Facial features and hyoid bone position in preschool children with obstructive sleep apnea syndrome
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...
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Veröffentlicht in: | European archives of oto-rhino-laryngology 2014-05, Vol.271 (5), p.1305-1309 |
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creator | Vieira, Bruno B. Itikawa, Carla E. de Almeida, Leila A. Sander, Heidi H. Aragon, Davi C. Anselmo-Lima, Wilma T. Matsumoto, Mirian Valera, Fabiana C. P. |
description | 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. |
doi_str_mv | 10.1007/s00405-013-2770-z |
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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.</description><identifier>ISSN: 0937-4477</identifier><identifier>EISSN: 1434-4726</identifier><identifier>DOI: 10.1007/s00405-013-2770-z</identifier><identifier>PMID: 24162766</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Cephalometry ; Child, Preschool ; Cross-Sectional Studies ; Facial Bones - diagnostic imaging ; Female ; Germany ; Head and Neck Surgery ; Humans ; Hyoid Bone - abnormalities ; Hyoid Bone - diagnostic imaging ; Male ; Medicine ; Medicine & Public Health ; Miscellaneous ; Mouth Breathing - diagnosis ; Mouth Breathing - diagnostic imaging ; Neurosurgery ; Otorhinolaryngology ; Polysomnography ; Prospective Studies ; Radiography ; Reference Values ; Risk Factors ; Sleep Apnea, Obstructive - diagnostic imaging ; Sleep Apnea, Obstructive - etiology</subject><ispartof>European archives of oto-rhino-laryngology, 2014-05, Vol.271 (5), p.1305-1309</ispartof><rights>Springer-Verlag Berlin Heidelberg 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c344t-320bf66ddbd046ab496517cb3f9b33a2a52bcdfcb0c7a60c04d3185e0279a9903</citedby><cites>FETCH-LOGICAL-c344t-320bf66ddbd046ab496517cb3f9b33a2a52bcdfcb0c7a60c04d3185e0279a9903</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00405-013-2770-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00405-013-2770-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24162766$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vieira, Bruno B.</creatorcontrib><creatorcontrib>Itikawa, Carla E.</creatorcontrib><creatorcontrib>de Almeida, Leila A.</creatorcontrib><creatorcontrib>Sander, Heidi H.</creatorcontrib><creatorcontrib>Aragon, Davi C.</creatorcontrib><creatorcontrib>Anselmo-Lima, Wilma T.</creatorcontrib><creatorcontrib>Matsumoto, Mirian</creatorcontrib><creatorcontrib>Valera, Fabiana C. P.</creatorcontrib><title>Facial features and hyoid bone position in preschool children with obstructive sleep apnea syndrome</title><title>European archives of oto-rhino-laryngology</title><addtitle>Eur Arch Otorhinolaryngol</addtitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><description>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.</description><subject>Cephalometry</subject><subject>Child, Preschool</subject><subject>Cross-Sectional Studies</subject><subject>Facial Bones - diagnostic imaging</subject><subject>Female</subject><subject>Germany</subject><subject>Head and Neck Surgery</subject><subject>Humans</subject><subject>Hyoid Bone - abnormalities</subject><subject>Hyoid Bone - diagnostic imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Miscellaneous</subject><subject>Mouth Breathing - diagnosis</subject><subject>Mouth Breathing - diagnostic imaging</subject><subject>Neurosurgery</subject><subject>Otorhinolaryngology</subject><subject>Polysomnography</subject><subject>Prospective Studies</subject><subject>Radiography</subject><subject>Reference Values</subject><subject>Risk Factors</subject><subject>Sleep Apnea, Obstructive - diagnostic imaging</subject><subject>Sleep Apnea, Obstructive - etiology</subject><issn>0937-4477</issn><issn>1434-4726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kDtv2zAUhYmiReOk-QFdAo5dlF4-RFZjYSRtAANdkpng4ypmIJMKKbWwf31kOM2Y6Q7nOwe4HyFfGVwzAP29AkhoG2Ci4VpDc_hAVkwK2UjN1Ueygk7oRkqtz8h5rU8A0MpOfCZnXDLFtVIr4m-tj3agPdppLlipTYFu9zkG6nJCOuYap5gTjYmOS-63OQ_Ub-MQCib6L05bml2dyuyn-BdpHRBHaseEltZ9CiXv8Av51Nuh4uXrvSAPtzf369_N5s-vu_XPTeOFlFMjOLheqRBcAKmsk51qmfZO9J0TwnLbcudD7x14bRV4kEGwHy0C153tOhAX5Ntpdyz5ecY6mV2sHofBJsxzNaxlUvKOKbmg7IT6kmst2JuxxJ0te8PAHN2ak1uzuDVHt-awdK5e52e3w_DW-C9zAfgJqEuUHrGYpzyXtLz8zuoLrPuGkQ</recordid><startdate>20140501</startdate><enddate>20140501</enddate><creator>Vieira, Bruno B.