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Upper Airway Morphology and Head Posture in Healthy Men and Women

Year 2017, Volume: 8 Issue: 2, 12 - 17, 14.04.2017
https://doi.org/10.22312/sdusbed.306409

Abstract

Objective: The aim of our study was to investigate
morphological differences in the upper airway of healthy men
and women on lateral cephalometric radiographs.
Material-Method: In our study, we evaluated 76 lateral
cephalometric radiographs of adult subjects (38 men and 38
women) with class I skeletal pattern taken in natural head
posture. In order to determine natural head posture, we used
self-balance position, which was transferred to the cephalostat
by means of a fluid level device. All lateral cephalograms
were traced manually. The effect of gender on upper airway
morphology and natural head posture was evaluated using
Student’s t-test.
Results: We found that measurements used in the
determination of natural head posture were similar for men
and women. Linear measurements regarding the position of
bony structures (MP-AH, AH-AH1, C3ia-AH, and Ba-C3ia),
soft tissue (PNS-P, MPT, PNS-Et, TGL, and TGH), tongue
area, soft palate area, and oropharynx area were statistically
significant, with respect to gender.
Conclusions: The hyocervical relation is affected by gender
differences whereas hyomandibular relation is well balanced
in subjects with normal occlusion and class I skeletal pattern
and was not affected by gender. Natural head posture was
not affected by gender differences. Tongue area, soft palate
area, and oropharyx area are larger in men. However, no
statistically significant differences were observed between
genders for nasopharynx and hypopharyx areas.

References

  • Strelzow VV, Blanks RH, Basile A, Strelzow AE. Cephalometric airway analysis in obstructive sleep apnea syndrome. Laryngoscope. 1988; 98: 1149-58. 2. Young T, Evans L, Finn L, et al. Estimation of the clinically diagnosed proportion of sleep apnea syndrome in middleaged men and women. Sleep 1997; 20: 705–6. 3. Martin SE, Mathur R, Marshall I, Douglas NJ. The effect of age, sex, obesity and posture on upper airway size. Eur Respir J. 1997; 10: 2087-90. 4. Meredith GM. The airway and dentofacial development. Ear Nose Throat J 1987; 66: 190-5. 5. McNamara JA. Influence of respiratory pattern on craniofacial growth. Angle Orthodontics 1981; 51: 269-300. 6. Adamidis IP, Spyropoulos MN. The effects of lymphadenoid hypertrophy on the position of the tongue, the mandible and the hyoid bone. European Journal of Orthodontics 1983; 5: 287-94. 7. Ceylan İ, Oktay H. A study on the pharyngeal size in different skeletal patterns. American Journal of Orthodontics and Dentofacial Orthopedics 1995; 108: 69-75. 8. Daniel MM, Lorenzi MC, da Costa Leite C, Lorenzi-Filho G. Pharyngeal dimensions in healthy men and women. Clinics (Sao Paulo). 2007; 62: 5-10. 9. Ono T, Lowe AA, Ferguson KA, Fleetham JA. Associations among upper airway structure body position, and obesity in skeletal class I male patients with obstructive sleep apnea. American Journal of Orthodontics and Dentofacial Orthopedics 1996; 109: 625-34. 10. Kollias I, Krogstad O. Adult craniocervical and pharyngeal changes-a longitudinal cephalometric study between 22 and 42 years of age. Part I: morphological craniocervical and hyoid bone changes. European Journal of Orthodontics 1999; 21: 333-44. 