Evaluation of the upper airway in patients with obstructive sleep apnea
Multiple methods have been used to study the structure and physiological behavior of the upper airway (UA) in patients with obstructive sleep apnea (OSA). Valuable information may be obtained from the physiologic measurement of pressure and resistance along the UA, as well as from imaging techniques...
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| Veröffentlicht in: | Sleep (New York, N.Y.) N.Y.), 1991-08, Vol.14 (4), p.361-371 |
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| container_start_page | 361 |
| container_title | Sleep (New York, N.Y.) |
| container_volume | 14 |
| creator | SHEPARD, J. W GEFTER, W. B GUILLEMINAULT, C HOFFMAN, E. A HOFFSTEIN, V HUDGEL, D. W SURATT, P. M WHITE, D. P |
| description | Multiple methods have been used to study the structure and physiological behavior of the upper airway (UA) in patients with obstructive sleep apnea (OSA). Valuable information may be obtained from the physiologic measurement of pressure and resistance along the UA, as well as from imaging techniques that include: direct or fiberoptic visualization, cephalometric roentgenograms, fluoroscopy, acoustic reflection, computerized tomography, and magnetic resonance imaging. This review summarizes the information that each of these methods has contributed to our understanding of the UA. The results obtained with these different methodologies have generally been complementary with structural narrowing being identified in the majority of patients with OSA. This narrowing is usually focal and located in the velopharyngeal or retropalatal segment of the UA. This is also the predominant site of initial UA collapse. Although obesity with enlargement of soft tissue structures is considered the predominant mechanism leading to UA narrowing, abnormal craniofacial development on a genetic or developmental basis plays an important contributory role. |
| doi_str_mv | 10.1093/sleep/14.4.361 |
| format | Article |
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W ; GEFTER, W. B ; GUILLEMINAULT, C ; HOFFMAN, E. A ; HOFFSTEIN, V ; HUDGEL, D. W ; SURATT, P. M ; WHITE, D. P</creator><creatorcontrib>SHEPARD, J. W ; GEFTER, W. B ; GUILLEMINAULT, C ; HOFFMAN, E. A ; HOFFSTEIN, V ; HUDGEL, D. W ; SURATT, P. M ; WHITE, D. P</creatorcontrib><description>Multiple methods have been used to study the structure and physiological behavior of the upper airway (UA) in patients with obstructive sleep apnea (OSA). Valuable information may be obtained from the physiologic measurement of pressure and resistance along the UA, as well as from imaging techniques that include: direct or fiberoptic visualization, cephalometric roentgenograms, fluoroscopy, acoustic reflection, computerized tomography, and magnetic resonance imaging. This review summarizes the information that each of these methods has contributed to our understanding of the UA. The results obtained with these different methodologies have generally been complementary with structural narrowing being identified in the majority of patients with OSA. This narrowing is usually focal and located in the velopharyngeal or retropalatal segment of the UA. This is also the predominant site of initial UA collapse. Although obesity with enlargement of soft tissue structures is considered the predominant mechanism leading to UA narrowing, abnormal craniofacial development on a genetic or developmental basis plays an important contributory role.</description><identifier>ISSN: 0161-8105</identifier><identifier>EISSN: 1550-9109</identifier><identifier>DOI: 10.1093/sleep/14.4.361</identifier><identifier>PMID: 1947602</identifier><identifier>CODEN: SLEED6</identifier><language>eng</language><publisher>Rochester, MN: American Academy of Sleep Medicine</publisher><subject>Airway Obstruction - diagnosis ; Airway Obstruction - physiopathology ; Airway Resistance - physiology ; Biological and medical sciences ; Cephalometry ; Endoscopy ; Fluoroscopy ; Humans ; Magnetic Resonance Imaging ; Medical sciences ; Non tumoral diseases ; Otorhinolaryngology. Stomatology ; Palate, Soft - physiopathology ; Pharynx - physiopathology ; Sleep Apnea Syndromes - diagnosis ; Sleep Apnea Syndromes - physiopathology ; Sleep Stages - physiology ; Tomography, X-Ray Computed ; Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</subject><ispartof>Sleep (New York, N.Y.), 1991-08, Vol.14 (4), p.361-371</ispartof><rights>1992 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c319t-4c6ed2a0afc2ff69bbe1c5a37060bc85f43feb4141c8212beb4b1757081f2b183</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=5357491$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1947602$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SHEPARD, J. W</creatorcontrib><creatorcontrib>GEFTER, W. B</creatorcontrib><creatorcontrib>GUILLEMINAULT, C</creatorcontrib><creatorcontrib>HOFFMAN, E. A</creatorcontrib><creatorcontrib>HOFFSTEIN, V</creatorcontrib><creatorcontrib>HUDGEL, D. W</creatorcontrib><creatorcontrib>SURATT, P. M</creatorcontrib><creatorcontrib>WHITE, D. P</creatorcontrib><title>Evaluation of the upper airway in patients with obstructive sleep apnea</title><title>Sleep (New York, N.Y.)