Summary Table III.
Evolutionary anatomic changes associated with OSA
Short maxilla and mandible |
Short ethmoid and palate |
Smaller teeth |
Anterior foramen magnum |
Acute cranial base angulation |
Oropharyngeal tongue |
Descended larynx |
Shortened soft palate |
Loss of epiglottic – soft palate lock up
Narrow, distensible supralaryngeal vocal tract (SVT)
1:1 ratio of SVTH: SVTv