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
Hauptverfasser: 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.
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container_issue 5
container_start_page 1305
container_title European archives of oto-rhino-laryngology
container_volume 271
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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source MEDLINE; Springer Nature - Complete Springer Journals
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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