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- W2000899052 abstract "Disappointing initial surgical results in treating obstructive sleep apnea (OSA) implementing uvulopalatoplasty (UPP) brought greater attention to other mechanisms and sites of obstruction. Fibro-optic endoscopy and cephalometry are the widely used comprehensive measures for evaluation of the tongue base. Eighty-five patients with OSA were retrospectively studied for possible tongue base problems. Cechalometric measures showed that PAS was small (less than 10 mm) in 40% of patients. The posterior pharyngeal soft tissue was found to be thick (5–14 mm) in 50% of the cases with small PAS. Mandible–hyoid distance seemed to be larger (hyoid ptosis) in patients with small PAS, but the difference was insignificant. The respiratory distress index (RDI) did not correlate with PAS. Indirect endoscopy could predict narrow PAS in 85% of the cases. The tongue length and the surface area did not correlate with PAS or RDI. The tongue base should be thought of as a part of the hypopharyngeal space and not as a sole organ. A small-sized mandible and a thick posterior pharyngeal wall can render a normal-sized tongue into an obstructing organ. Surgery on the structures of the hypopharynx—including tongue base—in cases of retroglossal stenosis might help. Studied computed tomography (CT) scans could detect lateral narrowing of the pharynx with decreased cross-sectional areas in spite of normal PAS in cephalometries. Indirect laryngoscopy and fibro-optic endoscopy are important steps in the pre-surgical evaluation of OSA for detection of possible retroglossal stenosis. Three-dimensional imaging modality would probably be a more informative method for detecting a decreased retroglossal cross-sectional area." @default.
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- W2000899052 date "2003-10-01" @default.
- W2000899052 modified "2023-09-25" @default.
- W2000899052 title "Tongue base assessment in obstructive sleep apnea" @default.
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- W2000899052 doi "https://doi.org/10.1016/s0531-5131(03)00891-4" @default.
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