</creator><creator>Itikawa, Carla E.</creator><creator>de Almeida, Leila A.</creator><creator>Sander, Heidi H.</creator><creator>Aragon, Davi C.</creator><creator>Anselmo-Lima, Wilma T.</creator><creator>Matsumoto, Mirian</creator><creator>Valera, Fabiana C. P.</creator><general>Springer Berlin Heidelberg</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>7X8</scope></search><sort><creationdate>20140501</creationdate><title>Facial features and hyoid bone position in preschool children with obstructive sleep apnea syndrome</title><author>Vieira, Bruno B. ; Itikawa, Carla E. ; de Almeida, Leila A. ; Sander, Heidi H. ; Aragon, Davi C. ; Anselmo-Lima, Wilma T. ; Matsumoto, Mirian ; Valera, Fabiana C. P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c344t-320bf66ddbd046ab496517cb3f9b33a2a52bcdfcb0c7a60c04d3185e0279a9903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Cephalometry</topic><topic>Child, Preschool</topic><topic>Cross-Sectional Studies</topic><topic>Facial Bones - diagnostic imaging</topic><topic>Female</topic><topic>Germany</topic><topic>Head and Neck Surgery</topic><topic>Humans</topic><topic>Hyoid Bone - abnormalities</topic><topic>Hyoid Bone - diagnostic imaging</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Miscellaneous</topic><topic>Mouth Breathing - diagnosis</topic><topic>Mouth Breathing - diagnostic imaging</topic><topic>Neurosurgery</topic><topic>Otorhinolaryngology</topic><topic>Polysomnography</topic><topic>Prospective Studies</topic><topic>Radiography</topic><topic>Reference Values</topic><topic>Risk Factors</topic><topic>Sleep Apnea, Obstructive - diagnostic imaging</topic><topic>Sleep Apnea, Obstructive - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vieira, Bruno B.</creatorcontrib><creatorcontrib>Itikawa, Carla E.</creatorcontrib><creatorcontrib>de Almeida, Leila A.</creatorcontrib><creatorcontrib>Sander, Heidi H.</creatorcontrib><creatorcontrib>Aragon, Davi C.</creatorcontrib><creatorcontrib>Anselmo-Lima, Wilma T.</creatorcontrib><creatorcontrib>Matsumoto, Mirian</creatorcontrib><creatorcontrib>Valera, Fabiana C. 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P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Facial features and hyoid bone position in preschool children with obstructive sleep apnea syndrome</atitle><jtitle>European archives of oto-rhino-laryngology</jtitle><stitle>Eur Arch Otorhinolaryngol</stitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><date>2014-05-01</date><risdate>2014</risdate><volume>271</volume><issue>5</issue><spage>1305</spage><epage>1309</epage><pages>1305-1309</pages><issn>0937-4477</issn><eissn>1434-4726</eissn><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.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24162766</pmid><doi>10.1007/s00405-013-2770-z</doi><tpages>5</tpages></addata></record> |
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subjects | Cephalometry Child, Preschool Cross-Sectional Studies Facial Bones - diagnostic imaging Female Germany Head and Neck Surgery Humans Hyoid Bone - abnormalities Hyoid Bone - diagnostic imaging Male Medicine Medicine & Public Health Miscellaneous Mouth Breathing - diagnosis Mouth Breathing - diagnostic imaging Neurosurgery Otorhinolaryngology Polysomnography Prospective Studies Radiography Reference Values Risk Factors Sleep Apnea, Obstructive - diagnostic imaging Sleep Apnea, Obstructive - etiology |
title | Facial features and hyoid bone position in preschool children with obstructive sleep apnea syndrome |
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