Heterogeneity in vertical positioning of the hyoid bone in relation to genioglossal activity in men.

Heterogeneity in vertical positioning of the hyoid bone in relation to genioglossal activity in men.
复制标题

男性舌骨垂直位置与颏舌活动的异质性。

DOI:
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发表时间:
2009
期刊:
影响因子:
3.4
通讯作者:
R. Nanda
R. Nanda
中科院分区:
医学2区
文献类型:
--
作者:
E. Pae;Jeffrey J Blasius;R. Nanda

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本研究的目的是调查颏舌肌 (GG) 基线肌电图 (EMG) 活动、上气道阻力和性别之间是否存在任何关系。我们假设 GG 基线肌电图活动及其对咽部分闭塞的反应在男性中可能是异质的,但在女性中是同质的。对 16 名年龄相匹配的健康男性和 15 名女性进行头部自然姿势直立站立位置的侧位头部 X 线照片。将微型气球放置在舌后咽部,并测量 GG EMG 反应的记录。该数据库按性别划分,并根据 GG EMG 对气球膨胀的响应增量进一步分类。两种性别均包括显示出比平均值和对应组(即无反应组)更大的GG EMG活动增加的反应性受试者。当比较两个亚组时,男性中有反应的受试者的舌骨位置比无反应的受试者的舌骨位置更靠下(P < .05)。当比较男性和女性时,大多数头影测量结果在男性应答者中明显更大,但在无应答者中没有显示出差异。我们得出的结论是,舌骨较低的男性对部分口咽阻塞表现出更大的 GG 反射反应。
The aim of this study was to investigate whether there is any relationship among genioglossus (GG) baseline electromyographic (EMG) activity, upper airway resistance, and sex. We hypothesized that GG baseline EMG activity and its response to pharyngeal partial occlusion may be heterogeneous in men but homogeneous in women. Lateral head roentgenograms were obtained in the upright standing position with the head at natural posture from age-matched, healthy, 16 men and 15 women. A miniature balloon was placed in the retroglossal pharynx, and a record of GG EMG response was measured. The database was divided by sex and further categorized based on the increment of GG EMG response to inflation of the balloon. Both sexes included responsive subjects showing a greater GG EMG activity increase than the mean values and a counterpart, ie, a nonresponsive group. When the two subgroups were compared, the hyoid bone of the responsive subjects positioned more inferiorly than that of nonresponsive subjects in men (P < .05). When men and women were compared, most cephalometric measurements were significantly larger in the male responders, but no difference was shown in the nonresponders. We concluded that men with a lower hyoid bone show greater GG reflexive response to the partial oropharyngeal obstruction.
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