Journal of Applied Physiology
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J Appl Physiol 85: 1884-1897, 1998;
8750-7587/98 $5.00
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Vol. 85, Issue 5, 1884-1897, November 1998

MRI study of regional variations of pharyngeal wall compliance in cats

Michael J. Brennick1, Malcolm D. Ogilvie1, Susan S. Margulies2, Luke Hiller2, Warren B. Gefter3
Allan I. Pack1,4
(With the Technical Assistance of Ed Jensen)

1 Center for Sleep and Respiratory Neurobiology, University of Pennsylvania Medical Center, 2 Department of Bioengineering, University of Pennsylvania, 3 Thoracic Imaging, Department of Radiology, Hospital of the University of Pennsylvania, and 4 Pulmonary and Critical Care Division, Department of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104

Upper airway compliance indicates the potential of the airway to collapse and is relevant to the pathogenesis of obstructive sleep apnea. We hypothesized that compliance would vary over the rostral-to-caudal extent of the pharyngeal airway. In a paralyzed isolated upper airway preparation in cats, we controlled static upper airway pressure during magnetic resonance imaging (MRI, 0.391-mm resolution). We measured cross-sectional area and anteroposterior and lateral dimensions from three-dimensional reconstructed MRIs in axial slices orthogonal to the airway centerline. High-retropalatal (HRP), midretropalatal (MRP), and hypopharyngeal (HYP) regions were defined. Regional compliance was significantly increased from rostral to caudal regions as follows: HRP < MRP < HYP (P < 0.0001), and compliance differences among regions were directly related to collapsibility. Thus our findings in the isolated upper airway of the cat support the hypothesis that regional differences in pharyngeal compliance exist and suggest that baseline regional variations in compliance and collapsibility may be an important factor in the pathogenesis and treatment of obstructive sleep apnea.

upper airway; obstructive sleep apnea; magnetic resonance imaging; collapsibility


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