Which head and neck exam findings are characteristic of sleep dysfunction in women?

Updated: Jan 31, 2019
  • Author: Gila Hertz, PhD, ABSM; Chief Editor: Selim R Benbadis, MD  more...
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Answer

Inspection of the head can direct the clinician to further evaluation for hyperthyroidism when exophthalmos is noted and evaluation for OSA when micrognathia or midfacial abnormalities are noted. Deviation of the nasal septum may also be associated with OSA.

Myopathic facies is another example that suggests further evaluation for sleep-related breathing disorder, as are findings consistent with atopic disease. Large neck size associated with obesity is predictive of increased risk of OSA; however, a thorough examination of the neck is also indicated to evaluate for tumors.


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