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For: Costa e Sousa RA, dos Santos Gil NA. Craniofacial skeletal architecture and obstructive sleep apnoea syndrome severity. J Craniomaxillofac Surg 2013;41:740-6. [DOI: 10.1016/j.jcms.2012.12.010] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2012] [Revised: 12/21/2012] [Accepted: 12/28/2012] [Indexed: 01/07/2023] Open

For:	Costa e Sousa RA, dos Santos Gil NA. Craniofacial skeletal architecture and obstructive sleep apnoea syndrome severity. J Craniomaxillofac Surg 2013;41:740-6. [DOI: 10.1016/j.jcms.2012.12.010] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2012] [Revised: 12/21/2012] [Accepted: 12/28/2012] [Indexed: 01/07/2023] Open

Number

Cited by Other Article(s)

Ciavarella D, Ferrara D, Spinoso G, Cattaneo P, Leo C, Russo LL, Burlon G, Burlon C, Esperouz F, Laurenziello M, Tepedino M, Lorusso M. Airway Analysis and Morphometric Assessment of Dental Arches in Obstructive Sleep Apnea Patients. J Clin Med 2025;14:296. [PMID: 39860302 PMCID: PMC11766405 DOI: 10.3390/jcm14020296] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2024] [Revised: 12/16/2024] [Accepted: 12/26/2024] [Indexed: 01/27/2025] Open

Affiliation(s)

Domenico Ciavarella Department of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy; (D.C.); (G.S.); (C.L.); (L.L.R.); (G.B.); (F.E.); (M.L.); (M.L.)
Donatella Ferrara Department of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy; (D.C.); (G.S.); (C.L.); (L.L.R.); (G.B.); (F.E.); (M.L.); (M.L.)
Giusi Spinoso Department of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy; (D.C.); (G.S.); (C.L.); (L.L.R.); (G.B.); (F.E.); (M.L.); (M.L.)
Paolo Cattaneo Melbourne Dental School, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, VIC 3010, Australia;
Chiara Leo Department of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy; (D.C.); (G.S.); (C.L.); (L.L.R.); (G.B.); (F.E.); (M.L.); (M.L.)
Lucio Lo Russo Department of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy; (D.C.); (G.S.); (C.L.); (L.L.R.); (G.B.); (F.E.); (M.L.); (M.L.)
Giuseppe Burlon Department of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy; (D.C.); (G.S.); (C.L.); (L.L.R.); (G.B.); (F.E.); (M.L.); (M.L.)
Carlotta Burlon Department of Surgical Sciences, Postgraduate School of Orthodontics, University of Cagliari, 09124 Cagliari, Italy;
Fariba Esperouz Department of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy; (D.C.); (G.S.); (C.L.); (L.L.R.); (G.B.); (F.E.); (M.L.); (M.L.)
Michele Laurenziello Department of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy; (D.C.); (G.S.); (C.L.); (L.L.R.); (G.B.); (F.E.); (M.L.); (M.L.)
Michele Tepedino Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, 67100 L’Aquila, Italy;
Mauro Lorusso Department of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy; (D.C.); (G.S.); (C.L.); (L.L.R.); (G.B.); (F.E.); (M.L.); (M.L.)

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Bernkopf E, Capriotti V, Bernkopf G, Fermi M, Cristalli G. LETTER TO THE EDITOR REGARDING "CORRELATION BETWEEN LATERALITY OF HEARING LOSS AND MIGRAINE FEATURES IN MENIÈRE'S DISEASE". Otol Neurotol 2024;45:1089-1090. [PMID: 39186047 DOI: 10.1097/mao.0000000000004291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/27/2024]

Koca CGE, Bilgir E, Çolakoğlu G, Bakkal FK, Yildirim B, Güngör MA, Erdil A. Comparative study of anatomical features of primary and accessory maxillary ostia between patients with obstructive sleep apnea and healthy controls. Sleep Breath 2024;28:541-554. [PMID: 37452886 DOI: 10.1007/s11325-023-02874-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2023] [Revised: 05/26/2023] [Accepted: 06/12/2023] [Indexed: 07/18/2023]