11. Kollias I, Krogstad O. Adult craniocervical and pharyngeal changes—a longitudinal cephalometric study between 22 and 42 years of age. Part II: Morphological uvuloglossopharyngeal changes. Eur J Orthod. 1999; 21: 345-55. 12. Özbek MM, Miyamoto K, Lowe AA, Fleetham JA. Natural head posture, upper airway morphology and obstructive sleep apnoea severity in adults. European Journal of Orthodontics 1998; 20: 133-43. 13. Mohsenin V. Gender differences in the expression of sleep-disordered breathing: role of upper airway dimensions. Chest 2001; 120: 1442-7. 14. Gökçe SM, Görgülü S, Gökçe HS, Bengi AD, Sağdıç D. Sağlıklı bireylerde faringeal hava yolu, dil boyutlarının ve hyoid pozisyonunun belirlenmesi. Gulhane Med J 2013; doi:10.5455/gulhane.39860. 15. Samman N, Mohammadi H, Xia J. Cephalometric norms for the upper airway in a healthy Hong Kong Chinese population. Hong Kong Med J. 2003; 9: 25-30. 16. Mølhave A. En biostatik Undersøgelse. Menneskets Staende stilling teoretisk og statometrisk belyst. With an English summary (A biostatistic investigation of the human erect posture.) Munksgard, Copenhagen, 1958. ‘In’ Solow B, Tallgren A. Natural head position in standing subjects. Acta Odontologica Scandinavia 1971; 29: 291-607. 17. Solow B, Tallgren A. Natural head position in standing subjects. Acta Odontologica Scandinavia 1971; 29: 291-607. 18. Sahin Sağlam AM, Uydas NE. Relationship between head posture and hyoid position in adult females and males. J Craniomaxillofac Surg. 2006; 34: 85-92. 19. Tallgren A, Solow B. Hyoid bone position, facial morphology and head posture in adults. Eropean Journal of Orthodontics 1987; 9: 1-8. 20. Lowe AA, Ozbek MM, Miyamoto K, Pae EK, Fleetham JA. Cephalometric and demographic characteristics of obstructive sleep apnea: An evaluation with partial least squares analysis. Angle Orthod 1997; 67: 143-53. 21. Fjellvang H, Solow B. Craniocervical postural relations and craniofacial morphology in 30 blind subjects. Am J Orthod Dentofacial Orthop. 1986; 90(4): 327-34. 22. Doğan S, Ertürk N. The effect of vision on craniocevical posture and its relation to craniofacial and dentoalveolar morphology. Ouintessence International 1990; 21: 401-6. 23. Sandikçioğlu M, Skov S, Solow B. Atlas morphology in relation to craniofacial morphology and head posture. Eur J Orthod. 1994; 16: 96-103. 24. Tallgren A, Solow B. Long-term changes in hyoid bone position and craniocervical posture in complete denture wearers. Acta Odontol Scand. 1984; 42: 257-67. 25. Huggare Jan AV, Cooke MS. Head posture and cervicovertebral anatomy as mandibular growth predictors. European Journal of Orthodontics 1994; 16; 175-80. 26. Solow B., Sonnensen L. Head posture and malocclusions. Eropean Journal of Orthodontics 1998; 20: 685-93. 27. Cole SC. Natural head position, posture, and prognathism: the Chapman Prize Essay, 1986. Br J Orthod. 1988; 15: 227- 39. 28. Huang J, Shen H, Takahashi M, Fukunaga T, Toga H, Takahashi K, Ohya N. Pharyngeal cross-sectional area and pharyngeal compliance in normal males and females. Respiration. 1998; 65: 458-68. 29. El H, Palomo JM. Airway volume for different dentofacial skeletal patterns. Am J Orthod Dentofacial Orthop. 2011; 139: e511-21. 30. Malkoc S, Usumez S, Nur M, Donaghy CE. Reproducibility of airway dimensions and tongue and hyoid positions on lateral cephalograms. Am J Orthod Dentofacial Orthop. 2005; 128: 513-6.
Year 2017, Volume: 8 Issue: 2, 12 - 17, 14.04.2017
https://doi.org/10.22312/sdusbed.306409