</title><addtitle>Sleep</addtitle><description>Multiple methods have been used to study the structure and physiological behavior of the upper airway (UA) in patients with obstructive sleep apnea (OSA). Valuable information may be obtained from the physiologic measurement of pressure and resistance along the UA, as well as from imaging techniques that include: direct or fiberoptic visualization, cephalometric roentgenograms, fluoroscopy, acoustic reflection, computerized tomography, and magnetic resonance imaging. This review summarizes the information that each of these methods has contributed to our understanding of the UA. The results obtained with these different methodologies have generally been complementary with structural narrowing being identified in the majority of patients with OSA. This narrowing is usually focal and located in the velopharyngeal or retropalatal segment of the UA. This is also the predominant site of initial UA collapse. Although obesity with enlargement of soft tissue structures is considered the predominant mechanism leading to UA narrowing, abnormal craniofacial development on a genetic or developmental basis plays an important contributory role.</description><subject>Airway Obstruction - diagnosis</subject><subject>Airway Obstruction - physiopathology</subject><subject>Airway Resistance - physiology</subject><subject>Biological and medical sciences</subject><subject>Cephalometry</subject><subject>Endoscopy</subject><subject>Fluoroscopy</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Medical sciences</subject><subject>Non tumoral diseases</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Palate, Soft - physiopathology</subject><subject>Pharynx - physiopathology</subject><subject>Sleep Apnea Syndromes - diagnosis</subject><subject>Sleep Apnea Syndromes - physiopathology</subject><subject>Sleep Stages - physiology</subject><subject>Tomography, X-Ray Computed</subject><subject>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</subject><issn>0161-8105</issn><issn>1550-9109</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkL1PwzAQxS0EKqWwsiF5QGxpffFHkhFVpSBVYoHZsl1bNUqTYCet-t9j2gqmu9Pv3bvTQ-geyBRIRWextrabAZuyKRVwgcbAOcmqxC7RmICArATCr9FNjF8kzayiIzSCihWC5GO0XOxUPajetw1uHe43Fg9dZwNWPuzVAfsGd4napo947_sNbnXsw2B6v7P4eBurrrHqFl05VUd7d64T9Pmy-Ji_Zqv35dv8eZUZClWfMSPsOldEOZM7JyqtLRiuaEEE0abkjlFnNQMGpswh16nXUPCClOByDSWdoKeTbxfa78HGXm59NLauVWPbIcoiZ0IAo0k4PQlNaGMM1sku-K0KBwlE_iYnj99LYJLJlFxaeDg7D3pr1__yU1SJP565ikbVLqjG-Pgn45QXrAL6A2hkd8g</recordid><startdate>19910801</startdate><enddate>19910801</enddate><creator>SHEPARD, J. W</creator><creator>GEFTER, W. B</creator><creator>GUILLEMINAULT, C</creator><creator>HOFFMAN, E. A</creator><creator>HOFFSTEIN, V</creator><creator>HUDGEL, D. W</creator><creator>SURATT, P. M</creator><creator>WHITE, D. P</creator><general>American Academy of Sleep Medicine</general><scope>IQODW</scope><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>19910801</creationdate><title>Evaluation of the upper airway in patients with obstructive sleep apnea</title><author>SHEPARD, J. W ; GEFTER, W. B ; GUILLEMINAULT, C ; HOFFMAN, E. A ; HOFFSTEIN, V ; HUDGEL, D. W ; SURATT, P. M ; WHITE, D. P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c319t-4c6ed2a0afc2ff69bbe1c5a37060bc85f43feb4141c8212beb4b1757081f2b183</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Airway Obstruction - diagnosis</topic><topic>Airway Obstruction - physiopathology</topic><topic>Airway Resistance - physiology</topic><topic>Biological and medical sciences</topic><topic>Cephalometry</topic><topic>Endoscopy</topic><topic>Fluoroscopy</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Medical sciences</topic><topic>Non tumoral diseases</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Palate, Soft - physiopathology</topic><topic>Pharynx - physiopathology</topic><topic>Sleep Apnea Syndromes - diagnosis</topic><topic>Sleep Apnea Syndromes - physiopathology</topic><topic>Sleep Stages - physiology</topic><topic>Tomography, X-Ray Computed</topic><topic>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SHEPARD, J. W</creatorcontrib><creatorcontrib>GEFTER, W. B</creatorcontrib><creatorcontrib>GUILLEMINAULT, C</creatorcontrib><creatorcontrib>HOFFMAN, E. A</creatorcontrib><creatorcontrib>HOFFSTEIN, V</creatorcontrib><creatorcontrib>HUDGEL, D. W</creatorcontrib><creatorcontrib>SURATT, P. M</creatorcontrib><creatorcontrib>WHITE, D. 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This review summarizes the information that each of these methods has contributed to our understanding of the UA. The results obtained with these different methodologies have generally been complementary with structural narrowing being identified in the majority of patients with OSA. This narrowing is usually focal and located in the velopharyngeal or retropalatal segment of the UA. This is also the predominant site of initial UA collapse. Although obesity with enlargement of soft tissue structures is considered the predominant mechanism leading to UA narrowing, abnormal craniofacial development on a genetic or developmental basis plays an important contributory role.</abstract><cop>Rochester, MN</cop><pub>American Academy of Sleep Medicine</pub><pmid>1947602</pmid><doi>10.1093/sleep/14.4.361</doi><tpages>11</tpages></addata></record> |
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| identifier | ISSN: 0161-8105 |
| ispartof | Sleep (New York, N.Y.), 1991-08, Vol.14 (4), p.361-371 |
| issn | 0161-8105 1550-9109 |
| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection; EZB Electronic Journals Library |
| subjects | Airway Obstruction - diagnosis Airway Obstruction - physiopathology Airway Resistance - physiology Biological and medical sciences Cephalometry Endoscopy Fluoroscopy Humans Magnetic Resonance Imaging Medical sciences Non tumoral diseases Otorhinolaryngology. Stomatology Palate, Soft - physiopathology Pharynx - physiopathology Sleep Apnea Syndromes - diagnosis Sleep Apnea Syndromes - physiopathology Sleep Stages - physiology Tomography, X-Ray Computed Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology |
| title | Evaluation of the upper airway in patients with obstructive sleep apnea |
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