Chang JL, Goldberg AN, Alt JA, Alzoubaidi M, Ashbrook L, Auckley D, Ayappa I, Bakhtiar H, Barrera JE, Bartley BL, Billings ME, Boon MS, Bosschieter P, Braverman I, Brodie K, Cabrera-Muffly C, Caesar R, Cahali MB, Cai Y, Cao M, Capasso R, Caples SM, Chahine LM, Chang CP, Chang KW, Chaudhary N, Cheong CSJ, Chowdhuri S, Cistulli PA, Claman D, Collen J, Coughlin KC, Creamer J, Davis EM, Dupuy-McCauley KL, Durr ML, Dutt M, Ali ME, Elkassabany NM, Epstein LJ, Fiala JA, Freedman N, Gill K, Boyd Gillespie M, Golisch L, Gooneratne N, Gottlieb DJ, Green KK, Gulati A, Gurubhagavatula I, Hayward N, Hoff PT, Hoffmann OM, Holfinger SJ, Hsia J, Huntley C, Huoh KC, Huyett P, Inala S, Ishman SL, Jella TK, Jobanputra AM, Johnson AP, Junna MR, Kado JT, Kaffenberger TM, Kapur VK, Kezirian EJ, Khan M, Kirsch DB, Kominsky A, Kryger M, Krystal AD, Kushida CA, Kuzniar TJ, Lam DJ, Lettieri CJ, Lim DC, Lin HC, Liu SY, MacKay SG, Magalang UJ, Malhotra A, Mansukhani MP, Maurer JT, May AM, Mitchell RB, Mokhlesi B, Mullins AE, Nada EM, Naik S, Nokes B, Olson MD, Pack AI, Pang EB, Pang KP, Patil SP, Van de Perck E, Piccirillo JF, Pien GW, et alChang JL, Goldberg AN, Alt JA, Alzoubaidi M, Ashbrook L, Auckley D, Ayappa I, Bakhtiar H, Barrera JE, Bartley BL, Billings ME, Boon MS, Bosschieter P, Braverman I, Brodie K, Cabrera-Muffly C, Caesar R, Cahali MB, Cai Y, Cao M, Capasso R, Caples SM, Chahine LM, Chang CP, Chang KW, Chaudhary N, Cheong CSJ, Chowdhuri S, Cistulli PA, Claman D, Collen J, Coughlin KC, Creamer J, Davis EM, Dupuy-McCauley KL, Durr ML, Dutt M, Ali ME, Elkassabany NM, Epstein LJ, Fiala JA, Freedman N, Gill K, Boyd Gillespie M, Golisch L, Gooneratne N, Gottlieb DJ, Green KK, Gulati A, Gurubhagavatula I, Hayward N, Hoff PT, Hoffmann OM, Holfinger SJ, Hsia J, Huntley C, Huoh KC, Huyett P, Inala S, Ishman SL, Jella TK, Jobanputra AM, Johnson AP, Junna MR, Kado JT, Kaffenberger TM, Kapur VK, Kezirian EJ, Khan M, Kirsch DB, Kominsky A, Kryger M, Krystal AD, Kushida CA, Kuzniar TJ, Lam DJ, Lettieri CJ, Lim DC, Lin HC, Liu SY, MacKay SG, Magalang UJ, Malhotra A, Mansukhani MP, Maurer JT, May AM, Mitchell RB, Mokhlesi B, Mullins AE, Nada EM, Naik S, Nokes B, Olson MD, Pack AI, Pang EB, Pang KP, Patil SP, Van de Perck E, Piccirillo JF, Pien GW, Piper AJ, Plawecki A, Quigg M, Ravesloot MJ, Redline S, Rotenberg BW, Ryden A, Sarmiento KF, Sbeih F, Schell AE, Schmickl CN, Schotland HM, Schwab RJ, Seo J, Shah N, Shelgikar AV, Shochat I, Soose RJ, Steele TO, Stephens E, Stepnowsky C, Strohl KP, Sutherland K, Suurna MV, Thaler E, Thapa S, Vanderveken OM, de Vries N, Weaver EM, Weir ID, Wolfe LF, Tucker Woodson B, Won CH, Xu J, Yalamanchi P, Yaremchuk K, Yeghiazarians Y, Yu JL, Zeidler M, Rosen IM. International Consensus Statement on Obstructive Sleep Apnea. Int Forum Allergy Rhinol 2023;13:1061-1482. [PMID: 36068685 PMCID: PMC10359192 DOI: 10.1002/alr.23079] [Show More Authors] [Citation(s) in RCA: 127] [Impact Index Per Article: 63.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2022] [Revised: 08/12/2022] [Accepted: 08/18/2022] [Indexed: 11/08/2022]

