{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T04:05:14Z","timestamp":1783915514149,"version":"3.55.0"},"reference-count":72,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T00:00:00Z","timestamp":1769558400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T00:00:00Z","timestamp":1769558400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Sleep Research"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Obstructive sleep apnea (OSA) has numerous complications that negatively impact patients' quality of life. Early diagnosis can significantly reduce these complications. The aim of the study was to evaluate the relationship between the hyoid bone position and the severity of apnea, and to determine if hyoid\u2010related cephalometric variables can be used as predictors of apnea severity. A systematic review of the literature was conducted following PRISMA guidelines. The search was conducted across databases including Medline, ScienceDirect, BVS, and WOK. Two researchers analysed the results applying inclusion and exclusion criteria, with a third researcher resolving discrepancies. After screening, a total of 22 articles were selected for qualitative review. The risk of bias and quality of the studies was assessed using the Downs and Black checklist. Among the 22 selected articles, 9% were classified as poor quality, 46% as fair, and 45% as good quality. A positive correlation was observed between a lower hyoid bone position and the apnea\u2010hypopnea index (AHI), indicating that a lower hyoid position is associated with a higher AHI. The H\u2010MP variable (distance between point H and the mandibular plane) presented the strongest predictive power for OSA severity. However, insufficient evidence was found to establish an association between the anteroposterior position of the hyoid bone and OSA severity. The severity of obstructive sleep apnea (OSA) is associated with a lower position of the hyoid bone, as reflected in the positive correlation between H\u2010MP and the apnea\u2010hypopnea index (AHI), while the sagittal position showed no significant relevance.<\/jats:p>","DOI":"10.1111\/jsr.70291","type":"journal-article","created":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T10:09:31Z","timestamp":1769594971000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Role of the Hyoid Bone in Obstructive Sleep Apnea Severity: A Systematic Review"],"prefix":"10.1111","volume":"35","author":[{"given":"Carmen Mar\u00eda","family":"Correa\u2010Morillo","sequence":"first","affiliation":[{"name":"Master's Programme in Orthodontics Universidad Alfonso X El Sabio, Avenida de la Universidad 1  Villanueva de la Ca\u00f1ada Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paola Cardil","family":"Par\u00eds","sequence":"additional","affiliation":[{"name":"Master's Programme in Orthodontics Universidad Alfonso X El Sabio, Avenida de la Universidad 1  Villanueva de la Ca\u00f1ada Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta Macarena","family":"Paz\u2010Cort\u00e9s","sequence":"additional","affiliation":[{"name":"Facultad de Odontolog\u00eda Universidad Alfonso X El Sabio, Avenida de la Universidad 1  Villanueva de la Ca\u00f1ada Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Mart\u00edn\u2010Vacas","sequence":"additional","affiliation":[{"name":"Facultad de Odontolog\u00eda Universidad Alfonso X El Sabio, Avenida de la Universidad 1  Villanueva de la Ca\u00f1ada Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Giovannini","sequence":"additional","affiliation":[{"name":"Master's Programme in Orthodontics Universidad Alfonso X El Sabio, Avenida de la Universidad 1  Villanueva de la Ca\u00f1ada Spain"},{"name":"Facultad de Odontolog\u00eda Universidad Alfonso X El Sabio, Avenida de la Universidad 1  Villanueva de la Ca\u00f1ada Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,28]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adoms.2021.100250"},{"issue":"1","key":"e_1_2_12_3_1","article-title":"Role of Hyoid Bone Position in Upper Airway Patency and Tissue Mechanics: A Computational Finite Element Modeling Approach","volume":"205","author":"Amatoury J.","year":"2022","journal-title":"American Journal of Respiratory and Critical Care Medicine Conf Abstracts"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-013-0830-7"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wjorl.2017.05.002"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/22.4.353"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/18.6.557"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/08869634.2016.1239850"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000004483"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.31128\/AJGP-12-18-4777"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/kjm2.12130"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.23079"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.170296"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2016.10.004"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.15-0903"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2025.03.002"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2012.12.010"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-025-05969-5"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech.52.6.377"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.2147\/NSS.S486432"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2022.103384"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2021.103328"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.27497"},{"key":"e_1_2_12_24_1","first-page":"19","article-title":"Change in the Position of Hyoid Bone With Functional Appliance Treatment","volume":"19","author":"Farhana