MEAN VALUES OF LATERAL CEPHALOMETRIC ANALYSIS FROM KOREAN ADULTS WITH NORMAL OCCLUSION IN RELATION TO THE DIAGNOSIS OF OBSTRUCTIVE SLEEP APNEA SYNDROME

폐쇄성 수면무호흡증 진단을 위한 두부규격 방사선사진 계측 분석에 의한 한국 성인 정상교합자의 정상치에 관한 연구

  • Park, Kwang-Ho (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University(Yongdong Severance Hospital)) ;
  • Kim, Kyung-Ho (Department of Orthodontics, College of Dentistry, Yonsei University(Yongdong Severance Hospital)) ;
  • Choi, Hee-Soo (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University(Yongdong Severance Hospital)) ;
  • Huh, Jong-Ki (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University(Yongdong Severance Hospital)) ;
  • Bae, Jin-Song (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University(Yongdong Severance Hospital))
  • 박광호 (연세대학교 치과대학 구강악안면외과학교실(영동세브란스 병원)) ;
  • 김경호 (연세대학교 치과대학 교정학교실(영동세브란스 병원)) ;
  • 최희수 (연세대학교 치과대학 구강악안면외과학교실(영동세브란스 병원)) ;
  • 허종기 (연세대학교 치과대학 구강악안면외과학교실(영동세브란스 병원)) ;
  • 배진성 (연세대학교 치과대학 구강악안면외과학교실(영동세브란스 병원))
  • Published : 2001.02.28

Abstract

Purpose : The lateral cephalometric Korean norms of the skeletal and pharyngeal dimension were analyzed for the diagnosis of obstructive sleep apnea syndrome(OSAS). Materials and Methods : The lateral cephalometric radiographies were taken in male(n=53) and female(n=50), who had a normal profile, class I occlusion, normal ANB $(0{\sim}4^{\circ})$ and normal Wits $Appraisal(-4{\sim}0mm)$. The X-rays were traced by two oral and maxillofacial surgeons twice. The significant differences between male-female and examiners were tested. Results : The angle of mandibular line to Nasion-Sella line was $31.12^{\circ}/33.79^{\circ}$ (in male/in female, p=0.0018). The lower Gonion angle was $73.74^{\circ}/73.74^{\circ}(p=0.9978)$. The length of the soft palate was 36.93mm/34.35mm(p=0.0002). The pharyngeal airway space was 13.42mm/11.55mm at mandibular plane level(PAS(ML))(p=0.0025). The hyoid was placed inferiorly to mandibular plane 10.18mm/7.72mm(p=0.0051). The results from this study are to be used for the diagnosis of OSAS.

Keywords