Morphological examination of upper airway in obstructive sleep apnea

被引：36

作者：

Yagi, Hidehito ^{[1
,2
]}

Nakata, Seiichi ^{[1
]}

Tsuge, Hayato ^{[2
]}

Yasuma, Fumihiko ^{[3
]}

Noda, Akiko ^{[4
]}

Morinaga, Mami ^{[1
]}

Tagaya, Mitsuhiko ^{[1
]}

Nakashima, Tsutomu ^{[1
]}

机构：

[1] Nagoya Univ, Grad Sch Med, Dept Otorhinolaryngol, Showa Ku, Aichi 4668550, Japan

[2] Inazawa City Hosp, Aichi 4928510, Japan

[3] Suzuka Hosp, Natl Hosp Org, Dept Med, Suzuka, Mie 5138501, Japan

[4] Nagoya Univ, Grad Sch Med, Dept Hlth Sci, Higashi Ku, Aichi 4618673, Japan

来源：

AURIS NASUS LARYNX | 2009年 / 36卷 / 04期

关键词：

Morphology; Obstructive sleep apnea syndrome; Otorhinolaryngologist; Physical examination; Upper airway; NASAL OBSTRUCTION; PHYSICAL FINDINGS; MALLAMPATI SCORE; RISK; PREDICTORS; SEVERITY;

D O I：

10.1016/j.anl.2008.11.003

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Objectives: An aim of this study was to assess the predictive power of an otorhinolaryngological examination of the upper airway to identify risk factors of obstructive sleep apnea syndrome (OSAS) in the patients. Methods: We examined 141 consecutive patients with OSAS. The morphological features were assessed by the designated otorhinolaryngologist while the subjects were sitting relaxedly with tidal breathing. The bilateral nasal resistance was measured using the active anterior rhinomanometry during daytime wakefulness. Results: The body mass index (BMI), fauces's narrowness, neck circumference, lowest oxygen saturation, tonsil size and modified Mallampati grade (MMP) showed the statistically significant correlations with the apnea-hypopnea index (AHI) of an index of apnoeseverity, however, the age, Epworth sleepiness scale (ESS), nasal resistance and retroglossal space were not significantly associated with the AHI. Conclusions: The upper airway morphology significantly associated with AHI are fauces's narrowness, tonsil size, and MMP, but not nasal resistance and retroglossal space. (C) 2008 Elsevier Ireland Ltd. All rights reserved.

引用

页码：444 / 449

页数：6

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