Document Detail


Anatomic changes after hyoid suspension for obstructive sleep apnea: an MRI study.
MedLine Citation:
PMID:  16143189     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To assess the effects of isolated hyoid suspension on subjective and objective parameters of obstructive sleep apnea and to evaluate changes in upper airway anatomy with the help of standardized magnetic resonance imaging. STUDY DESIGN AND SETTING: Fifteen patients received isolated hyoid suspension. Changes in respiratory disturbance index were assessed with polysomnography, and anatomical changes with standardized magnetic resonance imaging. Snoring, daytime sleepiness, and functional parameters were assessed with questionnaires. Lateral x-ray cephalometry was performed preoperatively. RESULTS: Mean respiratory disturbance index was reduced from 35.2 +/- 19.1 to 27.4 +/- 26.2. Forty percent of the patients were classified as responders. Daytime sleepiness improved significantly. Relevant changes in upper airway anatomy could not be detected. There were no remarkable differences between responders and nonresponders in regard to imaging. CONCLUSIONS: Hyoid suspension is effective only in a subgroup of patients and does not lead to relevant changes in airway diameters in the awake patient. Magnetic resonance imaging and x-ray cephalometry do not add additional information for patient selection. SIGNIFICANCE: The reported clinical effects of hyoid suspension are more likely due to functional changes in airway collapsibility than to an enlargement of the upper airway.
Authors:
Boris A Stuck; Wolfgang Neff; Karl Hörmann; Thomas Verse; Gregor Bran; Alexander Baisch; Christoph Düber; Joachim T Maurer
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery     Volume:  133     ISSN:  0194-5998     ISO Abbreviation:  Otolaryngol Head Neck Surg     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2005-09-06     Completed Date:  2005-09-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8508176     Medline TA:  Otolaryngol Head Neck Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  397-402     Citation Subset:  IM    
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Mannheim, Germany. boris.stuck@hno.ma.uni-heidelberg.de
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cephalometry / instrumentation
Disorders of Excessive Somnolence / epidemiology
Epiglottis / anatomy & histology*
Female
Humans
Hyoid Bone / surgery*
Magnetic Resonance Imaging*
Male
Mandible / anatomy & histology*
Middle Aged
Otorhinolaryngologic Surgical Procedures / methods*
Pharynx / anatomy & histology*
Polysomnography
Questionnaires
Sleep Apnea, Obstructive / diagnosis,  epidemiology,  surgery*
Snoring / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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