Clin Exp Otorhinolaryngol.  2016 Dec;9(4):346-351. 10.21053/ceo.2015.01984.

Upper Airway Variation and Frequent Alcohol Consumption Can Affect Compliance With Continuous Positive Airway Pressure

• Jeong JI
• Kim HY
• Hong SD
• Ryu G
• Kim SJ
• Lee KE
• Dhong HJ
• Chung SK

• KMID: 2360766
• DOI: http://doi.org/10.21053/ceo.2015.01984

Abstract

OBJECTIVES
Compliance with continuous positive airway pressure (CPAP) treatment remains a primary concern for improving treatment outcomes of obstructive sleep apnea. There are few studies that have considered the role of upper airway anatomy on the compliance with CPAP. We hypothesized that upper airway anatomy would influence the compliance with CPAP.
METHODS
One hundred out of 161 consecutive patients were enrolled in this study. The following possible determinants were tested against CPAP use: demographic and anthropometric data, minimal cross-sectional area on acoustic rhinometry, cephalometric and polysomnographic data, questionnaires of Epworth sleepiness scale and Beck depression index, and histories of previous upper airway surgery, degree of nasal obstruction, daily cigarette consumption, and weekly frequency of alcohol intake.
RESULTS
Univariate analysis showed that histories of previous upper airway surgery and less frequent alcohol consumption, and longer mandibular plane-hyoid length (MP-H) on cephalometry were associated with longer average daily CPAP use. After adjustment for the confounding factors with multiple linear regression analysis, alcohol consumption and MP-H were still associated with the compliance with CPAP significantly.
CONCLUSION
To improve compliance with CPAP, careful evaluations of upper airway problems and life style are important before initiating CPAP.

Keyword

Obstructive Sleep Apnea; Continuous Positive Airway Pressure; Alcohol Drinking; Cephalometry

MeSH Terms

Alcohol Drinking*
Cephalometry
Compliance*
Continuous Positive Airway Pressure*
Depression
Humans
Life Style
Linear Models
Nasal Obstruction
Rhinometry, Acoustic
Sleep Apnea, Obstructive
Tobacco Products

Figure

• 

  Fig. 1. Cephalometric parameters for obstructive sleep apnea syndrome. PL, palatal length; MP, mandibular plane; PAS, posterior airway space; H, hyoid bone; Go, gonion; Gn, gnathion; PNS, posterior nasal spine; U, uvula.

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