Obstrüktif uyku apneli ve horlayan erişkin erkek hastaların dentofasiyal özelliklerinin değerlendirilmesi

Banu Saglam Aydinatay; Tulin Taner; Cenk Akcan; Erdinc Baharoglu; Ahmet Demir; Omer Yucel; Oguz Ogretmenoglu; Metin Onerci; Ahmet Sahin

EN TR

Obstrüktif uyku apneli ve horlayan erişkin erkek hastaların dentofasiyal özelliklerinin değerlendirilmesi

Abstract

ÖZET

Amaç: Bu çalışmanın amacı obstrüktif uyku apne sendromu (OUAS) olan erişkin erkek hastaların kraniofasiyal morfolojik özellikleri değerlendirmektir.

Gereç ve Yöntem: Çalışmada 80 erkek hastanın (60 OUAS, 20 horlama hastası) lateral sefalogramları değerlendirildi. Bireyler Grup 1: horlama (AHİ<5); Grup 2: hafif OUAS (5£ AHİ<15); Grup 3: orta OUAS(15£ AHİ<30) ; Grup 4: şiddetli OUAS (AHİ ³30) olarak değerlendirildi. Sefalogramlar üzerinde hyoid, dil kökü ve yumuşak damak konumu, kranioservikal postür ve havayolu genişliğini belirleyen ölçümler yapıldı. Gruplar arasındaki farklar normal dağılım gösteren değişkenlerde tek yönlü varyans analizi ve Duncan testiyle, normal dağılım göstermeyen değişkenlerde Kruskal Wallis testi ve Bonferroni düzeltmesi uygulanarak Mann Whitney U testiyle yapıldı.

Bulgular: Gruplar karşılaştırıldığında hyoid pozisyonu, yumuşak damak konumu, kranioservikal postür ve havayolu genişliğini gösteren ölçümlerde istatistiksel anlamlılık gösteren bir fark bulunmadı (p>0.05). Dil kökü konumunu gösteren PNS-V (mm) değeri şiddetli OUAS grubu ile diğer gruplar arasında istatistiksel olarak anlamlı fark gösterdi (p<0.05). Dil kökü ile ilgili diğer ölçümlerde ise gruplar arasında anlamlı fark bulunmadı (p>0.05).

Sonuçlar: İncelenen popülasyonda şiddetli OUAS grubunda dil kökünün daha aşağıda konumlandığı belirlenmiş, diğer kraniofasiyal değişkenlerde gruplar arasında fark görülmemiştir.

Anahtar kelimeler: Obstrüktif uyku apnesi sendromu, horlama, sefalometri, kraniofasiyal.

ABSTRACT

Objectives: The aim of this study was to evaluate the craniofacial morphology of adult male patients with obstructive sleep apnea syndrome (OSAS).

Materials and Methods: Cephalograms of 80 male patients (60 OSAS, 20 snoring) were evaluated. Subjects were grouped as, Group 1: snoring (AHI<5); Group 2: mild OSA (5£ AHI<15); Group 3: moderate OSA (15£ AHI<30) ; Group 4: severe OSA (AHI ³30). Measurements were made to evaluate hyoid bone position, tongue base and soft palate, craniocervical extension and the airway width. Statistical significance was determined with one-way ANOVA and Duncan test for variables showing normal distribution. Kruskal Wallis test and Mann Whitney U test with Bonferroni correction were used to evaluate the variables that were not normally distibuted.

Results: No significant differences were found in hyoid bone position, soft palate position, craniocervical extension and the airway width (p>0.05). PNS-V (mm), was significantly different between severe OSA group and the other groups (p<0.05). The other measurements on tongue base showed no difference between groups (p>0.05).

Conclusions: In this study population, the tongue base was more inferiorly positioned in the severe OSA group whereas the other craniofacial variables showed no difference between groups.

Key words: Obstructive sleep apnea syndrome, snoring, cephalometry, craniofacial.

Keywords

Obstrüktif uyku apnesi sendromu, horlama, sefalometri, kraniofasiyal

Obstrüktif uyku apneli ve horlayan erişkin erkek hastaların dentofasiyal özelliklerinin değerlendirilmesi

Öz

Amaç: Bu çalışmanın amacı obstrüktif uyku apne sendromu (OUAS) olan erişkin erkek hastaların kraniofasiyal morfolojik özellikleri değerlendirmektir. Gereç ve Yöntem: Çalışmada 80 erkek hastanın (60 sefalogramları değerlendirildi. Bireyler Grup 1: horlama (AHİ5); Grup 2: hafif OUAS (5AHİ15); Grup 3: orta OUAS(15 AHİ30) ; Grup 4: şiddetli OUAS (AHİ30) olarak değerlendirildi. Sefalogramlar üzerinde hyoid, dil kökü ve yumuşak damak konumu, kranioservikal postür ve havayolu genişliğini belirleyen ölçümler yapıldı. Gruplar arasındaki farklar normal dağılım gösteren değişkenlerde tek yönlü varyans analizi ve Duncan testiyle, normal dağılım göstermeyen değişkenlerde Kruskal düzeltmesi uygulanarak Mann Whitney U testiyle yapıldı

Anahtar Kelimeler

Obstrüktif uyku apnesi sendromu, horlama, sefalometri, kraniofasiyal

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Details

Primary Language

Turkish

Subjects

-

Journal Section

-

Authors

Banu Saglam Aydinatay

Tulin Taner

Cenk Akcan

Erdinc Baharoglu

Ahmet Demir

Omer Yucel

Oguz Ogretmenoglu

Metin Onerci

Ahmet Sahin

Publication Date

September 23, 2011

Submission Date

December 20, 2010

Acceptance Date

-

Published in Issue

Year 2011 Volume: 14 Number: 3

IZ

https://izlik.org/JA55SL86XU

Cite

RIS / Bibtex

EndNote

Saglam Aydinatay B, Taner T, Akcan C, Baharoglu E, Demir A, Yucel O, Ogretmenoglu O, Onerci M, Sahin A (September 1, 2011) Obstrüktif uyku apneli ve horlayan erişkin erkek hastaların dentofasiyal özelliklerinin değerlendirilmesi. Cumhuriyet Dental Journal 14 3 155–163.