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International Bulletin of Otorhinolaryngology

Applications Of The Methods Of Image Diagnosis In Obstructive Sleepapnea

Lyudmil Matev


Modern methods of imaging diagnosis play more and more important role in severe sleep breathing disorders and of obstructive sleep apnea (OSA) itself. They could be classified in three main groups: x-ray, computed tomography (CT) and magnetic resonance imaging (MRI) diagnosis.
In dental medicine, the following x-ray methods are most commonly used: intraoral x-ray examinations of the teeth, jaws and temporomandibular joints as well as cephalometry.
Tri-dimensional and conventional panoramic tomography, dynamic tridimensional CT, multislice CT, cone-beam CT, volumetric tridimensional CT reconstruction and electric impendance tomography are more and more widely applied.
The MRI is accomplished by a variety of refinements such as cine magnetic, dynamic, diffusion torsional, functional, etc. as well as in combination with CT and positron emission tomography.


obstructive sleep apnea, x-ray diagnosis, computed tomography diagnosis, magnetic resonance imaging diagnosis

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Вълчева З, Арнаутска Х, Милков М. Устното дишане при деца и връзката му с обструктивната сънна апнея. Международен бюлетин оториноларинголия 2018; 14(1): 32.

Милков М. Диагностика на нарушенията на съня. – Международен бюлетин оториноларингология, Варна, 5, 2009, 4, 31-35.

Милков М. Езофагиална манометрия – метод за топична диагностика на хъркането. Международен бюлетин оториноларингология, Варна, 6, 2010, 1, 48-52.

Abramson Z, Susarla S, August M, Troulis M, Kaban L. Three-dimensional computed tomographic analysis of airway anatomy in patients with obstructive sleep apnea. J Oral Maxillofac Surg. 2010; 68(2): 354-662.

Abramson ZR, Susarla S, Tagoni JR, Kaban L. Three-dimensional computed tomographic analysis of airway anatomy. J Oral Maxillofac Surg. 2010; 68(2): 363-371.

Au CT, Chan KCC, Liu KH, Chu WCW, Wing YK, Li AM. Potential anatomic markers of obstructive sleep apnea in prepubertal children. J Clin Sleep Med. 2018;14(12):1979-1986.

Ayoub G, Kim YE, Oh TI, Kim SW, Woo EJ. EIT imaging of upper airway to estimate its size and shape changes during obstructive sleep apnea. Ann Biomed Eng. 2019; 47(4): 990-999.

Baev P, Matev L, Tsonchev Ts, Milkov M. Lateral cephalometric radiographic values in diagnosing the obstructive sleep apnea. Sex differ-ences. In: Second National Symposium on Obstructive Sleep Apnea and Snoring with International Participation. Varna, 26-27.VIII.2016. Междунар бюл оториноларингол. 2016; 12(1): 48.

Benchev R, Vasileva Sv – An alternative of the “Pillar system” in selected patients with snoring and mild obstructive sleep apnea – First National Symposium on Obstructive Sleep Apnea and Snoring with International Participation. Varna, 16-18.10.2014

Bianchi A, Betti E, Tarsitano A, Morselli-Labate AM, Lancellotti L, Marchetti C. Volumetric three-dimensional computed tomographic evalu-ation of the upper airway in patients with obstructive sleep apnoea syndrome treated by maxillomandibular advancement. Br J Oral Maxillofac Surg. 2014; 52(9): 831-837.

Boeddinghaus R, Whyte A. Trends in maxillofacial imaging. Clin Radiol. 2018; 73(1): 4-18.

Cappabianca S, Iaselli F, Negro A, Basile A, Reginelli A, Grassi R, et al. Magnetic resonance imaging in the evaluation of anatomical risk factors for pediatric obstructive sleep apnoea-hypopnoea: a pilot study. Int J Pediatr Otorhinolaryngol. 2013; 77(1): 69-75.

Chang TI, Tanner JM, Harada ND, Garrett NR, Friedlander AH. Prevalence of calcified carotid artery atheromas on the panoramic images of patients with syndrome Z, coexisting obstructive sleep apnea, and metabolic syndrome. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012; 113(1): 134-141.

Feng Y, Keenan BT, Wang S, Leinwand S, Wiemken A, Pack AI, et al. Dynamic upper airway imaging during wakefulness in obese subjects with and without sleep apnea. Am J Respir Crit Care Med. 2018; 198(11): 1435-1443.

Fleck RJ, Ishman SL, Shott SR, Gutmark EJ, McConnell KB, Mahmoud M, et al. Dynamic volume computed tomography imaging of the upper airway in obstructive sleep apnea. J Clin Sleep Med. 2017; 13(2): 189-196.

Friedlander AH, Friedlander IK, Pogrel MA. Dentistry’s role in the diagnosis and co-management of patients with sleep apnoea/hypopnoea syndrome. Br Dent J. 2000; 189(2): 76-80.

Friedlander AH, Walker LA, Friedlander IK, Felsenfeld AL. Diagnosing and comanaging patients with obstructive sleep apnea syndrome. J Am Dent Assoc. 2000а; 131(8): 1178-1184.

