Pharyngeal Fascia and its Relationship with Obstructive Sleep Apnea
Kalpana AP1 and Kannabiran B2*
1Professor, KMCH College of Physiotherapy Affiliated to the Tamilnadu Dr. MGR
Medical University, India
2Professor, RVS College of Physiotherapy Affiliated to the Tamilnadu Dr. MGR Medical University, India
*Corresponding Author: Kannabiran B, Professor, RVS College of Physiotherapy
Affiliated to the Tamilnadu Dr. MGR Medical University, India.
Received:
October 19, 2023; Published: October 24, 2023
Abstract
Obstructive Sleep apnea is a highly prevalent sleep disorder among various sleep disorders. Various anatomical, physiological, and mechanical factors contribute to the reduction in patency of upper airways during sleep. Pharyngeal muscles play a significant role in preventing the collapsibility of upper airways. The pharyngobasilar fascia is a part of the middle layer of deep cervical fascia that surrounds the pharynx, along with the buccopharyngeal fascia. This study aimed to identify whether there is any relationship between pharyngeal fascia and obstructive sleep apnea. Articles relevant to pharyngeal fascia and sleep apnea were searched in Pubmed, Scopus and Google Scholar using the search terms pharyngeal fascia and sleep apnea. Based on the reviews, it is known that pharyngeal airway closure during sleep in patients with obstructive sleep apnea is generally felt to be due to the state-related loss of motor output to skeletal muscles surrounding the pharynx that dilate and stiffen this potentially collapsible upper airway segment and case series study concluded that the application of focused manipulation to the anterior fasciae, coupled with treatment of cranial connections, may improve the airway dynamics thereby reducing the severity of sleep-related conditions. A decrease in the quality of sleep which is a common symptom of Obstructive Sleep Apnea may also affect fascial function. From this it may be concluded that there is a significant relationship exists between the fascia and Obstructive Sleep Apnea and further studies are needed in this area.
Keywords: Pharyngeal Fascia; Obstructive Sleep; Apnea
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