Affiliation(s)

Jolie L. Chang University of California, San Francisco, California, USA
Andrew N. Goldberg University of California, San Francisco, California, USA
Jeremiah A. Alt University of Utah, Salt Lake City, Utah, USA
Mohammed Alzoubaidi Northwestern University, Chicago, Illinois, USA
Liza Ashbrook University of California, San Francisco, California, USA
Dennis Auckley Case Western Reserve University, Cleveland, Ohio, USA
Indu Ayappa Icahn School of Medicine at Mount Sinai, New York, New York, USA
Hira Bakhtiar Norwalk Hospital, Norwalk, Connecticut, USA
José E. Barrera Uniformed Services University, Washington D.C., USA
Bethany L. Bartley Harvard Medical School, Boston, Massachusetts, USA
Martha E. Billings University of Washington, Seattle, Washington, USA
Maurits S. Boon Sidney Kimmel Medical Center at Thomas Jefferson University, Philadelphia, Pennsylvania, USA
Pien Bosschieter Academic Centre for Dentistry Amsterdam, Amsterdam, The Netherlands
Itzhak Braverman Hillel Yaffe Medical Center, Hadera Technion, Faculty of Medicine, Hadera, Israel
Kara Brodie University of California, San Francisco, California, USA
Cristina Cabrera-Muffly University of Colorado School of Medicine, Aurora, Colorado, USA
Ray Caesar Stone Oak Orthodontics, San Antonio, Texas, USA
Michel B. Cahali University of Sao Paulo, São Paulo, Brazil
Yi Cai University of California, San Francisco, California, USA
Michelle Cao Stanford University, Palo Alto, California, USA
Robson Capasso Stanford University, Palo Alto, California, USA
Sean M. Caples Mayo Clinic, Rochester, Minnesota, USA
Lana M. Chahine University of Pittsburgh, Pittsburgh, Pennsylvania, USA
Corissa P. Chang University of Pennsylvania, Philadelphia, Pennsylvania, USA
Katherine W. Chang Washington University, St. Louis, Missouri, USA
Nilika Chaudhary Brigham and Women’s Hospital, Boston, MA, USA
Crystal S. J. Cheong National University Hospital, Singapore
Susmita Chowdhuri Wayne State University and John D. Dingell VA Medical Center, Detroit, Michigan, USA
Peter A. Cistulli Faculty of Medicine and Health, University of Sydney, Sydney, Australia
David Claman University of California, San Francisco, California, USA
Jacob Collen Uniformed Services University, Bethesda, Maryland, USA
Kevin C. Coughlin University of Tennessee, Memphis, Tennessee, USA
Jennifer Creamer Uniformed Services University, Bethesda, Maryland, USA
Eric M. Davis University of Virginia, Charlottesville, Virginia, USA
Kara L. Dupuy-McCauley Mayo Clinic, Rochester, Minnesota, USA
Megan L. Durr Kaiser Permanente, Oakland, California, USA
Mohan Dutt University of Michigan, Ann Arbor, Michigan, USA
Mazen El Ali University of Pittsburgh, Pittsburgh, Pennsylvania, USA
Nabil M. Elkassabany University of Virginia, Charlottesville, Virginia, USA
Lawrence J. Epstein Harvard Medical School, Boston, Massachusetts, USA
Justin A. Fiala Northwestern University, Chicago, Illinois, USA
Neil Freedman University of Chicago, Chicago, Illinois, USA
Kirat Gill Stanford University, Palo Alto, California, USA
M. Boyd Gillespie University of Tennessee, Memphis, Tennessee, USA
Lea Golisch University Hospital Mannheim, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany
Nalaka Gooneratne University of Pennsylvania, Philadelphia, Pennsylvania, USA
Daniel J. Gottlieb Harvard Medical School, Boston, Massachusetts, USA
Katherine K. Green University of Colorado, Aurora, Colorado, USA
Arushi Gulati University of California, San Francisco, California, USA
Indira Gurubhagavatula University of Pennsylvania, Philadelphia, Pennsylvania, USA
Nathan Hayward Monash Health, Victoria, Australia
Paul T. Hoff University of Michigan, Ann Arbor, Michigan, USA
Oliver M.G. Hoffmann University Hospital Mannheim, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany
Steven J. Holfinger Ohio State University, Columbus, Ohio, USA
Jennifer Hsia University of Minnesota, Minneapolis, Minnesota, USA
Colin Huntley Sidney Kimmel Medical Center at Thomas Jefferson University, Philadelphia, Pennsylvania, USA
Kevin C. Huoh University of California, Irvine, California, USA
Phillip Huyett Harvard Medical School, Boston, Massachusetts, USA
Sanjana Inala Icahn School of Medicine at Mount Sinai, New York, New York, USA
Stacey L. Ishman University of Cincinnati, Cincinnati, Ohio, USA
Tarun K. Jella Case Western Reserve University, Cleveland, Ohio, USA
Aesha M. Jobanputra Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA
Andrew P. Johnson University of Colorado School of Medicine, Aurora, Colorado, USA
Mithri R. Junna Mayo Clinic, Rochester, Minnesota, USA
Jenna T. Kado University of Toledo, Toledo, Ohio, USA
Thomas M. Kaffenberger University of Pittsburgh, Pittsburgh, Pennsylvania, USA
Vishesh K. Kapur University of Washington, Seattle, Washington, USA
Eric J. Kezirian University of Southern California, Los Angeles, California, USA
