{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T08:42:28Z","timestamp":1785228148872,"version":"3.55.0"},"reference-count":32,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2018,6,28]],"date-time":"2018-06-28T00:00:00Z","timestamp":1530144000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Obstructive Sleep Apnoea Syndrome (<jats:styled-content style=\"fixed-case\">OSAS<\/jats:styled-content>) is believed to be associated with craniofacial and neuromuscular changes, although the interplay among these variables still is poorly recognised. The objective of this study was to identify hyoid, muscular and swallowing changes associated with <jats:styled-content style=\"fixed-case\">OSAS<\/jats:styled-content>, and to correlate these alterations with <jats:styled-content style=\"fixed-case\">OSAS<\/jats:styled-content> severity. Cross\u2010sectional study, in a tertiary referral centre. Seventy\u2010two adult individuals participated in this study: 12 controls (without apnoea) and 60 patients with apnoea (mild, moderate and severe <jats:styled-content style=\"fixed-case\">OSAS<\/jats:styled-content>\u201420 individuals in each group). All participants were initially evaluated by otorhinolaryngologist and neurologist and underwent polysomnography for <jats:styled-content style=\"fixed-case\">OSAS<\/jats:styled-content> stratification. Cephalometric data, clinical myofunctional status and swallow videofluoroscopy exam were assessed. A hybrid effect model was used to analyse swallowing parameters; dependent variables were age, body mass index (<jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>) and cephalometric measures. Individuals with <jats:styled-content style=\"fixed-case\">OSAS<\/jats:styled-content> presented lower hyoid position and narrower posterior airway distance when compared to controls. These parameters correlated to <jats:styled-content style=\"fixed-case\">OSAS<\/jats:styled-content> severity. Additionally, <jats:styled-content style=\"fixed-case\">OSAS<\/jats:styled-content> patients exhibited significantly lower myofunctional scores. Both velum and hyoid contraction times were significantly lower in the <jats:styled-content style=\"fixed-case\">OSAS<\/jats:styled-content> group at videofluoroscopy, regardless of its severity. Premature leakage into pharynx was more common in <jats:styled-content style=\"fixed-case\">OSAS<\/jats:styled-content> groups. Laryngeal penetration phenomenon occurred only in two patients (both from <jats:styled-content style=\"fixed-case\">OSAS<\/jats:styled-content> group). Our results suggest that hyoid bone position is associated with <jats:styled-content style=\"fixed-case\">OSAS<\/jats:styled-content> severity. Muscular pattern and swallowing are impaired in <jats:styled-content style=\"fixed-case\">OSAS<\/jats:styled-content> patients, irrespective of <jats:styled-content style=\"fixed-case\">OSAS<\/jats:styled-content> severity and facial profile. These findings indicate a higher predisposition of <jats:styled-content style=\"fixed-case\">OSAS<\/jats:styled-content> patients to present an inferior hyoid positioning, accompanied by myofunctional and swallowing disorders.<\/jats:p>","DOI":"10.1111\/joor.12666","type":"journal-article","created":{"date-parts":[[2018,6,11]],"date-time":"2018-06-11T18:11:17Z","timestamp":1528740677000},"page":"692-701","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["Cephalometric, muscular and swallowing changes in patients with <scp>OSAS<\/scp>"],"prefix":"10.1111","volume":"45","author":[{"given":"L. P.","family":"Valarelli","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery Medical School of Ribeir\u00e3o Preto University of S\u00e3o Paulo  Ribeir\u00e3o Preto Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. M. B.","family":"Corradi","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery Medical School of Ribeir\u00e3o Preto University of S\u00e3o Paulo  Ribeir\u00e3o Preto Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T. H.","family":"Grechi","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery Medical School of Ribeir\u00e3o Preto University of S\u00e3o Paulo  Ribeir\u00e3o Preto Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5691-7158","authenticated-orcid":false,"given":"A. L.","family":"Eckeli","sequence":"additional","affiliation":[{"name":"Division of Neurology Medical School of Ribeir\u00e3o Preto University of S\u00e3o Paulo  Ribeir\u00e3o Preto Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1019-3654","authenticated-orcid":false,"given":"D. C.","family":"Aragon","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Medical School of Ribeir\u00e3o Preto University of S\u00e3o Paulo  Ribeir\u00e3o Preto Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. S.","family":"K\u00fcpper","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery Medical School of Ribeir\u00e3o Preto University of S\u00e3o Paulo  Ribeir\u00e3o Preto Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L. A.","family":"Almeida","sequence":"additional","affiliation":[{"name":"Division of Neurology Medical School of Ribeir\u00e3o Preto University of S\u00e3o Paulo  Ribeir\u00e3o Preto Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. H.","family":"Sander","sequence":"additional","affiliation":[{"name":"Division of Neurology Medical School of Ribeir\u00e3o Preto University of S\u00e3o Paulo  Ribeir\u00e3o Preto Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5201-5376","authenticated-orcid":false,"given":"C. M.","family":"de Fel\u00edcio","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery Medical School of Ribeir\u00e3o Preto University of S\u00e3o Paulo  Ribeir\u00e3o Preto Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2970-1113","authenticated-orcid":false,"given":"L. V. 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