Abstract:
:Craniofacial abnormalities are a known obstructive sleep apnea (OSA) risk factor, but still need to be better characterized. This study investigates the relationship between mandibular width and the risk of developing OSA.We retrospectively analyzed 3D reconstructions of head and neck computed tomography (CT) scans at our institution for mandibular width, neck circumference, neck fat volume (NFV), airway volume (AWV), and NFV:AWV ratio. Age, gender, and BMI were also documented. Patients were contacted to complete a STOP-BANG survey to assess OSA risk. Only patients with reconstructable scans and completed STOP-BANG questionnaires were included in the study. Survey results were analyzed to assess the correlation between mandible width and STOP-BANG. Mandible association was also compared to the associations of the other known risk factors.The final analysis included 427 patients with a mean age of 58.98 years (standard deviation = 16.77), 56% of whom were male. Mandibular width was found to positively correlate with STOP-BANG score (r = .416, P < .001). Statistically significant differences between mandible size for each risk group was seen (P < .001). After controlling for age and sex, mandible size was significantly different only for the low risk vs. high risk groups (odds ratio = 1.11; 95% confidence interval = 1.03-1.20; P = .007). Furthermore, when stratified according to mandible size, the small mandible group (<77.50 mm) predominantly consisted of low risk patients; the medium size mandible group (77.50-84.40 mm) was predominated by intermediate risk patients, and large mandible (>84.40 mm) was predominantly seen in high risk patients. Mandible width expressed a stronger association than NFV:AWV ratio, but neck circumference and NFV had stronger associations than did mandible width.In addition to previously documented OSA risk factors, mandibular width is positively correlated with OSA as an independent risk factor. Observation of a wide mandible (jaw) should raise awareness of OSA risk and increase screening methods when appropriate.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Maresky HS,Klar MM,Tepper J,Gavriel H,Ziv Baran T,Shapiro CM,Tal Sdoi
10.1097/MD.0000000000014040subject
Has Abstractpub_date
2019-01-01 00:00:00pages
e14040issue
4eissn
0025-7974issn
1536-5964pii
00005792-201901250-00010journal_volume
98pub_type
杂志文章相关文献
MEDICINE文献大全abstract::Our previously studies indicated that inflammatory responses are involved in the hematoma expansion (HE) after intracranial hemorrhage (ICH) ictus. Here, we aim to evaluate the correlations among the ratio of neutrophil to lymphocyte ratio (NLR), HE, and island sign in patients with ICH.Patients with spontaneous ICH w...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000013057
更新日期:2018-11-01 00:00:00
abstract::Motion-induced artifacts have been a major drawback in bladder cancer imaging. This study is to evaluate the clinical utility of periodically rotated overlapping parallel lines with enhanced reconstruction (PROPELLER) acquisition in improving motion-induced artifacts in T2-weighted (T2W) magnetic resonance imaging (MR...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000017075
更新日期:2019-10-01 00:00:00
abstract::No risk assessment tool is available for identifying high risk population of breast cancer (BCa) in Hong Kong. A case-control study including 918 BCa cases and 923 controls was used to develop the risk assessment model among Hong Kong Chinese women.Each participant received an in-depth interview to obtain their lifest...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000004515
更新日期:2016-08-01 00:00:00
abstract::Leiomyosarcoma (LMS) is a malignancy which very rarely occurs in maxillofacial location, and the course of the disease is not very characteristic.In this case report, we present a 58-year-old female patient with a painless tumor of the left angle of the mandible causing slight asymmetry of the face. She also reported ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000004011
更新日期:2016-07-01 00:00:00
abstract::The aim of our study was to investigate the relationship between the waist-to-height ratio (WHR) and all-cause mortality and functional outcomes after acute ischemic stroke in a prospective cohort study.A total of 2076 patients (36.66% females) with ischemic stroke were analyzed from ACROSS-China, which is a nationwid...
