Published Feb 4, 2015



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Juan Camilo Ospina García

Irene Camila Pérez García

Sebastián Barragán

Patricia Hidalgo M.

Martín Rondón

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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.

Keywords

sleep apnea, obstructive, endoscopy, polysomnography, sleep apnea syndromesapnea, endoscopia, polisomnografía, trastornos del sueño

References
1. Friedman M. Apnea del sueño y roncopatía: tratamiento médico y quirúrgico. Barcelona: Elsevier; 2009.
2. 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.
3. 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
4. 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.
5. 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.
6. Sher AE, Thorpy MJ, Shprintzen RJ, et al. Predictive value of Muller maneuver in selection of patients for uvulopalatopharyngoplasty. Laryngoscope. 1985;95:1483- 7.
7. Katsantonis GP, Maas CS, Walsh JK. The predictive efficacy of the Muller maneuver in uvulopalatopharyngoplasty. Laryngoscope. 1989;99:677-80.
8. 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.
9. Kezirian E. Nonresponders to Pharyngeal surgery for obstructive sleep apnea: Insights from drug-induced sleep endoscopy. Laryngoscope. 2011; 121.
10. Woodson BT. Structural effectiveness of pharyngeal sleep apnea surgery. Sleep Med Rev. 2008;12:463-79.
11. 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.
12. Li KK. Surgical therapy for adult obstructive sleep apnea. Sleep Med Rev. 2005;9:201-9.
13. 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.
14. 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.
15. Kezirian E, Hohenhorst W, de Vries N. Drug-induced sleep endoscopy: the VOTE classification. Eur Arch Otorhinolaryngol. 2011;268:1233-6.
16. Terris DJ, Hanasono MM, Liu YC. Reliability of the Muller maneuver and its association with sleep-disordered breathing. Laryngoscope. 2000;110(11):1819-23.
17. 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.
18. 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.
19. Olson E, Moore W, Morgenthaler T, Gay P, Staats B. Obstructive sleep apneahypopnea syndrome. Mayo Clin Proc. 2003;78:1545-52.
How to Cite
Ospina García, J. C., Pérez García, I. C., Barragán, S., Hidalgo M., P., & Rondón, M. (2015). Test Correlation between the Results of Fiberoptic Laryngoscopy and Polysomnography in the Diagnosis of Obstructive Sleep Apnea. Universitas Medica, 56(4), 422–438. https://doi.org/10.11144/Javeriana.umed56-4.chnr
Section
Original Articles

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