Correlation Between the Friedman Staging System and the Upper Airway Volume in Patients With Obstructive Sleep Apnea

• Published in: Journal of oral and maxillofacial surgery Vol. 73; no. 1; pp. 162 - 167
• Main Authors: Rodrigues, Marcos Marques, MD, Real Gabrielli, Mário Francisco, DDS, MD, MS, PhD, Watanabe, Evenson Raphael, DDS, Batatinha, Júlio Américo Pereira, Pereira Filho, Valfrido Antonio, DDS, MS, PhD, Passeri, Luis Augusto, DDS, MS, PhD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.01.2015
• Subjects: Adult; Aged; Body Mass Index; Dentistry; Female; Humans; Image Processing, Computer-Assisted - methods; Imaging, Three-Dimensional - methods; Male; Middle Aged; Organ Size; Palatine Tonsil - diagnostic imaging; Palatine Tonsil - pathology; Pharynx - diagnostic imaging; Pharynx - pathology; Physical Examination; Polysomnography - methods; Retrospective Studies; Sleep Apnea, Obstructive - classification; Sleep Apnea, Obstructive - diagnosis; Sleep Apnea, Obstructive - diagnostic imaging; Surgery; Tomography, X-Ray Computed - methods; Tongue - diagnostic imaging; Tongue - pathology
• ISSN: 0278-2391; 1531-5053
• DOI: 10.1016/j.joms.2014.07.030

Purpose This study was designed to evaluate the correlation between computed tomography findings and data from the physical examination and the Friedman Staging System (FSS) in patients with obstructive sleep apnea (OSA). Patients and Methods We performed a retrospective evaluation by reviewing the medical records of 33 patients (19 male and 14 female patients) with a mean body mass index of 30.38 kg/m2 and mean age of 49.35 years. Among these patients, 14 presented with severe OSA, 7 had moderate OSA, 7 had mild OSA, and 5 were healthy. Results The patients were divided into 2 groups according to the FSS: Group A comprised patients with FSS stage I or II, and group B comprised patients with FSS stage III. By use of the Fisher exact test, a positive relationship between the FSS stage and apnea-hypopnea index ( P  = .011) and between the FSS stage and body mass index ( P  = .012) was found. There was no correlation between age ( P  = .55) and gender ( P  = .53) with the FSS stage. The analysis of variance test comparing the upper airway volume between the 2 groups showed P  = .018. Conclusions In this sample the FSS and upper airway volume showed an inverse correlation and were useful in analyzing the mechanisms of airway collapse in patients with OSA.