Meena Khan Ohio State University, Columbus, Ohio, USA
Douglas B. Kirsch University of North Carolina School of Medicine, Charlotte
Alan Kominsky Cleveland Clinic Head and Neck Institute, Cleveland, Ohio, USA
Meir Kryger Yale School of Medicine, New Haven, Connecticut, USA
Andrew D. Krystal University of California, San Francisco, California, USA
Clete A. Kushida Stanford University, Palo Alto, California, USA
Thomas J. Kuzniar University of Chicago, Chicago, Illinois, USA
Derek J. Lam Oregon Health and Science University, Portland, Oregon, USA
Christopher J. Lettieri Uniformed Services University, Bethesda, Maryland, USA
Diane C. Lim University of Miami, Miami, Florida, USA
Hsin-Ching Lin Chang Gung University, Kaohsiung, Taiwan
Stanley Y.C. Liu Stanford University, Palo Alto, California, USA
Stuart G. MacKay University of Wollongong, Wollongong, Australia
Ulysses J. Magalang Ohio State University, Columbus, Ohio, USA
Atul Malhotra University of California, San Diego, California, USA
Meghna P. Mansukhani Mayo Clinic, Rochester, Minnesota, USA
Joachim T. Maurer University Hospital Mannheim, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany
Anna M. May Case Western Reserve University, Cleveland, Ohio, USA
Ron B. Mitchell University of Texas, Southwestern and Children’s Medical Center Dallas, Texas, USA
Babak Mokhlesi Rush University Medical Center, Chicago, IL, USA
Anna E. Mullins University of Chicago, Chicago, Illinois, USA
Eman M. Nada Stony Brook University, New York, New York, USA
Sreelatha Naik Geisinger Health System, Danville, California, USA
Brandon Nokes University of California, San Diego, California, USA
Michael D. Olson Mayo Clinic, Rochester, Minnesota, USA
Allan I. Pack University of Pennsylvania, Philadelphia, Pennsylvania, USA
Edward B. Pang University of Glasgow, Glasgow, UK
Kenny P. Pang Paragon Medical Centre, Singapore
Susheel P. Patil Case Western Reserve University, Cleveland, Ohio, USA
Eli Van de Perck University of Antwerp, Belgium
Jay F. Piccirillo Washington University, St. Louis, Missouri, USA
Grace W. Pien Johns Hopkins University, Baltimore, Maryland, USA
Amanda J. Piper University of Sydney, Sydney, Australia
Andrea Plawecki Henry Ford Health, Detroit, Michigan, USA
Mark Quigg University of Virginia, Charlottesville, Virginia, USA
Madeline J.L. Ravesloot OLVG, Amsterdam, The Netherlands
Susan Redline Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA
Brian W. Rotenberg Western University, Ontario, Canada
Armand Ryden Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California, USA
Kathleen F. Sarmiento University of California, San Francisco, California, USA
Firas Sbeih Cleveland Clinic Head and Neck Institute, Cleveland, Ohio, USA
Amy E. Schell University of Colorado, Aurora, Colorado, USA
Christopher N. Schmickl University of California, San Diego, California, USA
Helena M. Schotland Icahn School of Medicine at Mount Sinai, New York, New York, USA
Richard J. Schwab University of Pennsylvania, Philadelphia, Pennsylvania, USA
Jiyeon Seo University of California, Los Angeles, California, USA
Neomi Shah Icahn School of Medicine at Mount Sinai, New York, New York, USA
Anita Valanju Shelgikar University of Michigan, Ann Arbor, Michigan, USA
Isaac Shochat Hillel Yaffe Medical Center, Hadera, Israel
Ryan J. Soose University of Pittsburgh, Pittsburgh, Pennsylvania, USA
Toby O. Steele University of California, Davis, California, USA
Erika Stephens University of California, San Francisco, California, USA
Carl Stepnowsky University of California, San Diego, California, USA
Kingman P. Strohl Case Western Reserve University, Cleveland, Ohio, USA
Kate Sutherland University of Sydney, Sydney, Australia
Maria V. Suurna Weill Cornell Medicine, New York, New York, USA
Erica Thaler University of Pennsylvania, Philadelphia, Pennsylvania, USA
Sritika Thapa Yale School of Medicine, New Haven, Connecticut, USA
Olivier M. Vanderveken University of Antwerp, Belgium
Nico de Vries Academic Centre for Dentistry Amsterdam, Amsterdam, The Netherlands
Edward M. Weaver University of Washington, Seattle, Washington, USA
Ian D. Weir Yale School of Medicine, New Haven, Connecticut, USA
Lisa F. Wolfe Northwestern University, Chicago, Illinois, USA
B. Tucker Woodson Medical College of Wisconsin, Milwaukee, Wisconsin, USA
Christine H.J. Won Yale School of Medicine, New Haven, Connecticut, USA
Josie Xu University of Toronto, Ontario, Canada
Pratyusha Yalamanchi University of Michigan, Ann Arbor, Michigan, USA
Kathleen Yaremchuk Henry Ford Health, Detroit, Michigan, USA
Yerem Yeghiazarians University of California, San Francisco, California, USA
Jason L. Yu Emory University, Georgia, USA
Michelle Zeidler University of California, Los Angeles, California, USA
Ilene M. Rosen University of Pennsylvania, Philadelphia, Pennsylvania, USA

