Keywords
obstructive
endoscopy
polysomnography
sleep apnea syndromes
How to Cite
Abstract
Introduction: Flexible endoscopy of the upper airway (FEUA) is an important tool for the diagnosis of obstructive sleep apnea (OSA). The objective of this study was to find correlation between the results of the FEUA and the polysomnogram for the diagnosis OSA.
Methods: 141 patients underwent a polysomnogram and a FEUA. The result of these two test where compared. Results: We found positive association between the presence of snoring, the size of the uvula and the Müller maneuver in patients with OSA. There was no correlation between the results of the FEUA and the polysomnogram in OSA.
Conclusions: These findings are similar to those of other authors and support the fact that even though FEUA cannot be the only diagnosis method for OSA, it is vital for the identification of obstruction of the upper airway that can be managed by the otolaryngologist.
Friedman M. Apnea del sueño y roncopatía: tratamiento médico y quirúrgico. Barcelona: Elsevier; 2009.
Dreher A, de la Chaux R, Klemens C, Werner R, Baker F, Barthlen G, Rasp G. Correlation between otorhinolaryngologic evaluation and severity of obstructive sleep apnea syndrome in snorers. Arch Otolaryngol Head Neck Surg. 2005;13(1):661-7.
Huo H, Li W, Tian X, Xu C, Wang J, Yang D. Endoscopic upper airway evaluation in obstructive sleep apnea: Mueller’s maneuver versus simulation of snoring. Sleep Breath. Nov 5 2014
Tangeri H, Murat Serin G, Polat S, Aksoy E, Cuhadaroglu C. Quantification of retropalatal region in obstructive sleep apnea. J Craniofac Surg. 2012;23:1410-3.
Wu M, Ho CY, Tsai HH, Huang HM, Lee PL, Tan CT. Retropalatal Müller grade is associated with the severity of obstructive sleep apnea in non-obese Asian patients. Sleep Breath. 2011;15:799-807.
Sher AE, Thorpy MJ, Shprintzen RJ, et al. Predictive value of Muller maneuver in selection of patients for uvulopalatopharyngoplasty. Laryngoscope. 1985;95:1483- 7.
Katsantonis GP, Maas CS, Walsh JK. The predictive efficacy of the Muller maneuver in uvulopalatopharyngoplasty. Laryngoscope. 1989;99:677-80.
Soares D, Folbe AJ, Yoo G, Badr MS, Rowley JA, Lin HS. Drug-induced sleep endoscopy vs awake Müller’s maneuver in the diagnosis of severe upper airway obstruction. Otolaryngol Head Neck Surg. 2013 Jan;148(1):151-6.
Kezirian E. Nonresponders to Pharyngeal surgery for obstructive sleep apnea: Insights from drug-induced sleep endoscopy. Laryngoscope. 2011; 121.
Woodson BT. Structural effectiveness of pharyngeal sleep apnea surgery. Sleep Med Rev. 2008;12:463-79.
Martin S, Marshall I, Douglas NJ. The effect of posture on airway caliber with the sleep-apnea/hypopnea syndrome. Am J Respir Crit Care Med. 1995;152:721-4.
Li KK. Surgical therapy for adult obstructive sleep apnea. Sleep Med Rev. 2005;9:201-9.
Friedman M, Tanyeri H, Lim J, Landsberg R, Vaidyanathan K, Caldarelli D. Effect of improved nasal breathing on obstructive sleep apnea. Otolaryngol Head Neck Surg January. 2000;122(1):71-4.
Friedman M, Tanyeri H, De la Rosa M, Landsberg R, Vaidyanathan K, Pieri S, Caldarelli D. Clinical predictors of obstructive sleep apnea. Laryngoscope. 1999;109.
Kezirian E, Hohenhorst W, de Vries N. Drug-induced sleep endoscopy: the VOTE classification. Eur Arch Otorhinolaryngol. 2011;268:1233-6.
Terris DJ, Hanasono MM, Liu YC. Reliability of the Muller maneuver and its association with sleep-disordered breathing. Laryngoscope. 2000;110(11):1819-23.
Sher AE, Thorpy MJ, Shprintzen RJ, Spielmann AJ, Burack B, McGregor PA. Predictive value of Müller maneuver in selection of patients for uvulopalatopharyngoplasty. Laryngoscope. 1985;95:1483-7.
Woodson BT, Naganuma H. Comparison of methods of airway evaluation in obstructive sleep apnea syndrome. Otolaryngol Head Neck Surg. 1999 Apr;120(4):460-3.
Olson E, Moore W, Morgenthaler T, Gay P, Staats B. Obstructive sleep apneahypopnea syndrome. Mayo Clin Proc. 2003;78:1545-52.
This journal is registered under a Creative Commons Attribution 4.0 International Public License. Thus, this work may be reproduced, distributed, and publicly shared in digital format, as long as the names of the authors and Pontificia Universidad Javeriana are acknowledged. Others are allowed to quote, adapt, transform, auto-archive, republish, and create based on this material, for any purpose (even commercial ones), provided the authorship is duly acknowledged, a link to the original work is provided, and it is specified if changes have been made. Pontificia Universidad Javeriana does not hold the rights of published works and the authors are solely responsible for the contents of their works; they keep the moral, intellectual, privacy, and publicity rights.
Approving the intervention of the work (review, copy-editing, translation, layout) and the following outreach, are granted through an use license and not through an assignment of rights. This means the journal and Pontificia Universidad Javeriana cannot be held responsible for any ethical malpractice by the authors. As a consequence of the protection granted by the use license, the journal is not required to publish recantations or modify information already published, unless the errata stems from the editorial management process. Publishing contents in this journal does not generate royalties for contributors.