Otorhinolaryngologic examination in obstructive sleep apnea syndrome: the correlation between the severity of sleep disorder and physical examination

Year 2009, Volume: 19 Issue: 5, 246 - 252, 23.10.2009

Baran Acar Mehmet Ali Babademez Hayriye Karabulut Bülent Çiftçi Emre Günbey Rıza Murat Karaşen

Abstract

Objectives: The aim of this study was to compare nasopharyngeal examination findings with those of polysomnography, which is considered to be the gold standard, in positional and nonpositional obstructive sleep apnea syndrome OSAS patients. Patients and Methods: The study included 374 patients 215 males, 159 females; mean age 44.9 years; range 11 to 77 years presenting with OSAS or simple snoring. Patients underwent polysomnography recordings and otorhinolaryngologic examination including fiberoptic nasopharyngoscopy with the Müller maneuver. The correlation of the data scoredwith the polysomnographic findings and body mass index BMI was investigated. The findings were assessed using the Mann Whitney U-test anatomic findings and Student t-test Müller maneuver . Results: Body mass index was correlated with apnea-hypopnea index AHI , AHI-Lateral AHI-supine, the grade of the tongue base and neck circumference p<0.05 . In general, the dominant level of obstruction was at the soft palate level in patients with severe OSAS. There was a positive correlation between the grade of lateral obstruction at the soft palate level and AHI and AHI-lateral p=0.01, p=0.02, respectively . The grade of anteroposterior obstruction at the tongue base level had a significant correlation with AHI- total and AHIsupine p<0.05 . The grade of the tonsillar hypertrophy revealed significant correlation with AHI-total and AHI-supine p<0.05 . There was no significant correlation between the degree of the nasal septal deviation and AHI p>0.05 . Conclusion: When upper airway obstruction is evaluated, AHI and positional AHI values should be used separately.

Keywords

Müller maneuver, polysomnography, sleep apnea, sleep position

Tıkayıcı uyku apne sendromunda kulak burun boğaz muayenesi: Uyku bozukluğunun şiddeti ve fiziki muayene arasındaki ilişki

Abstract

Amaç: Bu çalışmada pozisyonel ve pozisyonel olmayan tıkayıcı uyku apne sendromlu TUAS hastalar için altın standart olarak kabul edilen polisomnografi ve nazofarengeal muayene bulguları karşılaştırıldı.Hastalar ve Yöntemler: Bu çalışmaya TUAS veya basit horlama tanılı 374 hasta 215 erkek, 159 kadın; ort. yaş 44.9 yıl; dağılım 11-77 yıl dahil edildi. Polisomnografi kayıtları alınan hastaların, kulak burun boğaz muayeneleri ile Müller manevrasını da içeren fiberoptik nazofarengoskopik muayeneleri yapıldı. Skorlanan bu verilerin polisomnografi bulguları ve vücut kütle indeksleri VKİ ile ilişkisi araştırıldı. Sonuçlar Mann Whitney U-testi anatomik bulgular ve Student t-testi Müller manevrası kullanılarak değerlendirildi.Bulgular: Vücut kütle indeksleri ile apne hipopne indeksi AHİ , AHİ-lateral, AHİ-supin, dil kökü büyüklüğü ve boyun kalınlığı arasında ilişki bulundu p

Keywords

Müller manevrası, polisomnografi, uyku apnesi, uyku pozisyonu

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