Pharyngeal shape and dimensions in healthy subjects, snorers, and patients with obstructive sleep apnoea.
Open accessAbstract
To characterise the relation between pharyngeal anatomy and sleep related disordered breathing, 17 men with complaints of snoring were studied by all night polysomnography. Ten of them had obstructive sleep apnoea (mean (SD) apnoea-hypopnoea index 56.3 (41.7), age 52 (10) years, body mass index 31.4 (5.3) kg/m2); whereas seven were simple snorers (apnoea-hypopnoea index 6.7 (4.6), age 40 (17) years, body mass index 25.9 (4.3) kg/m2). The pharynx was studied by magnetic resonance imaging in all patients and in a group of eight healthy subjects (age 27 (6) years, body mass index 21.8 (2.2) kg/m2, both significantly lower than in the patients; p less than 0.05). On the midsagittal section and six transverse sections equally spaced between the nasopharynx and the hypopharynx several anatomical measurements were performed. Results showed that there was no difference between groups in most magnetic resonance imaging measurements, but that on transverse sections the pharyngeal cross section had an elliptic shape with the long axis oriented in the coronal plane in normal subjects, whereas in apnoeic and snoring patients the pharynx was circular or had an elliptic shape but with the long axis oriented in the sagittal plane. It is suggested that the change in pharyngeal cross sectional shape, secondary to a reduction in pharyngeal transverse diameter, may be related to the risk of developing sleep related disordered breathing.
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A normal pharyngeal lumen is elliptical in shape, with the long axis in the lateral dimension.
“A normal pharyngeal lumen is elliptical in shape, with the long axis in the lateral dimension.314”
From International Consensus Statement on Obstructive Sleep Apnea (2023) · cites this paper as [314]
The lumen of snorers and OSA patients is circular or elliptical, with the long axis in the anterior-posterior dimension.
“In contrast, the lumen of snorers and OSA patients is circular or elliptical, with the long axis in the anterior–posterior dimension.314”
From International Consensus Statement on Obstructive Sleep Apnea (2023) · cites this paper as [314]
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- Authors
- Rodenstein, D. O., Dooms, G., Thomas, Y., Liistro, G., Stanescu, D. C., Culee, C., & Aubert-Tulkens, G.
- Affiliations
- Cliniques Universitaires Saint-Luc (BE)
- ORCID
- Liistro, G
- Venue
- Thorax
- Publisher
- BMJ
- Published
- 1990-10-01
- Volume
- 45
- Issue
- 10
- Pages
- 722-727
- ISSN
- 0040-6376 (ISSN-L)
- PMC
- PMC462713
- OpenAlex
- W2127945398
- Semantic Scholar
- 7e9bcfca43174504eb5529caa0f6671ada08510c
- Cited by
- 240
- References
- 20
- Citations by year
- 2025: 4 · 2024: 3 · 2023: 6 · 2022: 5 · 2021: 3 · 2020: 6 · 2019: 6 · 2018: 2 · 2017: 5 · 2016: 8 · 2015: 10 · 2014: 6 · 2013: 11 · 2012: 16
- FWCI
- 2.96
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Thorax (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Digital Access to Libraries (submittedVersion)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Neuroscience of respiration and sleep
- Keywords
- pharyngeal anatomy, obstructive sleep apnea, snoring, apnea-hypopnea index, nasopharynx, hypopharynx
- MeSH terms
- Adult, Aged, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Palate, Soft, Pharynx, Sleep, Sleep Apnea Syndromes, Snoring
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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