facial growth pattern), Phw1_PsP (posterosuperior airway space), AHC3H (the horizontal distance between the most anterosuperior point of the hyoid bone and the third cervical vertebra).
The present study supports the relationship between nasal obstruction and specific craniofacial characteristics in children with primary snoring and lead us to hypothesize that nasal obstruction might explain the indirect link between snoring and cephalometric alterations.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25360610</pmid><doi>10.1371/journal.pone.0111675</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2014-10, Vol.9 (10), p.e111675-e111675 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1619083753 |
| source | PubMed Central Free; MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS) Journals Open Access; Free Full-Text Journals in Chemistry |
| subjects | Abnormalities Adenoid Airway management Apnea Breathers Breathing Cardiac arrhythmia Cephalometry Child Child, Preschool Children Children & youth Comparative analysis Correlation Craniofacial growth Divergence Female Females Gas exchange Humans Hyoid bone Hypertrophy Jaw Male Males Mandible Medicine and Health Sciences Morphology Night Nose - physiopathology Otolaryngology Patients Pediatrics Respiration Respiratory tract Sects Sleep Sleep apnea Sleep disorders Snoring - physiopathology Spine Tonsil Vertebrae Vertical orientation |
| title | Cephalometric pattern and nasal patency in children with primary snoring: the evidence of a direct correlation |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-10T08%3A29%3A34IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Cephalometric%20pattern%20and%20nasal%20patency%20in%20children%20with%20primary%20snoring:%20the%20evidence%20of%20a%20direct%20correlation&rft.jtitle=PloS%20one&rft.au=Zicari,%20Anna%20Maria&rft.date=2014-10-31&rft.volume=9&rft.issue=10&rft.spage=e111675&rft.epage=e111675&rft.pages=e111675-e111675&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0111675&rft_dat=%3Cgale_plos_%3EA417145039%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1619083753&rft_id=info:pmid/25360610&rft_galeid=A417145039&rft_doaj_id=oai_doaj_org_article_f008fa56ed2f4a60b57d96477932c854&rfr_iscdi=true |