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Tsai CY, Liu WT, Hsu WH, Majumdar A, Stettler M, Lee KY, Cheng WH, Wu D, Lee HC, Kuan YC, Wu CJ, Lin YC, Ho SC. Screening the risk of obstructive sleep apnea by utilizing supervised learning techniques based on anthropometric features and snoring events. Digit Health 2023;9:20552076231152751. [PMID: 36896329 PMCID: PMC9989412 DOI: 10.1177/20552076231152751] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2022] [Accepted: 01/04/2023] [Indexed: 03/08/2023] Open

Affiliation(s)

Cheng-Yu Tsai Department of Civil and Environmental Engineering, Imperial College London, London, UK
Wen-Te Liu School of Respiratory Therapy, College of Medicine, Taipei Medical University, Taipei, Taiwan.,Division of Pulmonary Medicine, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.,Sleep Center, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.,Research Center of Artificial Intelligence in Medicine, Taipei Medical University, Taipei, Taiwan
Wen-Hua Hsu School of Respiratory Therapy, College of Medicine, Taipei Medical University, Taipei, Taiwan
Arnab Majumdar Department of Civil and Environmental Engineering, Imperial College London, London, UK
Marc Stettler Department of Civil and Environmental Engineering, Imperial College London, London, UK
Kang-Yun Lee Division of Pulmonary Medicine, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.,Division of Pulmonary Medicine, Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
Wun-Hao Cheng Graduate Institute of Clinical Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
Dean Wu Sleep Center, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.,Department of Neurology, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.,Department of Neurology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.,Taipei Neuroscience Institute, Taipei Medical University, Taipei, Taiwan.,Dementia Center, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan
Hsin-Chien Lee Department of Psychiatry, Taipei Medical University Hospital, Taipei, Taiwan
Yi-Chun Kuan Sleep Center, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.,Department of Neurology, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.,Department of Neurology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.,Taipei Neuroscience Institute, Taipei Medical University, Taipei, Taiwan.,Dementia Center, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan
Cheng-Jung Wu Department of Otolaryngology, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan
Yi-Chih Lin Department of Otolaryngology, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan
Shu-Chuan Ho School of Respiratory Therapy, College of Medicine, Taipei Medical University, Taipei, Taiwan.,Division of Pulmonary Medicine, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan

