Comparison of the pharyngeal airway in snoring and non-snoring patients based on the lateral cephalometric study: A case-control study

Dent Med Probl. 2023 Jan-Mar;60(1):121-126. doi: 10.17219/dmp/154776.

Abstract

Background: Normal airways are a key factor during the craniofacial growth of the young. Therefore, sleep-disordered breathing (SDB) without treatment can have harmful consequences for development and health.

Objectives: This study aimed to evaluate the cephalometric characteristics in non-snoring individuals and snoring subjects, and investigate differences in the pharyngeal airway space between the 2 groups.

Material and methods: This case-control study included 70 patients aged over 18 years, selected from a radiology center. The patients were divided into 2 groups: case (35 patients with a history of habitual snoring); and control (35 healthy patients). The Berlin sleep questionnaire was administered to the parents of the patients. The nasopharyngeal airway was measured according to the analysis of Linder-Aronson (1970), and 4 indices were measured and analyzed in each of the lateral cephalometric radiographs.

Results: No statistically significant differences were observed in the pharyngeal measurements between the 2 groups, although all means in the control group were higher than in the experimental group. However, there was a significant relationship between gender and the Ba-S-PNS and PNS-AD2 indices.

Conclusions: Although the patients with nocturnal snoring had smaller airway dimensions, their pharyngeal measurements were not significantly different from the control group.

Keywords: cephalometry; obstructive; pharynx; sleep apnea; snoring.

MeSH terms

  • Adult
  • Case-Control Studies
  • Cephalometry
  • Humans
  • Middle Aged
  • Pharynx / diagnostic imaging
  • Sleep Apnea Syndromes* / diagnostic imaging
  • Snoring* / diagnostic imaging