Longitudinal changes in craniofacial factors among snoring and nonsnoring Bolton-Brush study participants
Longitudinal changes in craniofacial factors among snoring and nonsnoring Bolton-Brush study participants
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DOI：
10.1067/mod.2003.85
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发表时间：
2003-03-01
影响因子：
3
通讯作者：
Lai, YY
中科院分区：
文献类型：
--
作者：
Nelson, S;Cakirer, B;Lai, YY
儿童期习惯性打鼾者和阻塞性睡眠呼吸暂停低通气综合征（OSAHS）患者颅面危险因素的表现程度尚不清楚。本研究的目的是检查打鼾者和非打鼾者从童年到成年期间颅面因素的差异。样本包括80名成年（53-78岁）有青春期前（4-5岁）和青春期（12-13岁）记录的Bolton-Brush受试者（男性，52%；白人，100%）。成年后通过主观报告和配偶报告评估打鼾情况。头颅x线片用于表征13个颅面硬软组织测量值。t检验显示，在青春期前和青春期，打鼾者的舌骨到下颌平面距离有延长的趋势（P < .10），在成人回忆上有显著差异（P < .05）。成人回忆时，打鼾者的后气道空间明显变小。纵向分析确实显示，随着时间的推移，9个颅面变量发生了显著变化，但这种变化在打鼾者和不打鼾者之间没有差异。我们的结论是，打鼾者从小就表现出舌骨位置降低，必须通过更大的样本进一步探索纵向变化。
The extent to which craniofacial risk factors are manifested from childhood in habitual snorers and those with obstructive sleep apnea hypopnea syndrome (OSAHS) is unknown. The purpose of this study was to examine the differences in craniofacial factors between snorers and nonsnorers from childhood to adulthood. The sample consisted of 80 Bolton-Brush subjects (men, 52%; white, 100%) recalled at adult ages (53-78 years) who had existing prepubertal (age, 4-5 years) and pubertal (age, 12-13 years) records. Snoring was assessed at the adult age through subjective and spousal reports. Cephalometric radiographs were used to characterize 13 craniofacial hard and soft tissue measurements. The t tests revealed that there was a trend (P < .10) for longer hyoid-to-mandibular plane distance at prepubertal and pubertal ages and significant (P < .05) differences at adult recall for snorers. Posterior airway space was significantly smaller for snorers at adult recall. The longitudinal analysis did show a significant change in 9 craniofacial variables over time, but this change was not different between snorers and nonsnorers. We concluded that snorers exhibit a lowered hyoid position from childhood and that longitudinal changes must be explored further with a larger sample.