Concentric vs Anteroposterior-Laterolateral Collapse of the Soft Palate in Patients With Obstructive Sleep Apnea

被引：7

作者：

Van de Perck, Eli ^{[1
,2
]}

Heiser, Clemens ^{[3
]}

Vanderveken, Olivier M. ^{[1
,2
,4
]}

机构：

[1] Univ Antwerp, Fac Med & Hlth Sci, Antwerp, Belgium

[2] Antwerp Univ Hosp, Dept Otorhinolaryngol Head & Neck Surg, Drie Eikenstr 655, B-2650 Edegem, Belgium

[3] Tech Univ Munich, Dept Otorhinolaryngol Head & Neck Surg, Klinikum Rechts Isar, Munich, Germany

[4] Antwerp Univ Hosp, Multidisciplinary Sleep Disorders Ctr, Edegem, Belgium

来源：

OTOLARYNGOLOGY-HEAD AND NECK SURGERY | 2022年 / 166卷 / 04期

关键词：

DISE; sleep endoscopy; OSA; phenotype; upper airway collapse; agreement; UPPER AIRWAY STIMULATION; ENDOSCOPY; SELECTION;

D O I：

10.1177/01945998211026844

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

The presence of complete concentric collapse of the soft palate (CCCp) during drug-induced sleep endoscopy (DISE) has important therapeutic consequences. However, CCCp may present in various, sometimes doubtful, ways due to the complex anatomy of the upper airway. Herein, we aimed to characterize these doubtful variants by reviewing the DISE recordings of patients with obstructive sleep apnea (n = 332). We observed in some individuals that the soft palate collapsed in an anteroposterior-laterolateral (AP-LL) way, producing a polygonal shape that was distinct from CCCp. Patients with this collapse pattern (n = 29) had a smaller neck circumference and less severe obstructive sleep apnea than patients with CCCp (n = 68). The majority of patients with AP-LL collapse (n = 19) were originally diagnosed with CCCp. Based on these findings, AP-LL collapse of the soft palate might represent a distinct DISE phenotype that is easily confounded with CCCp.

引用

页码：782 / 785

页数：4

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