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Samaha CJ, Tannous HJ, Salman D, Ghafari JG, Amatoury J. Role of surgical hyoid bone repositioning in modifying upper airway collapsibility. Front Physiol 2022;13:1089606. [PMID: 36582357 PMCID: PMC9792595 DOI: 10.3389/fphys.2022.1089606] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2022] [Accepted: 12/02/2022] [Indexed: 12/15/2022] Open

Abstract

Background: Surgical hyoid bone repositioning procedures are being performed to treat obstructive sleep apnea (OSA), though outcomes are highly variable. This is likely due to lack of knowledge regarding the precise influence of hyoid bone position on upper airway patency. The aim of this study is to determine the effect of surgical hyoid bone repositioning on upper airway collapsibility. Methods: Seven anaesthetized, male, New Zealand White rabbits were positioned supine with head/neck position controlled. The rabbit's upper airway was surgically isolated and hyoid bone exposed to allow manipulation of its position using a custom-made device. A sealed facemask was fitted over the rabbit's snout, and mask/upper airway pressures were monitored. Collapsibility was quantified using upper airway closing pressure (Pclose). The hyoid bone was repositioned within the mid-sagittal plane from 0 to 5 mm (1 mm increments) in anterior, cranial, caudal, anterior-cranial (45°) and anterior-caudal (45°) directions. Results: Anterior displacement of the hyoid bone resulted in the greatest decrease in Pclose amongst all directions (p = 0.002). Pclose decreased progressively with each increment of anterior hyoid bone displacement, and down by -4.0 ± 1.3 cmH₂O at 5 mm. Cranial and caudal hyoid bone displacement did not alter Pclose (p > 0.35). Anterior-cranial and anterior-caudal hyoid bone displacements decreased Pclose significantly (p < 0.004) and at similar magnitudes to the anterior direction (p > 0.68). Conclusion: Changes in upper airway collapsibility following hyoid bone repositioning are both direction and magnitude dependent. Anterior-based repositioning directions have the greatest impact on reducing upper airway collapsibility, with no effect on collapsibility by cranial and caudal directions. Findings may have implications for guiding and improving the outcomes of surgical hyoid interventions for the treatment of OSA.

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Tsai CY, Huang HT, Cheng HC, Wang J, Duh PJ, Hsu WH, Stettler M, Kuan YC, Lin YT, Hsu CR, Lee KY, Kang JH, Wu D, Lee HC, Wu CJ, Majumdar A, Liu WT. Screening for Obstructive Sleep Apnea Risk by Using Machine Learning Approaches and Anthropometric Features. SENSORS (BASEL, SWITZERLAND) 2022;22:s22228630. [PMID: 36433227 PMCID: PMC9694257 DOI: 10.3390/s22228630] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/25/2022] [Revised: 10/26/2022] [Accepted: 11/05/2022] [Indexed: 05/14/2023]

Affiliation(s)