Gupta A, Kumar R, Bhattacharya D, Thukral BB, Suri JC. Craniofacial and upper airway profile assessment in North Indian patients with obstructive sleep apnea. Lung India. 2019; 36(2): 94-101.

Huon LK, Liu SY, Shih TT, Chen YJ, Lo MT, Wang PC. Dynamic upper airway collapse observed from sleep MRI: BMI-matched severe and mild OSA patients. Eur Arch Otorhinolaryngol. 2016; 273(11): 4021-4026.

Kitai N, Murabayashi M, Sugimoto H, Fujiwara A, Tome W, Katsumata A. Accuracy and head positioning effects on measurements of anterior tooth length using 3-dimensional and conventional dental panoramic radiography. Am J Orthod Dentofacial Orthop. 2017 Mar; 151(3): 607-615.

Kundel V, Trivieri MG, Karakatsanis NA, Robson PM, Mani V, Kizer JR, et al. Assessment of atherosclerotic plaque activity in patients with sleep apnea using hybrid positron emission tomography/magnetic resonance imaging (PET/MRI): a feasibility study. Sleep Breath. 2018; 22(4): 1125-1135.

Lee MH, Jang GY, Kim YE, Yoo PJ, Wi H, Oh TI, et al. Portable multi-parameter electrical impedance tomography for sleep apnea and hypoventilation monitoring: feasibility study. Physiol Meas. 2018; 39(12): 124004.

Li J, Zhu S, Wang T, Luo E, Xiao L, Hu J. Staged treatment of temporomandibular joint ankylosis with micrognathia using mandibular osteodistraction and advancement genioplasty. J Oral Maxillofac Surg. 2012; 70(12): 2884-2892.

Madjova Ch, Milkov M, Panov Vl – Sleep apnea in children with obesity – First National Symposium on Obstructive Sleep Apnea and Snoring with International Participation. Varna, 16-18.10.2014

Manickam PV, Shott SR, Boss EF, Cohen AP, Meinzen-Derr JK, Amin RS, et al. Systematic review of site of obstruction identification and non-CPAP treatment options for children with persistent pediatric obstructive sleep apnea. Laryngoscope. 2016; 126(2): 491-500.

Maresky HS, Klar MM, Tepper J, Gavriel H, Ziv Baran T, Shapiro CM, et al. Mandibular width as a novel anthropometric measure for assess-ing obstructive sleep apnea risk. Medicine (Baltimore). 2019;98(4):e14040.

Matev L, Milkov M, Tonchev Ts, Pomakova A, Nedev P, Iliev G, Dikova Tz, Madjova H. Night manometry of the upper airway in snoring and obstructive sleep apnea. Oto Rhino Laryngology International bulletin, 2014;(2), 12-15, ISSN 1312-6997

Raynov A, Milkov M – Application of Medical devices in the treatment of patients with Obstructive Sleep Apnea – First National Symposium on Obstructive Sleep Apnea and Snoring with International Participation. Varna, 16-18.10.2014

Pirelli P, Fanucci E, Giancotti A, Di Girolamo M, Guilleminault C. Skeletal changes after rapid maxillary expansion in children with obstruc-tive sleep apnea evaluated by low-dose multi-slice computed tomography. Sleep Med. 2019; 60: 75-80.

Santarnecchi E, Sicilia I, Richiardi J, Vatti G, Polizzotto NR, Marino D, et al. Altered cortical and subcortical local coherence in obstructive sleep apnea: a functional magnetic resonance imaging study. J Sleep Res. 2013; 22(3): 337-347.

Socarras MA, Landau BP, Durr ML. Diagnostic techniques and surgical outcomes for persistent pediatric obstructive sleep apnea after adeno-tonsillectomy: A systematic review and meta-analysis. Int J Pediatr Otorhinolaryngol. 2019; 121: 179-187.

Sultan M, Haberland CM, Skrip L, Copete MA. Prevalence of antral pseudocysts in the pediatric population. Pediatr Dent. 2015; 37(7): 541-544.

Vasileva Sv, Benchev R, Stoyanov S, Mikov M – Metabolic, endocrine and systemic disorders associated with the syndrome of obstruc-tive sleep apnea(OSA) – First National Symposium on Obstructive Sleep Apnea and Snoring with International Participation. Varna, 16-18.10.2014

White SM, Huang CJ, Huang SC, Sun Z, Eldredge JD, Mallya SM. Evaluation of the upper airway morphology: The role of cone beam com-puted tomography. J Calif Dent Assoc. 2015; 43(9): 531-539.

Woughter M, Perkins AM, Baldassari CM. Is MRI necessary in the evaluation of pediatric central sleep apnea? Otolaryngol Head Neck Surg. 2015; 153(6): 1031-1035.

Xiong Y, Zhou XJ, Nisi RA, Martin KR, Karaman MM, Cai K, et al. Brain white matter changes in CPAP-treated obstructive sleep apnea patients with residual sleepiness. J Magn Reson Imaging. 2017; 45(5): 1371-1378.

Zlatanov Hr, Yovcheva V, Georgieva N – Modern high-tech surgical techniques for the treatment of obstructive sleep apnea – First National Symposium on Obstructive Sleep Apnea and Snoring with International Participation. Varna, 16-18.10.2014



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