The relationship between passive rhinomanometry measurements in sitting and supine position and obstructive sleep apnea syndrome

Yıl 2016, Cilt: 26 Sayı: 1, 12 - 18, 07.02.2016

Suat Avcı Hüseyin Lakadamyalı Fuat Büyüklü Leyla Kansu Füsun Öner Eyüpoğlu Ersin Öğüş

Öz

Objectives: This study aims to investigate the possible relationship between passive rhinomanometry measurements in sitting and supine position and obstructive sleep apnea syndrome. Patients and Methods: Between January 2011 and December 2013, 88 male patients mean age 46.8 years; range 18 to 79 years underwent passive rhinomanometry in sitting and supine position following history, physical examination and fiberoptic endoscopic examination. 1.5 lt/sn air flow was pumped into the nose of each patient via a silicone nasal mask. Meanwhile, flow and pressure values were measured. Results: There was no correlation between the resistance values and apnea hypopnea index AHI scores and polysomnography and physical examination parameters p>0.05 . The differential resistance was correlated with AHI r=0.325, p<0.05 , body mass index r=0.324, p<0.05 , neck circumference r=0.421, p<0.01 , waist circumference r=0.444, p<0.01 , modified Mallampati score r=0.356, p<0.05 , and retropalatal grade r=0.438, p<0.01 . Conclusion: The correlation between the differential resistance and physical examination parameters and AHI scores support the hypothesis that position-related retropalatal segment alterations can be measured by passive rhinomanometry while awake.

Anahtar Kelimeler

Obstructive sleep apnea, passive rhinomanometry, retropalatal segment resistance

Oturur ve sırtüstü pozisyonda pasif rinomanometri ölçümleri ve tıkayıcı uyku apne sendromu ile ilişkisi

Öz

Amaç: Bu çalışmada oturur ve sırtüstü pozisyonda pasif rinomanometri ölçümleri ile tıkayıcı uyku apne sendromu arasındaki muhtemel ilişki araştırıldı.Hastalar ve Yöntemler: Ocak 2011 - Aralık 2013 tarihleri arasında 88 erkek hastaya ort. yaş 46.8 yıl; dağılım 18-79 yıl öykü, fizik muayene ve fiberoptik muayeneyi takiben oturur ve sırtüstü pozisyonda pasif rinomanometri uygulandı. Her hastanın burnuna silikon bir nazal maske aracılığı ile 1.5 lt/sn hava akımı verildi. Bu sırada oluşan akım ve basınç değerleri ölçüldü.Bulgular: Direnç değerleri ve apne hipopne indeksi AHİ skorları ile polisomnografi ve fizik muayene parametreleri arasında ilişki bulunmadı p>0.05 . Diferansiyel direnç ile AHİ r=0.325, p

Anahtar Kelimeler

Tıkayıcı uyku apnesi, pasif rinomanometri, retropalatal segment direnci

Kaynakça

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