Cheng-Yu Tsai Centre for Transport Studies, Department of Civil and Environmental Engineering, Imperial College London, London SW7 2AZ, UK
Huei-Tyng Huang Department of Medical Physics and Biomedical Engineering, University College London, London WC1E 6BT, UK
Hsueh-Chien Cheng Parasites and Microbes Programme, Wellcome Sanger Institute, Hinxton CB10 1RQ, UK
Jieni Wang Chemical Engineering and Biotechnology, University of Cambridge, Cambridge CB3 0AS, UK
Ping-Jung Duh Cognitive Neuroscience, Division of Psychology and Language Science, University College London, London WC1H 0AP, UK
Wen-Hua Hsu School of Respiratory Therapy, College of Medicine, Taipei Medical University, Taipei 110301, Taiwan
Marc Stettler Centre for Transport Studies, Department of Civil and Environmental Engineering, Imperial College London, London SW7 2AZ, UK
Yi-Chun Kuan Sleep Center, Shuang Ho Hospital, Taipei Medical University, New Taipei City 235041, Taiwan Department of Neurology, Shuang Ho Hospital, Taipei Medical University, New Taipei City 235041, Taiwan Department of Neurology, School of Medicine, College of Medicine, Taipei Medical University, Taipei 110301, Taiwan Taipei Neuroscience Institute, Taipei Medical University, Taipei 110301, Taiwan Dementia Center, Shuang Ho Hospital, Taipei Medical University, New Taipei City 235041, Taiwan
Yin-Tzu Lin Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital at Linkou, Taoyuan 33305, Taiwan
Chia-Rung Hsu Department of Neurology, Shuang Ho Hospital, Taipei Medical University, New Taipei City 235041, Taiwan
Kang-Yun Lee Division of Pulmonary Medicine, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, New Taipei City 235041, Taiwan
Jiunn-Horng Kang Department of Physical Medicine and Rehabilitation, Taipei Medical University Hospital, Taipei 110301, Taiwan Research Center of Artificial Intelligence in Medicine, Taipei Medical University, Taipei 110301, Taiwan Graduate Institute of Nanomedicine and Medical Engineering, College of Biomedical Engineering, Taipei Medical University, Taipei 110301, Taiwan
Dean Wu Sleep Center, Shuang Ho Hospital, Taipei Medical University, New Taipei City 235041, Taiwan Department of Neurology, Shuang Ho Hospital, Taipei Medical University, New Taipei City 235041, Taiwan Department of Neurology, School of Medicine, College of Medicine, Taipei Medical University, Taipei 110301, Taiwan Taipei Neuroscience Institute, Taipei Medical University, Taipei 110301, Taiwan Dementia Center, Shuang Ho Hospital, Taipei Medical University, New Taipei City 235041, Taiwan
Hsin-Chien Lee Department of Psychiatry, Taipei Medical University Hospital, Taipei 110301, Taiwan
Cheng-Jung Wu Department of Otolaryngology, Shuang Ho Hospital, Taipei Medical University, New Taipei City 235041, Taiwan
Arnab Majumdar Centre for Transport Studies, Department of Civil and Environmental Engineering, Imperial College London, London SW7 2AZ, UK Correspondence: (A.M.); (W.-T.L.)
Wen-Te Liu School of Respiratory Therapy, College of Medicine, Taipei Medical University, Taipei 110301, Taiwan Sleep Center, Shuang Ho Hospital, Taipei Medical University, New Taipei City 235041, Taiwan Division of Pulmonary Medicine, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, New Taipei City 235041, Taiwan Research Center of Artificial Intelligence in Medicine, Taipei Medical University, Taipei 110301, Taiwan Correspondence: (A.M.); (W.-T.L.)

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Pollis M, Lobbezoo F, Aarab G, Ferrari M, Marchese-Ragona R, Manfredini D. Correlation between Apnea Severity and Sagittal Cephalometric Features in a Population of Patients with Polysomnographically Diagnosed Obstructive Sleep Apnea. J Clin Med 2022;11:jcm11154572. [PMID: 35956187 PMCID: PMC9369523 DOI: 10.3390/jcm11154572] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2022] [Revised: 08/02/2022] [Accepted: 08/03/2022] [Indexed: 02/07/2023] Open

Choi JW, Jeong WS, Kang MK, Lee JY, Chung YS. Counterclockwise Rotational Orthognathic Surgery for the Obstructive Sleep Apnea in Class II Dentofacial Deformity: Polysomnography and 3D Computed Tomographic Analysis. Ann Plast Surg 2021;86:640-646. [PMID: 33346553 DOI: 10.1097/sap.0000000000002580] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]

Awad M, Capasso R. Skeletal Surgery for Obstructive Sleep Apnea. Otolaryngol Clin North Am 2020;53:459-468. [PMID: 32334864 DOI: 10.1016/j.otc.2020.02.008] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]

