Mandibular dimensions in children with obstructive sleep apnea syndrome.
Mandibular dimensions in children with obstructive sleep apnea syndrome.
复制标题
阻塞性睡眠呼吸暂停综合征儿童的下颌尺寸。
DOI：
10.1093/sleep/27.5.959
复制
发表时间：
2004
期刊：
影响因子：
5.6
通讯作者：
Arens,Raanan
中科院分区：
文献类型：
--
作者：
Schiffman,PatriciaH;Rubin,NathaniaK;Dominguez,Troy;Mahboubi,Soroosh;Udupa,JayaramK;O'Donnell,AnneR;McDonough,JosephM;Maislin,Greg;Schwab,RichardJ;Arens,Raanan
ObjectiveWe hypothesized that mandibular size may play a role in the etiology of obstructive sleep apnea syndrome (OSAS) in children, since a smaller mandible may reduce airway size. We used magnetic resonance imaging to determine the mandible dimensions of children with OSAS.DesignCase control study.SettingTertiary-care pediatric hospital.ParticipantsTwenty-four subjects (mean age 4.9 ± 1.7 years) with mild to moderate OSAS (Apnea Index 3.5 ± 5.1), and 24 matched controls (mean age 4.9 ± 1.8 years).InterventionMagnetic resonance imaging of the upper airway under sedation.MeasurementsEight measurements were obtained from a 3-dimensional segmentation of the mandible using 3DVIEWNIX software. Measurements included length, height, width, midsymphysis menti angle, angle of mandible, enclosure area, surface area, and volume. Descriptive comparisons using Student t test and multivariate analyses of variance were performed.ResultsIndividual measurement comparisons revealed no significant differences between groups. Multivariate analysis showed a lower bound of a 95% confidence interval for an effect size measure for “general mandibular size,” including all 6 linear, the area, and the volume measurements, to be -0.25.ConclusionOur study shows that a smaller mandible is not a feature in children with OSAS who do not have apparent craniofacial abnormalities.
