Prediction of uvulopalatopharyngoplasty response using cephalometric radiographs

American Journal of Otolaryngology
B Tucker Woodson, S F Conley

Abstract

To evaluate the relationship between facial cephalometric measures and response to uvulopalatopharyngoplasty (UPPP). Retrospective analysis of skeletal cephalometric measures obtained from a consecutive sample of 43 patients with obstructive sleep apnea syndrome (OSAS) who underwent body mass index (BMI) measures, UPPP, upright lateral cephalometric radiographs, and preoperative and postoperative polysomnography. Significant clinical effect by uvulopalatopharyngoplasty was arbitrarily defined as having a 50% reduction in the respiratory disturbance index (RDI). The cephalometric measurements used were based solely on skeletal landmarks. No skeletal measurement predicted response to UPPP for the entire study population. When the patients were classified on the basis of retrognathia, 33 were identified without retrognathia. In that group, posterior airway length was the greatest predictor of response to UPPP (P < or = .05; odds ratio, 83.2). The distance between hyoid and mandible and the maxillary-mandibular relationship were also predictive of response (P < or = .05). The skeletal anatomy supporting the airway directly impacts the response to UPPP. Prediction of response requires stratification by skeletal subtype.

References

Jun 1, 1992·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·M TsuchiyaJ A Fleetham
Jan 1, 1985·The Laryngoscope·S FujitaT Roth
Jun 1, 1995·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·A A LoweC F Ryan
Mar 1, 1995·The Laryngoscope·K DoghramjiR N Lindholm
Jan 1, 1994·American Journal of Respiratory and Critical Care Medicine·M K Reeves-HocheC W Zwillich
Apr 29, 1993·The New England Journal of Medicine·T YoungS Badr
Apr 1, 1993·The American Review of Respiratory Disease·N B KribbsD F Dinges
Dec 1, 1996·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·A A LoweJ A Fleetham

❮ Previous
Next ❯

Citations

Jun 3, 2008·Sleep & Breathing = Schlaf & Atmung·Yosef SegalGiora Pillar
Feb 4, 2006·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Audrey MacdonaldG John Gibson
Aug 2, 2007·The Journal of Laryngology and Otology·S BerrettiniS Passetti
Nov 20, 2002·The Laryngoscope·Marc Bernard BlumenFrederic Chabolle
Jan 30, 2004·Annual Review of Medicine·Benjamin J Copeland, Harold C Pillsbury
Jan 30, 2007·Audiology & Neuro-otology·Walter Di NardoGaetano Paludetti
Nov 8, 2002·American Journal of Respiratory and Critical Care Medicine·Atul MalhotraDavid P White
Oct 3, 2014·International Journal of Otolaryngology·Priscila Carvalho MirandaCarlos Augusto Costa Pires de Oliveira
Oct 3, 2014·BioMed Research International·S IrvingA K Wise
Oct 29, 2008·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Ewa OlszewskaJustyna Kulikowska
Aug 2, 2011·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Jean-Philippe VezinaFrédéric Chabolle
Jul 19, 2011·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Su-Jung KimSung-Wan Kim
Dec 7, 2007·Sleep Medicine Reviews·Boris A Stuck, Joachim T Maurer
Nov 18, 2008·Sleep Medicine Reviews·B Tucker Woodson
Feb 19, 2014·Cochlear Implants International·Christoph Arnoldner, Vincent Y W Lin
Dec 7, 2013·International Journal of Audiology·Karl Fredrik NordfalkGreg Eigner Jablonski
Aug 4, 2016·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Ji Ho ChoiJae Hoon Cho
May 26, 2017·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Matthew L CarlsonColin L W Driscoll
Mar 17, 2007·Acta Oto-laryngologica·Lee P SmithThomas J Balkany
Oct 6, 2000·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·N BhattacharyyaM P Fried
Sep 5, 2006·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Oliver Adunka, Jan Kiefer
Jul 21, 2012·Audiology & Neuro-otology·Sharon TamirAlexis Bozorg Grayeli
Dec 12, 2012·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Witold SzyfterAlicja Sekula
Nov 30, 2006·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Thomas J BalkanyKristopher L Arheart
Jan 10, 2019·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Chantal SnelsIngeborg Dhooge
Feb 9, 2018·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Konrad Johannes StuermerJan Christoffer Luers
Mar 5, 2008·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·J Thomas RolandTina C Huang
Nov 28, 2007·Plastic and Reconstructive Surgery·Craig A HurstA Michael Sadove
Sep 8, 2010·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Ryan F BrownRichard A Chole
Jul 15, 2005·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Americo A MigliaccioLloyd B Minor
Sep 9, 2005·The Laryngoscope·Thomas J BalkanyThomas R Van De Water
Mar 3, 2007·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Walter Di NardoGaetano Paludetti
May 21, 2009·HNO·U Baumann, S Helbig
Oct 26, 2006·Audiology & Neuro-otology·Wolfgang K GstoettnerOliver F Adunka
Aug 30, 2008·Acta Oto-laryngologica·Luis Garcia-IbanezWolf-Dieter Baumgartner
May 2, 2013·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·J T F PostelmansWouter Albert Dreschler
May 7, 2014·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Ahmad F MahmoudMichael J Ruckenstein
Mar 31, 1999·Current Opinion in Neurology·R Laszig, A Aschendorff
Sep 17, 2011·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Baishakhi ChoudhuryDouglas C Fitzpatrick
Apr 16, 2020·The New England Journal of Medicine·Matthew L Carlson
Feb 23, 2020·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Stephanie BournAbraham Jacob

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.