Cillo JE, Dattilo DJ. Orthognathic surgery for obstructive sleep apnea. Semin Orthod 2019. [DOI: 10.1053/j.sodo.2019.08.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]

Cillo JE, Dattilo DJ. Maxillomandibular Advancement for Obstructive Sleep Apnea Produces Long-Term Horizontal Advancement of the Maxilla and Mandible. J Oral Maxillofac Surg 2019;77:2524-2528. [PMID: 31344340 DOI: 10.1016/j.joms.2019.06.176] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2019] [Revised: 06/03/2019] [Accepted: 06/17/2019] [Indexed: 10/26/2022]

Abstract

PURPOSE

Because limited data have been reported, the purpose of the present study was to evaluate the long-term craniofacial cephalometric skeletal changes associated with maxillomandibular advancement (MMA) for obstructive sleep apnea (OSA).

MATERIALS AND METHODS

We performed a retrospective cephalometric cohort study of craniofacial skeletal changes in patients who had undergone MMA for OSA. The primary predictor and outcome variables were time and the change in SNB over time, respectively. Digitized cephalometric radiographs were analyzed by an independent third-party cloud-based tracing software for 6 skeletal landmarks at 3 points-preoperatively, within 1 month postoperatively, and at the last follow-up evaluation. Post hoc stratification bidimensional analyses by gender and preoperative age and body mass index (BMI) were performed. Clinically significant results were determined as a greater than 2% change from baseline. Univariate and bivariate statistics were computed, and the statistical significance level was set at P < .05.

RESULTS

Thirty consecutive subjects with an even gender distribution were included in the present study. The average preoperative age, apnea hypopnea index, and BMI were 43.7 years, 59.8, and 39.3 kg/m². The average follow-up duration was 10.7 years (range, 5.6 to 18.8). Statistically and clinically significant long-term postoperative changes were found only for SNA (+4.9° or +6.0%; P < .001) and SNB (+3.8° or +4.9%; P < .001). Stratification by gender and median preoperative age and BMI did not find any statistically or clinically significant results.

CONCLUSIONS

Within the limitations of the present study, MMA for OSA produced statistically and clinically significant long-term cephalometric skeletal horizontal angular advancement of the maxilla and mandible of 6 and 4.9%, respectively, independently of gender, age, or BMI.

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Cillo JE, Dattilo DJ. Maxillomandibular Advancement for Severe Obstructive Sleep Apnea Is a Highly Skeletally Stable Long-Term Procedure. J Oral Maxillofac Surg 2019;77:1231-1236. [DOI: 10.1016/j.joms.2019.01.009] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2018] [Revised: 01/06/2019] [Accepted: 01/06/2019] [Indexed: 01/30/2023]

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Change in Posterior Pharyngeal Space After Counterclockwise Rotational Orthognathic Surgery for Class II Dentofacial Deformity Diagnosed With Obstructive Sleep Apnea Based on Cephalometric Analysis. J Craniofac Surg 2017;28:e488-e491. [DOI: 10.1097/scs.0000000000003761] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open

Agha B, Johal A. Facial phenotype in obstructive sleep apnea-hypopnea syndrome: a systematic review and meta-analysis. J Sleep Res 2016;26:122-131. [PMID: 28019049 DOI: 10.1111/jsr.12485] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2016] [Accepted: 11/05/2016] [Indexed: 12/18/2022]

Camacho M, Liu SY, Certal V, Capasso R, Powell NB, Riley RW. Large maxillomandibular advancements for obstructive sleep apnea: An operative technique evolved over 30 years. J Craniomaxillofac Surg 2015;43:1113-8. [DOI: 10.1016/j.jcms.2015.05.015] [Citation(s) in RCA: 51] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2015] [Revised: 05/12/2015] [Accepted: 05/21/2015] [Indexed: 11/17/2022] Open

Islam S, Aleem F, Ormiston IW. Does the Kushida morphometric model predict outcomes following maxillomandibular advancement surgery for obstructive sleep apnoea? J Craniomaxillofac Surg 2014;42:1675-8. [PMID: 24969763 DOI: 10.1016/j.jcms.2014.05.012] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2014] [Revised: 05/13/2014] [Accepted: 05/13/2014] [Indexed: 11/18/2022] Open