Obstructive sleep apnea syndrome (OSAS). Review of the literature

Azagra-Calero, Eva; Espinar-Escalona, Eduardo; Barrera-Mora, José-María; Llamas-Carreras, José-María; Solano-Reina, Enrique

doi:10.4317/medoral.17706

Cited by 124 publications

(107 citation statements)

References 37 publications

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“…Patients with OSA can be defined as having daytime sleepiness, which may be associated with hypertension, nocturnal hypoxemia, cerebrovascular pathology, and cardiac problems, especially arrhythmia (3). The pathophysiological factors associated with OSA are very complex, ranging from those pertaining to ventilatory control or sensory function to anatomical abnormalities that may promote upper airway collapse, including skeletal, soft tissue and pharyngeal muscle factors (4,5). One specific anatomical location seems unlikely to be a major cause of upper airway collapse, and it is more probably a dynamic phenomenon involving several factors and locations (5,6).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of genial tubercle anatomy using cone beam computed tomography

et al. 2015

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The purpose of this study was to characterize the anatomy of the genial tubercle using cone beam computed tomography (CBCT). The morphology and detailed anatomy of the genial tubercle were assessed retrospectively in 201 patients (101 females, 100 males) using CBCT images. The parameters examined were the height (GH) and width (GW) of the genial tubercle, the distance from the lower incisors to the superior border of the tubercle (I-SGT), the distance from the inferior margin of the tubercle to the inferior margin of the mandible (IGM-IBM), and the anterior mandible thickness (AMT). Statistical analysis was performed to assess relationships among these parameters, gender, and orthodontic malocclusion (P < 0.05). The values obtained were GH 7.3-8.7 mm, GW 7.9-9.2 mm, I-SGT 7.1-9.1 mm, IGM-IBM 8.3-10.1 mm, and AMT 14.0-16.2 mm. GH, GW, and I-SGT showed no significant differences between genders (P > 0.05). However, IGM-IBM was larger for class III than for class I and class II male patients, and larger than for class I female patients. AMT in class III patients was greater than in class I and II patients (P < 0.05). The use of CBCT, which employs less radiation, is important for dental professionals,

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Section: Introductionmentioning

confidence: 99%

Evaluation of genial tubercle anatomy using cone beam computed tomography

et al. 2015

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“…Obstructive sleep apnea syndrome is observed more commonly in middle-aged individuals and its prevalence among adults is estimated to be about 2-4% (9). No published study showing the prevalence of OSAS through PSG is available in our country.…”

Section: Discussionmentioning

confidence: 97%

Prevalence of Snoring and Obstructive Sleep Apnea Syndrome among Nurses and Resident Doctors Working in a University Hospital

Soylu¹,

Erboy²,

Örnek³

et al. 2014

Eurasian J Pulmonol

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Objective: Sleep disorders are important public health issues that decrease the individuals' quality of life by affecting their productivity and performance in a negative way. The frequency of sleep disorders among people who work shifts with irregular sleep patterns is apparent. For healthcare providers, most of whom work shifts, the available data related to obstructive sleep apnea syndrome (OSAS) are insufficient. Also, this is the first study that has been conducted using an all-night polysomnography (PSG) for health staff in our country. In our study, we aimed to investigate the prevalence of snoring and OSAS among the nurses and resident doctors working at our hospital.Methods: Face-to-face interviews were performed with all nurses and resident doctors who worked at our hospital and agreed to participate in our study. All-night PSG examination was recommended to participants with concurrent witnessed apnea and/or excessive daytime sleepiness (EDS) with snoring. The frequency of OSAS was evaluated in cases exposed to polysomnography, and those with and without OSAS were compared in terms of shift rates. Results:The study included 257 participants. Of these, 63% were nurses and 37% were resident doctors; overall, 34.2% of the cases were male. The mean age was 28. 8±3.7 (19-39) years and the mean body mass index was 24.03±3.85 kg/m 2 . Among the participants, the mean number of monthly night shifts was 7.6±3.8. Also, 28.8% of the participants (n=74) experienced snoring, 2.7% (n=7) had witnessed apnea, and 7.8% (n=20) had EDS (Epworth sleepiness scale≥11). Four (1.6%) of the 20 participants who were proposed to undergo PSG refused this examination. Sixteen cases were exposed to PSG (6.2%). According to the PSG results, the prevalence of OSAS was 4.7% among all healthcare providers and 5.1% among the health staff working shifts. Of the cases with OSAS, 91.7% (11/12) were working shifts while 83.3% (204/245) of those without OSAS were working shifts (p=0.697). All of the cases diagnosed with OSAS were male, but 31% of the cases without OSAS were male (p<0.001). Conclusion:For those healthcare providers who are engaged in duties requiring significant amounts of attention and concentration, the symptoms related to sleep disorders should be questioned and diagnostic evaluation and treatment should be performed for suspected cases.Keywords: Health care providers, OSAS, sleep disorders, shift work INTRODUCTIONObstructive Sleep Apnea Syndrome (OSAS) is characterised by the episodes of complete or partial upper respiratory airway obstruction recurring during sleep and often a reduction in blood oxygen saturation (1). The gold standard diagnostic method for this syndrome is polysomnography (PSG).Although PSG is the final diagnostic method for OSAS, most OSAS prevalence studies have been conducted based on symptoms rather than PSG results. However, there are some studies in which symptoms and PSG test results have been evaluated together in order to estimate the prevalence of OSAS. In a widespread prevalence stu...

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“…Asian subjects are known to have mandibulo -maxillary protrusion. Mandibular disparities have been established as a known cause of Obstructive sleep apnea syndrome [18] .…”

Section: Discussionmentioning

confidence: 99%

The Relationship between Obstructive Sleep Apnea and the Nasofacial Anthropometry of Sikkimese Subjects

Mukherjee¹

2018

jmscr

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Obstructive sleep apnea syndrome (OSAS). Review of the literature

Cited by 124 publications

References 37 publications

Evaluation of genial tubercle anatomy using cone beam computed tomography

Evaluation of genial tubercle anatomy using cone beam computed tomography

Prevalence of Snoring and Obstructive Sleep Apnea Syndrome among Nurses and Resident Doctors Working in a University Hospital

The Relationship between Obstructive Sleep Apnea and the Nasofacial Anthropometry of Sikkimese Subjects

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