Document Detail

Anatomic changes after hyoid suspension for obstructive sleep apnea: an MRI study.
MedLine Citation:
PMID:  16143189     Owner:  NLM     Status:  MEDLINE    
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.
Boris A Stuck; Wolfgang Neff; Karl Hörmann; Thomas Verse; Gregor Bran; Alexander Baisch; Christoph Düber; Joachim T Maurer
Related Documents :
23636489 - Dual-tracer pet using generalized factor analysis of dynamic sequences.
15902459 - Identification of land-cover changes through image processing and associated impacts on...
23284719 - Determination of dominant frequency of resting-state brain interaction within one funct...
25208739 - At 120 msec you can spot the animal but you don't yet know it's a dog.
25154289 - Two-dimensional grouping affects perisaccadic perception of depth and synchrony.
24906509 - Functional magnetic resonance imaging of intrinsic brain networks for translational dru...
15541019 - Non-invasive measurements of skin pigmentation in situ.
3055589 - In vitro estimation and imaging of attenuation coefficients and instantaneous frequency...
17154579 - Tuning rheochaos by temperature in wormlike micelles.
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    
Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Mannheim, Germany.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Cephalometry / instrumentation
Disorders of Excessive Somnolence / epidemiology
Epiglottis / anatomy & histology*
Hyoid Bone / surgery*
Magnetic Resonance Imaging*
Mandible / anatomy & histology*
Middle Aged
Otorhinolaryngologic Surgical Procedures / methods*
Pharynx / anatomy & histology*
Sleep Apnea, Obstructive / diagnosis,  epidemiology,  surgery*
Snoring / epidemiology

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

Previous Document:  Efficacy of thyroid hormone suppression for benign thyroid nodules: meta-analysis of randomized tria...
Next Document:  A comparison of negative-pressure dressings versus Bolster and splinting of the radial forearm donor...