Endoscopic classification of pharyngeal stenosis pattern in obstructive sleep apnea hypopnea syndrome

被引：12

作者：

Higami, S

Inoue, Y

Higami, Y

Takeuchi, H

Ikoma, H

机构：

[1] Tottori Univ, Fac Med, Dept Otorhinolaryngol, Tottori 6830826, Japan

[2] Juntendo Univ, Sch Med, Dept Psychiat, Tokyo 113, Japan

[3] Matsue Red Cross Hosp, Dept Otorhinolaryngol, Shimane, Japan

来源：

PSYCHIATRY AND CLINICAL NEUROSCIENCES | 2002年 / 56卷 / 03期

关键词：

endoscope; hypertrophy of tonsils; obstructive sleep apnea-hypopnea syndrome; pharynx; tonsillectomy; uvulo-palato-pharyngo-plasty;

D O I：

10.1046/j.1440-1819.2002.00960.x

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Twenty-one patients with obstructive sleep apnea-hypopnea syndrome (OSAHS) were classified into three categories according to their pharyngeal stenosis patterns during sleep, as determined from endoscopic findings: (i) a falling type (n = 6); (ii) an all-round type (n = 11); and (iii) a bilateral type (n = 4). In all patients with the bilateral type, the palatine tonsils were hypertrophied, and the apnea-hypopnea indexes (AHI) were improved markedly by surgery. Conversely, the AHI of patients with the falling and all-round types were reduced by a smaller percentage. Surgical therapy is only to be recommended to patients with OSAHS whose pharynx is bilaterally stenotic.

引用

页码：317 / 318

页数：2