Cephalometric analysis has earned a vital role in the evaluation of ob
structive sleep apnea. However, the normal measurements cited in the l
iterature are not sex or race specific. Skeletal differences in sexes
and races have been established. This study was initiated to examine w
hether race and sex variations in soft tissue and skeletal measurement
s exist in cephalometric analysis. A total of 89 volunteers of differe
nt race and sex participated in this study, The data support the hypot
hesis that there are statistically significant differences in (1) sell
a-nasion-subspinale angle (SNA) between black men, and both Caucasian
and Hispanic men, (2) sella-nasion-supramentale angle (SNB) between bl
ack men and Caucasian men, (3) posterior airway space between Caucasia
n men and women, and (4) mandibular plane to hyoid distance between Ca
ucasian men and women. These data suggest that only SNA and SNB need r
acial specificity, Furthermore, Caucasian women need a separate set of
normal values from men, specifically posterior airway space and mandi
bular plane to hyoid bone.