OUAS’lı Hastalarda Dil Boyutlarının Lateral Kafa Grafisi ile İncelenmesi

Year 2024, , 137 - 146, 28.03.2024

Elif Çelik , Samih Diyarbakır , Edhem Ünver , Fatih Çelik

https://doi.org/10.18185/erzifbed.1360145

Abstract

Amaç: Bu makalede, lateral sefalometrik radyografi kullanarak hastalarda dil boyutlarını inceleyerek, dil boyutlarındaki farklılıkların Obstrüktif Uyku Apnesi Sendromuna (OUAS) potansiyel etkisini araştırmak amaçlanmıştır. Bu çalışmada elde edilen veriler OUAS’ın ortaya çıkmasında etkili olan risk faktörlerinin daha iyi anlaşılmasına katkı sağlayabilir. Dolayısıyla tedavi planlamasının bu bilgiler ışığında daha doğru bir şekilde yapılmasına olanak sağlar.
Yöntemler: Bu çalışmaya 34 kadın 46 erkekten oluşan 80 hasta dahil edildi. Bu hastalardan OUAS’ı olan 48’i hasta grubunu, 32’ si ise AHİ<5 olan kontrol grubunu oluşturmaktaydı. Hastalara ait lateral sefalometrik radyografilerde dil boyutları ölçüldü ve gruplar arasında bu değerler karşılaştırıldı.
Bulgular: Çalışmamızda OUA hastalarında dil boyunda ve dil alanında istatistiksel olarak anlamlı bir artış gözlenmiştir (p <0.05). Fakat dil kalınlığındaki artış anlamlı derecede değildir.
Sonuç: Çalışmamız, OUA hastalarının genellikle daha büyük bir dile sahip olduğunu göstermektedir. Daha büyük bir dil, uyku sırasında hava yolunun tıkanmasına katkıda bulunabilir, bu da OUAS şiddetinin artmasına yol açabilir. Bu bilgi, klinisyenlere OUA hastaları için tedavi stratejilerini uyarlamada yardımcı olabilir ve tedavi sonuçlarını potansiyel olarak iyileştirebilir.

Keywords

OUAS, dil, yağ, yumuşak dokular

Ethical Statement

Etik onay, 21 Şubat 2022 tarihinde Erzincan Binali Yıldırım Üniversitesi Klinik Araştırma Etik Komitesi toplantısında 15/04 kararıyla alınmıştır.

Examining Tongue Size in OSA Patients with Lateral Cephalometric Radiography

Abstract

Aim: This article aims to investigate tongue dimensions in patients using lateral cephalometric radiography, examining the potential impact of differences in tongue size on Obstructive Sleep Apnea Syndrome (OSAS). The data obtained in this study may contribute to a better understanding of the risk factors involved in the development of OSAS.
Methods: This study included 80 patients, with 34 females and 46 males. Among these patients, 48 were in the patient group with OSA, and 32 were in the control group AHI<5. Tongue dimensions were measured in lateral cephalometric radiographs of the patients, and these measurements were compared between the groups.
Results: In our study, a statistically significant increase was observed in tongue length and tongue area in OSA patients (p < 0.05). However, the increase in tongue thickness was not statistically significant.
Conclusion: Our study shows that OSA patients tend to have larger tongues. A larger tongue may contribute to airway obstruction during sleep, leading to increased OSA severity. This information could aid clinicians in tailoring treatment strategies for OSA patients, potentially improving therapeutic outcomes.

Keywords

OSAS, tongue, fat, soft tissues

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