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Prediction of tongue obstruction observed from drug induced sleep computed tomography by cephalometric parameters
Authors:Rashu Mittal  Li-Ang Lee  Cheng Hui Lin  Li-Jen Hsin  Navdeep Bhusri  Hsueh-Yu Li
Institution:1. Craniofacial Center, Taoyuan, Chang Gung Memorial Hospital, Chang Gung University, Taiwan;2. Department of Otorhinolaryngology, Head and Neck Surgery, Linkou-Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan;3. Craniofacial Orthodontics, Taipei, Chang Gung Memorial Hospital, Taiwan;4. Sleep Center, Linkou-Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan
Abstract:

Objective

To elucidate potential role of cephalometric measurements to predict tongue base obstruction as observed on drug Induced Sleep Computed Tomography (DIS-CT).

Methods

Study included 35 patients with moderate to severe sleep apnea who underwent DIS-CT & cephalometric examination to assess tongue base obstruction.

Results

Statistically significant difference was noted for SNA angle & Mandibular posterior airway space (PAS) among groups with total tongue obstruction versus Non-total tongue obstruction identified on DIS-CT.

Conclusion

Lateral cephalogram can be used as a standard screening tool with commonly used skeletal and soft tissue parameters to predict the possibility of tongue collapse/obstruction during sleep in patient with moderate to severe OSAS.
Keywords:Dynamic drug induced sleep computed tomography  Lateral cephalometry  Obstructive sleep apnea  Upper airway obstruction  DIS-CT  drug induced sleep computed tomography  OSA  obstructive sleep apnea  PSG  polysomnography  CPAP  continuous positive airway pressure  PAS  posterior airway space  SNA  sellanasion-A point angle  SNB  sellanasion-B point angle  ANB  point A - nasion - point B angle  MP-H  mandibular plane to hyoid distance  CT  computed tomography  MRI  magnetic resonance imaging  BMI  body mass index  AHI  apnea hypopnea index  IQR  interquartile range
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