The Relationship Between Modified Mallampati Score, Muller's Maneuver and Drug-Induced Sleep Endoscopy Regarding Retrolingual Obstruction

被引：25
作者：
Wang, Wei-Min [1 ,2 ]
Hsu, Yen-Bin [3 ,4 ]
Lan, Ming-Ying [3 ,4 ]
Yang, Mei-Chen [2 ,5 ]
Huang, Tung-Tsun [1 ,2 ]
Liu, Chia-Jung [6 ]
Lan, Ming-Chin [1 ,2 ]
机构：
[1] Taipei Tzu Chi Hosp, Buddhist Tzu Chi Med Fdn, Dept Otolaryngol Head & Neck Surg, New Taipei, Taiwan
[2] Tzu Chi Univ, Sch Med, 289 Jianguo Rd, Hualien 23142, Taiwan
[3] Taipei Vet Gen Hosp, Dept Otolaryngol Head & Neck Surg, Taipei, Taiwan
[4] Natl Yang Ming Univ, Sch Med, Taipei, Taiwan
[5] Taipei Tzu Chi Hosp, Buddhist Tzu Chi Med Fdn, Dept Internal Med, Div Pulm Med, New Taipei, Taiwan
[6] Natl Taiwan Univ, Coll Med, Natl Taiwan Univ Hosp, Dept Internal Med, Taipei, Taiwan
来源：
ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY | 2018年 / 127卷 / 07期
关键词：
obstructive sleep apnea; Muller's maneuver; drug-induced sleep endoscopy; modified Mallampati score; retrolingual obstruction; UPPER AIRWAY ANESTHESIA; APNEA-HYPOPNEA SYNDROME; RELIABILITY; AWAKE; CLASSIFICATION; ASSOCIATION; SEVERITY; EFFICACY; POSITION; ADULTS;
D O I：
10.1177/0003489418778302
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Objectives: This study explored the correlation between clinical explorations, including modified Mallampati score and Muller's maneuver, with drug-induced sleep endoscopy (DISE) findings regarding retrolingual obstruction. Methods: One hundred forty-two obstructive sleep apnea patients were enrolled in this prospective study. All of the patients received clinical explorations including modified Mallampati scoring and Muller's maneuver in the clinic. Drug-induced sleep endoscopy was further evaluated in the operating room. Results: A significant relationship was noted between modified Mallampati score and retrolingual obstruction during DISE. In contrast, no significant relationship was noted between Muller's maneuver and DISE findings regarding retrolingual obstruction. Conclusions: A significant discrepancy existed between retrolingual airway collapse evaluated by modified Mallampati score and Muller's maneuver. Modified Mallampati score is more correlated with DISE regarding retrolingual obstruction compared to Muller's maneuver. It should therefore be used as an initial evaluation of retrolingual obstruction when DISE is unavailable.
引用
收藏
页码：463 / 469
页数：7
相关论文
共 28 条
[1]   The role of drug-induced sleep endoscopy in surgical planning for obstructive sleep apnea syndrome [J].
Aktas, Ozturk ;
Erdur, Omer ;
Cirik, Ahmet Adnan ;
Kayhan, Fatma Tulin .
EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, 2015, 272 (08) :2039-2043
[2]   Topical lidocaine through the bronchoscope reduces cough rate during bronchoscopy [J].
Antoniades, Nick ;
Worsnop, Christopher .
RESPIROLOGY, 2009, 14 (06) :873-876
[3]   Upper airway anesthesia reduces phasic genioglossus activity during sleep apnea [J].
Berry, RB ;
McNellis, MI ;
Kouchi, K ;
Light, RW .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1997, 156 (01) :127-132
[4]   EFFECT OF UPPER AIRWAY ANESTHESIA ON OBSTRUCTIVE SLEEP-APNEA [J].
BERRY, RB ;
KOUCHI, KG ;
BOWER, JL ;
LIGHT, RW .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1995, 151 (06) :1857-1861
[5]   Rules for Scoring Respiratory Events in Sleep: Update of the 2007 AASM Manual for the Scoring of Sleep and Associated Events [J].
Berry, Richard B. ;
Budhiraja, Rohit ;
Gottlieb, Daniel J. ;
Gozal, David ;
Iber, Conrad ;
Kapur, Vishesh K. ;
Marcus, Carole L. ;
Mehra, Reena ;
Parthasarathy, Sairam ;
Quan, Stuart F. ;
Redline, Susan ;
Strohl, Kingman P. ;
Ward, Sally L. Davidson ;
Tangredi, Michelle M. .
JOURNAL OF CLINICAL SLEEP MEDICINE, 2012, 8 (05) :597-619
[6]   Awake versus drug-induced sleep endoscopy: Evaluation of airway obstruction in obstructive sleep apnea/hypopnoea syndrome [J].
Cavaliere, Matteo ;
Russo, Federico ;
Iemma, Maurizio .
LARYNGOSCOPE, 2013, 123 (09) :2315-2318
[7]   European position paper on drug-induced sedation endoscopy (DISE) [J].
De Vito, Andrea ;
Carrasco Llatas, Marina ;
Vanni, Agnoletti ;
Bosi, Marcello ;
Braghiroli, Alberto ;
Campanini, Aldo ;
de Vries, Nico ;
Hamans, Evert ;
Hohenhorst, Winfried ;
Kotecha, Bhik T. ;
Maurer, Joachim ;
Montevecchi, Filippo ;
Piccin, Ottavio ;
Sorrenti, Giovanni ;
Vanderveken, Olivier M. ;
Vicini, Claudio .
SLEEP AND BREATHING, 2014, 18 (03) :453-465
[8]  
DEEGAN PC, 1995, AM J RESP CRIT CARE, V151, P1108
[9]   Sleep endoscopy versus modified mallampati score in sleep apnea and snoring [J].
den Herder, C ;
van Tinteren, H ;
de Vries, N .
LARYNGOSCOPE, 2005, 115 (04) :735-739
[10]   Surgical Planning After Sleep Versus Awake Techniques in Patients With Obstructive Sleep Apnea [J].
Fernandez-Julian, Enrique ;
Angel Garcia-Perez, Miguel ;
Garcia-Callejo, Javier ;
Ferrer, Felipe ;
Marti, Francisco ;
Marco, Jaime .
LARYNGOSCOPE, 2014, 124 (08) :1970-1974
123