Obstructive sleep apnea and head and neck neoplasms
Objective
To elaborate the relationship between obstructive sleep apnea (OSA) and head and neck neoplasms (HNN).
Study design and setting
A systematic review of the MEDLINE literature.
Results
Thirty of 34 articles indexed under OSA and HNN were about neoplasms that presented first as OSA. Four of the articles were about treatment of HNN causing OSA and gave incidences varying from 8% to 92%. Quality of life surveys confirm that patients with malignant HNN have sleep problems. Xerostomia may contribute to these sleep problems, and the role of salivary mucins deserves consideration.
Conclusions
This review of the literature raises several new research questions about the clinical and biological relationships between OSA and HNN.
Department of Information Systems, University of Maryland, Baltimore County, MD
Reprint requests: Roy Rada, MD, PhD, Department of Information Systems, 1000 Hilltop Circle, UMBC, Baltimore, MD 21250
ABSTRACT