The relationship between upper airway collapse and the severity of obstructive sleep apnea syndrome: a chart review

Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale
Russell N SchwartzCamille Vallée-Gravel

Abstract

We sought to determine the ability of the endoscopic Mueller maneuver (MM) to predict the severity of OSAS based on upper airway (UA) collapse. This chart review retrospectively analyzed the results of endoscopic Mueller maneuvers examining the UA on 506 patients suspected of having OSAS. There were 3 areas of UA collapse that were evaluated: velopharynx (VP), base of tongue (BOT), and lateral pharyngeal walls (LPW). A sleep study was done after the examination to assess the severity of OSAS based on the apnea-hypopnea index (AHI). A total of 506 patients met criteria for OSAS, with 194 mild cases (5 ≤ AHI < 15), 163 moderate cases (15 ≤ AHI < 30) and 149 severe cases (30 ≤ AHI). At the VP, 30 patients had minimal collapse (mean AHI = 17); 41 patients had moderate VP collapse (mean AHI = 25); 392 patients had severe VP collapse (mean AHI = 27). At the BOT, 144 patients had minimal collapse (mean AHI = 19); 187 patients had moderate BOT collapse (mean AHI = 24); 175 patients had severe BOT collapse (mean AHI = 33). At the LPW, 158 patients had minimal collapse (mean AHI = 20); 109 patients had moderate LPW collapse (mean AHI = 25); 120 patients had severe LPW collapse (mean AHI =33). The correlations found between VP collapse, B...Continue Reading

References

Dec 11, 1999·The Laryngoscope·M FriedmanD Caldarelli
Feb 23, 2005·Archives of Otolaryngology--head & Neck Surgery·Alfred DreherGerd Rasp
Oct 16, 2012·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Richard B BerryUNKNOWN American Academy of Sleep Medicine
Apr 17, 2013·American Journal of Epidemiology·Paul E PeppardKhin Mae Hla
May 14, 2014·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Rauf Oguzhan KumAdnan Unal
Jun 13, 2014·Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale·Maleka RamjiHamdy El-Hakim

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Citations

Oct 5, 2016·Respirology : Official Journal of the Asian Pacific Society of Respirology·Bradley A EdwardsAmy S Jordan
Sep 9, 2018·The Laryngoscope·Chen ZhaoRobson Capasso
Apr 2, 2019·Acta otorhinolaryngologica Italica : organo ufficiale della Società italiana di otorinolaringologia e chirurgia cervico-facciale·G MagliuloC Vicini
Nov 11, 2019·Journal of Vestibular Research : Equilibrium & Orientation·Alessandro MicarelliMarco Alessandrini
Dec 16, 2020·Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale·Ming-Chin LanYen-Bin Hsu
Oct 5, 2021·Cranio : the Journal of Craniomandibular Practice·Francesca ZalunardoAlberto De Stefani

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