Abstract：
:Obstructive sleep apnea is an anatomic illness caused by evolutionary changes in the human upper respiratory tract. These changes include shortening of the maxillary, ethmoid, palatal and mandibular bones, acute oral cavity-skull base angulation, pharyngeal collapse with anterior migration of the foramen magnum, posterior migration of the tongue into the pharynx, descent of the larynx and shortening of the soft palate with loss of the epiglottic-soft palate lock-up. While it is commonly believed that some of these changes had positive selection pressures for bipedalism, binocular vision and locomotion, development of voice, speech and language ultimately became a substantial contributing factor. Here it is shown that these changes are the anatomic basis of obstructive sleep apnea.
journal_name
Sleep Medjournal_title
Sleep medicineauthors
Davidson TMdoi
10.1016/s1389-9457(02)00237-xkeywords:
subject
Has Abstractpub_date
2003-05-01 00:00:00pages
185-94issue
3eissn
1389-9457issn
1878-5506pii
S138994570200237Xjournal_volume
4pub_type
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