Pharyngeal Airway Dimensions and Hyoid Bone Position in Children with Class II Malocclusion and Sleep Problems: A Cross Sectional Study

Overview

Journal J Oral Biol Craniofac Res

Publisher Elsevier

Date 2024 Nov 29

PMID 39611180

Authors

Shreya S

Vabitha Shetty

Kavitha Ragu

Affiliations

Soon will be listed here.

Abstract

Objective: To evaluate the pharyngeal airway width and hyoid bone position in children with class II malocclusion and a positive history of sleep problems.

Methods: 60 children aged 8-12 years with skeletal class II malocclusion were segregated into two groups according to the existence of sleep problems: 30 participants with sleep disorders constituted the study group, while 30 participants without sleep disorders formed the control group. Pharyngeal airway space and hyoid bone position were evaluated via a clinical and radiographic examination.

Results: A significantly narrower upper pharyngeal airway width and decreased C3-H hyoid parameter was noted in children with sleep problems (p = 0.035, 0.012).

Conclusion: Both pharyngeal airway parameters and the hyoid bone parameters could be potential risk indicators while screening for sleep-disordered breathing in children.

References

Balraj K, Shetty V, Hegde A . Association of sleep disturbances and craniofacial characteristics in children with class ii malocclusion: An evaluative study. Indian J Dent Res. 2022; 32(3):280-287. DOI: 10.4103/ijdr.IJDR_226_19. View

Rocabado M . Biomechanical relationship of the cranial, cervical, and hyoid regions. J Craniomandibular Pract. 1983; 1(3):61-6. DOI: 10.1080/07345410.1983.11677834. View

Liukkonen K, Virkkula P, Haavisto A, Suomalainen A, Aronen E, Pitkaranta A . Symptoms at presentation in children with sleep-related disorders. Int J Pediatr Otorhinolaryngol. 2012; 76(3):327-33. DOI: 10.1016/j.ijporl.2011.12.002. View

McNamara Jr J . A method of cephalometric evaluation. Am J Orthod. 1984; 86(6):449-69. DOI: 10.1016/s0002-9416(84)90352-x. View

Jo J, Park J, Jang J, Chung J . Hyoid bone position as an indicator of severe obstructive sleep apnea. BMC Pulm Med. 2022; 22(1):349. PMC: 9482315. DOI: 10.1186/s12890-022-02146-0. View

Cheng J, Hsiao S, Chen C, Hsu K . Relationship between hyoid bone and pharyngeal airway in different skeletal patterns. J Dent Sci. 2020; 15(3):286-293. PMC: 7486506. DOI: 10.1016/j.jds.2020.05.012. View

de Onis M, Onyango A, Borghi E, Siyam A, Nishida C, Siekmann J . Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007; 85(9):660-7. PMC: 2636412. DOI: 10.2471/blt.07.043497. View

Xu Q, Wang X, Li N, Wang Y, Xu X, Guo J . Craniofacial and upper airway morphological characteristics associated with the presence and severity of obstructive sleep apnea in Chinese children. Front Pediatr. 2023; 11:1124610. PMC: 10102523. DOI: 10.3389/fped.2023.1124610. View

Hartfield P, Janczy J, Sharma A, Newsome H, Sparapani R, Rhee J . Anatomical determinants of upper airway collapsibility in obstructive sleep apnea: A systematic review and meta-analysis. Sleep Med Rev. 2023; 68:101741. PMC: 11493082. DOI: 10.1016/j.smrv.2022.101741. View

10.

Ingervall B, Carlsson G, Helkimo M . Change in location of hyoid bone with mandibular positions. Acta Odontol Scand. 1970; 28(3):337-61. DOI: 10.3109/00016357009032039. View

11.

Bibby R, Preston C . The hyoid triangle. Am J Orthod. 1981; 80(1):92-7. DOI: 10.1016/0002-9416(81)90199-8. View

12.

Deng J, Gao X . A case--control study of craniofacial features of children with obstructed sleep apnea. Sleep Breath. 2012; 16(4):1219-27. DOI: 10.1007/s11325-011-0636-4. View

13.

Nalcaci R, Ozturk F, Sokucu O . A comparison of two-dimensional radiography and three-dimensional computed tomography in angular cephalometric measurements. Dentomaxillofac Radiol. 2010; 39(2):100-6. PMC: 3520203. DOI: 10.1259/dmfr/82724776. View

14.

Juliano M, Machado M, Bizari Coin de Carvalho L, Zancanella E, Santos G, Bizari Fernandes do Prado L . Polysomnographic findings are associated with cephalometric measurements in mouth-breathing children. J Clin Sleep Med. 2010; 5(6):554-61. PMC: 2792972. View

15.

Huynh N, Morton P, Rompre P, Papadakis A, Remise C . Associations between sleep-disordered breathing symptoms and facial and dental morphometry, assessed with screening examinations. Am J Orthod Dentofacial Orthop. 2011; 140(6):762-70. DOI: 10.1016/j.ajodo.2011.03.023. View

16.

Perillo L, Cappabianca S, Montemarano M, Cristallo L, Negro A, Basile A . [Craniofacial morphology and obstructive sleep apnoea-hypopnoea syndrome: a craniometric comparative analysis]. Radiol Med. 2012; 118(4):648-59. DOI: 10.1007/s11547-012-0904-9. View

17.

Chianchitlert A, Luppanapornlarp S, Saenghirunvattana B, Sirisoontorn I . A Comparative Assessment of the Upper Pharyngeal Airway Dimensions among Different Anteroposterior Skeletal Patterns in 7-14-Year-Old Children: A Cephalometric Study. Children (Basel). 2022; 9(8). PMC: 9406918. DOI: 10.3390/children9081163. View

18.

Narasimhan U, Anitha F, Anbu C, Abdul Hameed M . The Spectrum of Sleep Disorders Among Children: A Cross-sectional Study at a South Indian Tertiary Care Hospital. Cureus. 2020; 12(4):e7535. PMC: 7198097. DOI: 10.7759/cureus.7535. View

19.

Yerra A, Shetty V . Prevalence of sleep practices and sleep problems of schoolchildren in South Kanara. J Indian Soc Pedod Prev Dent. 2021; 39(3):251-256. DOI: 10.4103/jisppd.jisppd_433_20. View

20.

. Clinical practice guideline: diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics. 2002; 109(4):704-12. DOI: 10.1542/peds.109.4.704. View