Author manuscript; available in PMC Apr 8. H — The hyoid is the most anterior and superior point of the hyoid body. Congenital and acquired developmental problems of the upper airway in newborns and infants. Given the potential morbidity associated with untreated OSA, we suggest that screening for OSA should be considered for all children with significant craniofacial anomalies. Skeletal expansion combined with soft-tissue reduction in the treatment of obstructive sleep apnea in children: It gives an approximate idea of the pharynx, because it is not possible to make any measurements. This technique is useful to evaluate the areas of obstruction in the supine position.
Sleep Apnea and Airway Obstruction
Several options are available for the medical management of OSA in children. Otolaryngol Head Neck Surg. After manually landmarking images, they computed a total of 71 craniofacial measurements representing the dimension and relationship of craniofacial regions including face, mandible, maxilla, eyes, nose, head, and neck. When nasopharyngoscopy is unavailable, lateral neck radiography should be considered as a reliable alternative for detecting adenoidal hypertrophy. Parents and clinicians should consider screening for OSA among children with craniofacial anomalies.
Sleep Apnea | Cleveland Clinic
We could not assess whether this was based on sleep study data or some other method of diagnosis. This results in an uncalibrated measurement with a value that decreases as the fat deposition on the anterior neck increases. Most persons with OSA have a decreased tone of the pharyngeal muscles. This avoids the distortion produced by rotation of the head, which can suggest a false hypertrophy of adenoids. Behavior and cognitive deficits can recur in children with OSA.
In [ 9 ], authors studied oropharyngeal soft tissues profile by means of cephalometric analysis in order to detect differences between control and sleep apnea individuals. To date, no large-scale epidemiologic studies have quantified the association between OSA and the presence of one or more craniofacial anomalies. In older children, nasal polyps and turbinate hypertrophy must be ruled out. In obstructive cases, often the midface or mandible can be moved forward to enlarge the airway opening and remove or prevent a tracheostomy. Our database currently includes an important number of females, so the extension of this study on female individuals could be especially interesting as apnea disease is still not well understood in women. Surgery — Surgical procedures may help people with obstructive sleep apnea and others who snore but do not have sleep apnea.