E-ISSN 2231-3206 | ISSN 2320-4672
 

Original Research 


Morphological assessment of the soft palate and a possible corelation with obstructive sleep apnea A digital cephalometric study

Smruthi Valambath, Prabhath Ramakrishnan.

Abstract
Background: The available literature on the different morphologies of the soft palate is extremely scarce and has never been classified in an Indian population. We aim to study a corelation between different velar morphologies and probe variations with age, gender, and morphometric assessment based on the length and width. The present study also explores a possible link between snoring and particular velar morphologies as an indicator for the early diagnosis of obstructive sleep apnea syndrome (OSAS).

Aims and Objectives: (1) To assess the various velar morphological varieties in an Indian population, (2) most prevalent velar patterns according to gender predilection, (3) most prevalent velar patterns according to the age (adult >18 years and pre-adult <18 years), (4) assessment of the length and width of the soft palate, and (5) assessment of predilection for sleep apnea by comparing snoring with particular morphological variants.

Materials and Methods: Lateral cephalograms were obtained from 299 normal individuals whose age ranged from 5 to 85 years after obtaining clearance from the Institutional Ethical Committee. The velar morphology was classified, and the possibility of a corelation to gender, age, and the length and width of the soft palate was assessed. A snoring questionnaire was given to the relatives of the patients to assess the corelation between it and any particular velar morphology.

Results: Velar morphology was classified into six types, and we propose an indeterminate type as Type 7 in the classification. The results showed no corelation between particular velar morphologies and age or gender but showed a positive corelation between snoring and Type 6, Type 5, and Type 1 palates.

Conclusions: The study corroborates the classification suggested by earlier investigators. No significant association was noted with particular velar morphology and age/gender. However, a significant increase in length with respect to Type 5 was noted. The present study for the 1st time in literature derived a positive corelation between snoring and particular velar morphologies (Type 6, Type 5, and Type 1 palates) which may be of use as an early indicator for the early diagnosis of OSAS.

Key words: Soft Palate; Morphology; Snoring; Digital Cephalometric Radiography


 
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How to Cite this Article
Pubmed Style

Valambath S, Ramakrishnan P. Morphological assessment of the soft palate and a possible corelation with obstructive sleep apnea A digital cephalometric study. Natl J Physiol Pharm Pharmacol. 2020; 10(1): 21-26. doi:10.5455/njppp.2020.10.1034923102019


Web Style

Valambath S, Ramakrishnan P. Morphological assessment of the soft palate and a possible corelation with obstructive sleep apnea A digital cephalometric study. http://www.njppp.com/?mno=68379 [Access: September 02, 2020]. doi:10.5455/njppp.2020.10.1034923102019


AMA (American Medical Association) Style

Valambath S, Ramakrishnan P. Morphological assessment of the soft palate and a possible corelation with obstructive sleep apnea A digital cephalometric study. Natl J Physiol Pharm Pharmacol. 2020; 10(1): 21-26. doi:10.5455/njppp.2020.10.1034923102019



Vancouver/ICMJE Style

Valambath S, Ramakrishnan P. Morphological assessment of the soft palate and a possible corelation with obstructive sleep apnea A digital cephalometric study. Natl J Physiol Pharm Pharmacol. (2020), [cited September 02, 2020]; 10(1): 21-26. doi:10.5455/njppp.2020.10.1034923102019



Harvard Style

Valambath, S. & Ramakrishnan, . P. (2020) Morphological assessment of the soft palate and a possible corelation with obstructive sleep apnea A digital cephalometric study. Natl J Physiol Pharm Pharmacol, 10 (1), 21-26. doi:10.5455/njppp.2020.10.1034923102019



Turabian Style

Valambath, Smruthi, and Prabhath Ramakrishnan. 2020. Morphological assessment of the soft palate and a possible corelation with obstructive sleep apnea A digital cephalometric study. National Journal of Physiology, Pharmacy and Pharmacology, 10 (1), 21-26. doi:10.5455/njppp.2020.10.1034923102019



Chicago Style

Valambath, Smruthi, and Prabhath Ramakrishnan. "Morphological assessment of the soft palate and a possible corelation with obstructive sleep apnea A digital cephalometric study." National Journal of Physiology, Pharmacy and Pharmacology 10 (2020), 21-26. doi:10.5455/njppp.2020.10.1034923102019



MLA (The Modern Language Association) Style

Valambath, Smruthi, and Prabhath Ramakrishnan. "Morphological assessment of the soft palate and a possible corelation with obstructive sleep apnea A digital cephalometric study." National Journal of Physiology, Pharmacy and Pharmacology 10.1 (2020), 21-26. Print. doi:10.5455/njppp.2020.10.1034923102019



APA (American Psychological Association) Style

Valambath, S. & Ramakrishnan, . P. (2020) Morphological assessment of the soft palate and a possible corelation with obstructive sleep apnea A digital cephalometric study. National Journal of Physiology, Pharmacy and Pharmacology, 10 (1), 21-26. doi:10.5455/njppp.2020.10.1034923102019