journal_title:Medicine
pub_type: 杂志文章,多中心研究
doi:10.1097/MD.0000000000006520
更新日期:2017-03-01 00:00:00
abstract::Patients with drug-susceptible tuberculosis (TB) show good tolerance of the medications used and have few side effects. However, medications used to treat multidrug-resistant tuberculosis (MDR-TB) have many known side effects. Here, we studied the occurrence of side effects due to treatment of patients with MDR-TB.We ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000007482
更新日期:2017-07-01 00:00:00
abstract:BACKGROUND:Long-term use of aspirin for primary prevention of cancer remains inconclusive, and variation in the effects of aspirin use on cancer outcomes by cancer site, aspirin dose, follow-up duration, or different populations has never been systematically evaluated. METHODS:Seven electronic databases (PubMed, EMBAS...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000017382
更新日期:2019-09-01 00:00:00
abstract:RATIONALE:Alveolar soft part sarcoma (ASPS) is a rare, malignant neoplasm, which mostly occurs in the upper and lower extremities. This article presents an unusual case of ASPS involving the penis of a 3-year-old boy. To our knowledge, this is the first case of ASPS in the penis of a child. PATIENT CONCERNS:The patien...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008383
更新日期:2017-11-01 00:00:00
abstract::IL-17 and IL-17-producing cells have been found in many types of human cancers and murine models. However, the source of tumor-infiltrating IL-17 and IL-17-producing cells in HCC and the prognostic values remain poorly understood. A total of 57 HCC patients were enrolled in this study, and immunofluorescence double st...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000003220
更新日期:2016-03-01 00:00:00
abstract:RATIONALE:A dural arteriovenous fistula (DAVF) refers to an abnormal direct connection between an intracranial artery and a dural venous sinus. A DAVF presenting with parkinsonism is rare, and is therefore easily misdiagnosed. Therefore, early consideration of DAVF in the differential diagnosis of reversible parkinsoni...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000009005
更新日期:2017-12-01 00:00:00
abstract:RATIONALE:The improvement of microneurosurgery and neuroimaging, as well as neuronavigation and neurophysiological monitoring, enables neurosurgeons to safely and accurately resect lesions on the brainstem. PATIENT CONCERNS:A 54-year-old man, with 2-year history of hypertension, presented with sudden loss of conscious...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000018430
更新日期:2019-12-01 00:00:00
abstract::Portal vein thrombosis (PVT) might impair the prognosis of cirrhotic patients. However, formation of de novo PVT after transjugular intrahepatic portosystemic shunt (TIPS) in cirrhotic patients without preexisting PVT was rarely reported. Moreover, it is not known whether warfarin is efficient in preventing de novo PV...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000018737
更新日期:2020-01-01 00:00:00
abstract:RATIONALE:Pulmonary hyalinizing granuloma (PHG) is a rare benign disease that has been shown to be associated with the deposition of immune complexes in the lung parenchyma caused by infection or autoimmune diseases. There have been no reports of PHG in association with immunoglobulin A nephropathy (IgAN). PATIENT CON...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000009088
更新日期:2017-12-01 00:00:00
abstract::Post-stroke depression (PSD) constitutes an important complication of stroke, leading to great disability. After stroke, the prevalence rate of depression is about 30%. Depression also affects rehabilitation motivation, delays function recovery, and increases family and social burden. The objective of this study was t...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000017667
更新日期:2019-11-01 00:00:00
abstract:RATIONALE:Studies performed in animal models of corneal neovascularization suggested the possible efficacy of a treatment with propranolol. Corneal neovascularization is one of the most feared complications of Stevens-Johnson syndrome that frequently involves ocular surface. We report the first 2 patients with severe o...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000013002
更新日期:2018-11-01 00:00:00
abstract::This study, an important groundwork for clinical tongue diagnosis and future traditional Chinese medicine (TCM) research, tested the hypothesis that some tongue features vary significantly between different gender and age groups by utilizing an automatic tongue diagnosis system (ATDS).A cross-sectional study of 1487 p...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000018350
更新日期:2019-12-01 00:00:00
abstract::Cardiovascular disease (CVD) is a common cause of death in patients with chronic kidney disease (CKD). Aortic and mitral valve calcification (AVC and MVC, respectively) are critical indicators of CVD and all-cause mortality in CKD patients.We conducted a single center retrospective study of Chinese inpatients with CKD...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000009804
更新日期:2018-02-01 00:00:00