G.","year":"2010","journal-title":"Journal of the Pakistan Dental Association"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.4078"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.17219\/dmp\/192096"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.86.5.793"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.27712"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-1698995"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/154405910708601208"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.2005.00983.x"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jds.2019.01.007"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1053\/rmed.2003.1494"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1843.2001.00325.x"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.70061"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12890-022-02146-0"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2869.2007.00599.x"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-2391(98)90459-1"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/14.6.540"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.6506"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.2319\/083112-700.1"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijcp.15004"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00408\u2010021\u201000426\u2010w"},{"key":"e_1_2_12_44_1","first-page":"1","article-title":"Hyoid Bone Position and Upper Airway Morphology of Children With Obstructive Sleep Apnea: A Systematic Review and Meta\u2010Analysis","author":"Li Y.","year":"2024","journal-title":"Orthodontics & Craniofacial Research"},{"key":"e_1_2_12_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2018.03.009"},{"key":"e_1_2_12_46_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100108746"},{"key":"e_1_2_12_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2022.09.009"},{"key":"e_1_2_12_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2016.01.007"},{"key":"e_1_2_12_49_1","article-title":"Cephalometric Measurements of Upper Airway at Upright and Supine Posture in Adult OSAS Patients","author":"Ng C. H.","year":"2025","journal-title":"European Journal of Dentistry"},{"key":"e_1_2_12_50_1","doi-asserted-by":"publisher","DOI":"10.3389\/fdmed.2021.672936"},{"key":"e_1_2_12_51_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-5406(94)70021-4"},{"key":"e_1_2_12_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.recesp.2021.06.016"},{"key":"e_1_2_12_53_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0036-1584295"},{"key":"e_1_2_12_54_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016357.2016.1252851"},{"key":"e_1_2_12_55_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00056-002-0057-x"},{"key":"e_1_2_12_56_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2019.09.001"},{"key":"e_1_2_12_57_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000007011"},{"key":"e_1_2_12_58_1","doi-asserted-by":"publisher","DOI":"10.1152\/japplphysiol.00657.2024"},{"key":"e_1_2_12_59_1","doi-asserted-by":"publisher","DOI":"10.3389\/fphys.2022.1089606"},{"issue":"1","key":"e_1_2_12_60_1","first-page":"25","article-title":"Cephalometric Norms for the Upper Airway in a Healthy Hong Kong Chinese Population","volume":"9","author":"Samman N.","year":"2003","journal-title":"Hong Kong Medical Journal"},{"issue":"5","key":"e_1_2_12_61_1","first-page":"355","article-title":"Diagnosis and Treatment of Obstructive Sleep Apnea in Adults","volume":"94","author":"Semelka M.","year":"2016","journal-title":"AFP"},{"key":"e_1_2_12_62_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.161.2.9810091"},{"issue":"9","key":"e_1_2_12_63_1","article-title":"Anatomical Basis of Obstructive Sleep Apnoea: A Review of Randomized Controlled Trials","volume":"15","author":"Shrikrishna B. H.","year":"2023","journal-title":"Cureus"},{"key":"e_1_2_12_64_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjorl.2013.11.001"},{"key":"e_1_2_12_65_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2002-34313"},{"key":"e_1_2_12_66_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjorl.2022.10.054"},{"key":"e_1_2_12_67_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2019.03.015"},{"issue":"9","key":"e_1_2_12_68_1","article-title":"The Link Between Obstructive Sleep Apnea Syndrome and Cephalometric Assessment of Upper Airways and Hyoid Bone Position","volume":"58","author":"Tanellari O.","year":"2022","journal-title":"Medicus"},{"key":"e_1_2_12_69_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/17.1.57"},{"key":"e_1_2_12_70_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.13616"},{"key":"e_1_2_12_71_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12666"},{"key":"e_1_2_12_72_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0034-5687(01)00324-3"},{"key":"e_1_2_12_73_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm\/144.4.845"}],"container-title":["Journal of Sleep Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jsr.70291","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jsr.70291","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jsr.70291","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T03:35:11Z","timestamp":1783913711000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jsr.70291"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,28]]},"references-count":72,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1111\/jsr.70291"],"URL":"https:\/\/doi.org\/10.1111\/jsr.70291","archive":["Portico"],"relation":{},"ISSN":["0962-1105","1365-2869"],"issn-type":[{"value":"0962-1105","type":"print"},{"value":"1365-2869","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,28]]},"assertion":[{"value":"2025-07-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70291"}}