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Upper airway dimensions in patients with craniocervical junction malformations with and without sleep apnea. A pilot case-control study.
Arq Neuropsiquiatr. 2015 Apr; 73(4):336-41.AN

Abstract

OBJECTIVE

Patients with craniocervical junction malformations (CCJM) tend to suffer more frequently from sleep respiratory disturbances, which are more frequent and severe in patients with basilar invagination. Here we evaluate if patients with CCJM and sleep respiratory disorders (SRD) present smaller airway dimensions than patients without SRD.

METHOD

Patients with CCCM with and without sleep respiratory disturbances were evaluated clinically by Bindal's score, modified Mallampati classification, full-night polysomnography and upper airway cone beam tomography.

RESULTS

Eleven patients had sleep respiratory disorders (SRD), and nine patients performed control group without SRD. CCJM patients with SRD were predominantly female, older, had higher BMI, were more likely to have Mallampati grades 3 and 4 and had statistically significant smaller anteroposterior diameter of the upper airway than patients without SRD.

CONCLUSION

Patients with CCJM and sleep respiratory disturbances have higher BMI, higher Mallampati score and smaller anterior posterior diameter of the upper airway.

Authors+Show Affiliations

Instituto de Assistência Médica ao Servidor Público Estadual, Sao Paulo, SP, Brazil.Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, SP, Brazil.Instituto de Assistência Médica ao Servidor Público Estadual, Sao Paulo, SP, Brazil.Departamento de Neurocirurgia, Hospital do Servidor Público Estadual de São Paulo, São Paulo, SP, Brazil.Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, SP, Brazil.Instituto de Assistência Médica ao Servidor Público Estadual, Sao Paulo, SP, Brazil.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25992525

Citation

Guerreiro, Ramon Barbalho, et al. "Upper Airway Dimensions in Patients With Craniocervical Junction Malformations With and Without Sleep Apnea. a Pilot Case-control Study." Arquivos De Neuro-psiquiatria, vol. 73, no. 4, 2015, pp. 336-41.
Guerreiro RB, Bittencourt L, Reis RC, et al. Upper airway dimensions in patients with craniocervical junction malformations with and without sleep apnea. A pilot case-control study. Arq Neuropsiquiatr. 2015;73(4):336-41.
Guerreiro, R. B., Bittencourt, L., Reis, R. C., Rotta, J. M., Tufik, S., & Botelho, R. V. (2015). Upper airway dimensions in patients with craniocervical junction malformations with and without sleep apnea. A pilot case-control study. Arquivos De Neuro-psiquiatria, 73(4), 336-41. https://doi.org/10.1590/0004-282X20150008
Guerreiro RB, et al. Upper Airway Dimensions in Patients With Craniocervical Junction Malformations With and Without Sleep Apnea. a Pilot Case-control Study. Arq Neuropsiquiatr. 2015;73(4):336-41. PubMed PMID: 25992525.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Upper airway dimensions in patients with craniocervical junction malformations with and without sleep apnea. A pilot case-control study. AU - Guerreiro,Ramon Barbalho, AU - Bittencourt,Lia, AU - Reis,Rodolfo Casimiro, AU - Rotta,José Marcus, AU - Tufik,Sérgio, AU - Botelho,Ricardo Vieira, Y1 - 2015/04/01/ PY - 2014/07/06/received PY - 2014/12/19/accepted PY - 2015/5/21/entrez PY - 2015/5/21/pubmed PY - 2015/9/24/medline SP - 336 EP - 41 JF - Arquivos de neuro-psiquiatria JO - Arq Neuropsiquiatr VL - 73 IS - 4 N2 - OBJECTIVE: Patients with craniocervical junction malformations (CCJM) tend to suffer more frequently from sleep respiratory disturbances, which are more frequent and severe in patients with basilar invagination. Here we evaluate if patients with CCJM and sleep respiratory disorders (SRD) present smaller airway dimensions than patients without SRD. METHOD: Patients with CCCM with and without sleep respiratory disturbances were evaluated clinically by Bindal's score, modified Mallampati classification, full-night polysomnography and upper airway cone beam tomography. RESULTS: Eleven patients had sleep respiratory disorders (SRD), and nine patients performed control group without SRD. CCJM patients with SRD were predominantly female, older, had higher BMI, were more likely to have Mallampati grades 3 and 4 and had statistically significant smaller anteroposterior diameter of the upper airway than patients without SRD. CONCLUSION: Patients with CCJM and sleep respiratory disturbances have higher BMI, higher Mallampati score and smaller anterior posterior diameter of the upper airway. SN - 1678-4227 UR - https://www.unboundmedicine.com/medline/citation/25992525/Upper_airway_dimensions_in_patients_with_craniocervical_junction_malformations_with_and_without_sleep_apnea__A_pilot_case_control_study_ L2 - https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015000400336&lng=en&nrm=iso&tlng=en DB - PRIME DP - Unbound Medicine ER -