abstract:RATIONALE:Survey data show approximately 10% patients with lung cancer may present concomitant coronary heart disease. Simultaneous surgery is a challenge for anesthetist. We review our experience in the anesthesia with 5 patients who required simultaneous off-pump coronary artery bypass grafting (OPCABG) and pulmonary...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000008780
更新日期:2017-12-01 00:00:00
abstract::In this paper we present a prospective evaluation of 100 patients with Group A Streptococcal (GAS) bacteremia evaluated in our hospital over a 10-year period. Sixty-two patients were intravenous drug users (IVDU); all but 1 of these had an obvious cutaneous portal of entry related to the injection of illicit drugs. Tw...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/00005792-199707000-00002
更新日期:1997-07-01 00:00:00
abstract::Despite the wide recognition of the inverse association between socioeconomic position (SEP) and suicidal behaviors, its underlying process and potential mediators are little known. This study investigated the pathway from SEP to suicide attempts with attention to potential mediators.From the Korean Health and Nutriti...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000009331
更新日期:2017-12-01 00:00:00
abstract::Pasteurella multocida, a small, gram-negative coccobacillus , is part of the normal oral flora of many animals, including the dog and cat. P. multocida is the etiologic agent in a variety of infectious disease syndromes. We have reported 34 cases of infection caused by P. multocida and have reviewed the English litera...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:
更新日期:1984-05-01 00:00:00
abstract:BACKGROUND:National Comprehensive Cancer Network (NCCN) guidelines recommend surgery, chemotherapy, and radiation therapy for gastric cancer patients. Neoadjuvant treatments as the administration of therapeutic agents before a main treatment gained in more and more attention. However, the role of neoadjuvant treatments...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000010392
更新日期:2018-04-01 00:00:00
abstract:RATIONALE:Unicompartmental knee arthroplasty (UKA) is an effective method to treat single compartment disease of the knee joint. Report about the complications of UKA, especially tibial plateau fractures, is rare. Given its rarity, its pathogenesis is not well described, and a standard of treatment is still not establi...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000017338
更新日期:2019-10-01 00:00:00
abstract::Mutation analysis as the gold standard is particularly important in diagnosis of osteogenesis imperfecta (OI) and it may be preventable upon early diagnosis. In this study, we aimed to analyze the clinical and genetic materials of an OI pedigree as well as to confirm the deleterious property of the mutation.A pedigree...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000007783
更新日期:2017-09-01 00:00:00
abstract:RATIONALE:Acute kidney injury is common and correctable in patients with a hyperosmolar hyperglycemic state (HHS). Nevertheless, hyperglycemic crisis may also contribute to the development of rhabdomyolysis, which can worsen renal function and lead to high mortality in such patients. PATIENT CONCERNS:Herein, we report...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000013647
更新日期:2018-12-01 00:00:00
abstract::To compare the prevalence of hepatitis B virus (HBV) infection over a 10-year period in terms of population-level trends, we established hypothetical birth cohorts that represented each 10-year interval age group.We used data from the Korean National Health and Nutrition Examination Surveys conducted between 1998 to 2...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000001469
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:Functional constipation (FC) is one of the most common diseases throughout the world, which brings a bad influence on life quality as well as mental health. Massage has been widely used in the treatment of functional constipation in china. In several randomized controlled trials indicate that massage has a p...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000020698
更新日期:2020-06-19 00:00:00
abstract::One of the risk factors for vascular obstetric complications, such as intrauterine growth restriction (IUGR), is inherited thrombophilias. Nevertheless, routine screening for thrombophilias is not endorsed in pregnant women due to their low prevalence and conflicting results of published studies regarding the usefulne...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000012799
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND AND AIM:Several studies have identified that obesity and being overweight can increase the risk of developing myocardial infarction (MI). However, the predictive value of the central obesity index, that is, the waist-hip ratio (WHR), regarding MI risk remains unclear. This study aimed to provide a systematic...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000011639
更新日期:2018-07-01 00:00:00
abstract::The risk calculator of the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) has been shown to be useful in predicting postoperative complications. In this study, we aimed to evaluate the predictive value of the ACS-NSQIP calculator in geriatric patients undergoing lumbar surgery.A...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008416
更新日期:2017-10-01 00:00:00