Abstract

References

  • Strelzow VV, Blanks RH, Basile A, Strelzow AE. Cephalometric airway analysis in obstructive sleep apnea syndrome. Laryngoscope. 1988; 98: 1149-58. 2. Young T, Evans L, Finn L, et al. Estimation of the clinically diagnosed proportion of sleep apnea syndrome in middleaged men and women. Sleep 1997; 20: 705–6. 3. Martin SE, Mathur R, Marshall I, Douglas NJ. The effect of age, sex, obesity and posture on upper airway size. Eur Respir J. 1997; 10: 2087-90. 4. Meredith GM. The airway and dentofacial development. Ear Nose Throat J 1987; 66: 190-5. 5. McNamara JA. Influence of respiratory pattern on craniofacial growth. Angle Orthodontics 1981; 51: 269-300. 6. Adamidis IP, Spyropoulos MN. The effects of lymphadenoid hypertrophy on the position of the tongue, the mandible and the hyoid bone. European Journal of Orthodontics 1983; 5: 287-94. 7. Ceylan İ, Oktay H. A study on the pharyngeal size in different skeletal patterns. American Journal of Orthodontics and Dentofacial Orthopedics 1995; 108: 69-75. 8. Daniel MM, Lorenzi MC, da Costa Leite C, Lorenzi-Filho G. Pharyngeal dimensions in healthy men and women. Clinics (Sao Paulo). 2007; 62: 5-10. 9. Ono T, Lowe AA, Ferguson KA, Fleetham JA. Associations among upper airway structure body position, and obesity in skeletal class I male patients with obstructive sleep apnea. American Journal of Orthodontics and Dentofacial Orthopedics 1996; 109: 625-34. 10. Kollias I, Krogstad O. Adult craniocervical and pharyngeal changes-a longitudinal cephalometric study between 22 and 42 years of age. Part I: morphological craniocervical and hyoid bone changes. European Journal of Orthodontics 1999; 21: 333-44. 11. Kollias I, Krogstad O. Adult craniocervical and pharyngeal changes—a longitudinal cephalometric study between 22 and 42 years of age. Part II: Morphological uvuloglossopharyngeal changes. Eur J Orthod. 1999; 21: 345-55. 12. Özbek MM, Miyamoto K, Lowe AA, Fleetham JA. Natural head posture, upper airway morphology and obstructive sleep apnoea severity in adults. European Journal of Orthodontics 1998; 20: 133-43. 13. Mohsenin V. Gender differences in the expression of sleep-disordered breathing: role of upper airway dimensions. Chest 2001; 120: 1442-7. 14. Gökçe SM, Görgülü S, Gökçe HS, Bengi AD, Sağdıç D. Sağlıklı bireylerde faringeal hava yolu, dil boyutlarının ve hyoid pozisyonunun belirlenmesi. Gulhane Med J 2013; doi:10.5455/gulhane.39860. 15. Samman N, Mohammadi H, Xia J. Cephalometric norms for the upper airway in a healthy Hong Kong Chinese population. Hong Kong Med J. 2003; 9: 25-30. 16. Mølhave A. En biostatik Undersøgelse. Menneskets Staende stilling teoretisk og statometrisk belyst. With an English summary (A biostatistic investigation of the human erect posture.) Munksgard, Copenhagen, 1958. ‘In’ Solow B, Tallgren A. Natural head position in standing subjects. Acta Odontologica Scandinavia 1971; 29: 291-607. 17. Solow B, Tallgren A. Natural head position in standing subjects. Acta Odontologica Scandinavia 1971; 29: 291-607. 18. Sahin Sağlam AM, Uydas NE. Relationship between head posture and hyoid position in adult females and males. J Craniomaxillofac Surg. 2006; 34: 85-92. 19. Tallgren A, Solow B. Hyoid bone position, facial morphology and head posture in adults. Eropean Journal of Orthodontics 1987; 9: 1-8. 20. Lowe AA, Ozbek MM, Miyamoto K, Pae EK, Fleetham JA. Cephalometric and demographic characteristics of obstructive sleep apnea: An evaluation with partial least squares analysis. Angle Orthod 1997; 67: 143-53. 21. Fjellvang H, Solow B. Craniocervical postural relations and craniofacial morphology in 30 blind subjects. Am J Orthod Dentofacial Orthop. 1986; 90(4): 327-34. 22. Doğan S, Ertürk N. The effect of vision on craniocevical posture and its relation to craniofacial and dentoalveolar morphology. Ouintessence International 1990; 21: 401-6. 23. Sandikçioğlu M, Skov S, Solow B. Atlas morphology in relation to craniofacial morphology and head posture. Eur J Orthod. 1994; 16: 96-103. 24. Tallgren A, Solow B. Long-term changes in hyoid bone position and craniocervical posture in complete denture wearers. Acta Odontol Scand. 1984; 42: 257-67. 25. Huggare Jan AV, Cooke MS. Head posture and cervicovertebral anatomy as mandibular growth predictors. European Journal of Orthodontics 1994; 16; 175-80. 26. Solow B., Sonnensen L. Head posture and malocclusions. Eropean Journal of Orthodontics 1998; 20: 685-93. 27. Cole SC. Natural head position, posture, and prognathism: the Chapman Prize Essay, 1986. Br J Orthod. 1988; 15: 227- 39. 28. Huang J, Shen H, Takahashi M, Fukunaga T, Toga H, Takahashi K, Ohya N. Pharyngeal cross-sectional area and pharyngeal compliance in normal males and females. Respiration. 1998; 65: 458-68. 29. El H, Palomo JM. Airway volume for different dentofacial skeletal patterns. Am J Orthod Dentofacial Orthop. 2011; 139: e511-21. 30. Malkoc S, Usumez S, Nur M, Donaghy CE. Reproducibility of airway dimensions and tongue and hyoid positions on lateral cephalograms. Am J Orthod Dentofacial Orthop. 2005; 128: 513-6.
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Details

Subjects Health Care Administration
Journal Section Original Article
Authors

Aynur Medine Şahin Sağlam This is me

Neslihan Ebru Şenışık This is me

Publication Date April 14, 2017
Submission Date April 14, 2017
Published in Issue Year 2017 Volume: 8 Issue: 2

Cite

Vancouver Sağlam AMŞ, Şenışık NE. Upper Airway Morphology and Head Posture in Healthy Men and Women. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi. 2017;8(2):12-7.

SDÜ Sağlık Bilimleri Dergisi, makalenin gönderilmesi ve yayınlanması dahil olmak üzere hiçbir aşamada herhangi bir ücret talep etmemektedir. Dergimiz, bilimsel araştırmaları okuyucuya ücretsiz sunmanın bilginin küresel paylaşımını artıracağı ilkesini benimseyerek, içeriğine anında açık erişim sağlamaktadır.