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R. Schwab, M. Pasirstein, Robert Pierson, Adonna Mackley, Robert Hachadoorian, R. Arens, G. Maislin, A. Pack (2003)
Identification of upper airway anatomic risk factors for obstructive sleep apnea with volumetric magnetic resonance imaging.American journal of respiratory and critical care medicine, 168 5
This article shows how static images can be made dynamic by using flow simulations and how these functional images can be used to evaluate treatment of OSA
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This study clearly indicated that morphological changes that deform and decrease the pharyngeal airway lumen are associated with OSA severity
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This review very nicely describes the age influences on the relation between obesity and OSA. The authors want to promote weight loss over other (mainly surgical) treatments of OSA
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This article shows that BMI by itself is not a good predictor of OSA, whereas the location of fat deposition is a good tool to identify patients for polysomnography
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This article shows that dynamic upper airway collapse during the Muller maneuver does allow clinician to accurately determine the presence of OSA before polysomnography
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This article shows a clear relation between obesity and OSA in obese adults by showing that weight loss has a large influence on OSA severity
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This review shows the poor effectiveness of adenotonsillectomy in obese children to solve OSA. Although adenotonsillectomy does decrease OSA severity in the majority of the patients
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This article shows that pharyngeal airway tissue hypertrophy that causes OSA does not resolve itself as pediatric patients become older
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The study in this article shows that changing the tongue position in order to increase upper airway volume does benefit patient suffering from OSA
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This article shows how functional imaging can be used to gain additional understanding in the process of OSA
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Correlation between the severity of sleep apnea and upper airway morphology in pediatric and adult patients a,b a a,c Wim G. Vos , Wilfried A. De Backer and Stijn L. Verhulst Department of Pulmonology, University Hospital Purpose of review Antwerp, Department of Physics, University of c Recent advances in upper airway imaging allow a better analysis of the upper airway Antwerp and Department of Pediatrics, University Hospital Antwerp, Antwerp, Belgium morphology. With the increased accuracy of computed tomography, MRI and other imaging techniques, it becomes possible to identify very local changes in bony Correspondence to Wim Vos, Department of Pulmonology, University Hospital Antwerp, Wilrijkstraat structure, soft tissues and lumen of the pharyngeal airway. These advances are able to 10, 2650 Edegem, Belgium provide new insights into obstructive sleep apnea (OSA) evaluation and treatment. Tel: +32 479569971; fax: +32 38214447; e-mail: Wim.Vos@ua.ac.be Recent findings The present review intends to capture the current status of the research on the Current Opinion in Allergy and Clinical Immunology 2010, 10:26–33 correlation between OSA severity and upper airway morphology. Morphological abnormalities that are responsible for OSA differ with age. Therefore, correlations between morphology and OSA in children and adults and the effects of puberty
Current Opinion in Allergy and Clinical Immunology – Wolters Kluwer Health
Published: Feb 1, 2010
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