Use of Muller's maneuver in the evaluation of patients with sleep apnea: literature review
Autor(a) principal: | |
---|---|
Data de Publicação: | 2009 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://dx.doi.org/10.1590/S1808-86942009000300024 http://repositorio.unifesp.br/handle/11600/5114 |
Resumo: | Sleep apnea-hypopnea syndrome was described twenty years ago, and since then there have been doubts and controversies regarding it. Fiberoptic nasopharyngoscopy with Muller's maneuver, first described by Borowieck and Sassin (1983), is among them. AIM: Careful literature review on Muller's maneuver, regarding whether it can predict the sucess of uvulopalatopharyngoplasty, location of upper airway obstruction and severity of the disorder. DISCUSSION AND LITERATURE REWIEW: Literature has shown that there isn't a consensus about the use of Muller's maneuver. In spite of being technically easy, inexpensive and widely used, it is very unespecific and subjective. CONCLUSION: The importance of Muller's maneuver in evaluating apneic patients has been questioned, because there are controversies whether it can predict the sucess of uvulopalatopharyngoplasty, location of upper airway obstruction and severity of the disease. |
id |
UFSP_d7e7fe5c20185a30a752a2339884572f |
---|---|
oai_identifier_str |
oai:repositorio.unifesp.br/:11600/5114 |
network_acronym_str |
UFSP |
network_name_str |
Repositório Institucional da UNIFESP |
repository_id_str |
3465 |
spelling |
Use of Muller's maneuver in the evaluation of patients with sleep apnea: literature reviewUtilização da manobra de Müller na avaliação de pacientes apnéicos: revisão da literaturasleep apneaendoscopyobstructiveapnéia do sonoendoscopiaobstrutivaSleep apnea-hypopnea syndrome was described twenty years ago, and since then there have been doubts and controversies regarding it. Fiberoptic nasopharyngoscopy with Muller's maneuver, first described by Borowieck and Sassin (1983), is among them. AIM: Careful literature review on Muller's maneuver, regarding whether it can predict the sucess of uvulopalatopharyngoplasty, location of upper airway obstruction and severity of the disorder. DISCUSSION AND LITERATURE REWIEW: Literature has shown that there isn't a consensus about the use of Muller's maneuver. In spite of being technically easy, inexpensive and widely used, it is very unespecific and subjective. CONCLUSION: The importance of Muller's maneuver in evaluating apneic patients has been questioned, because there are controversies whether it can predict the sucess of uvulopalatopharyngoplasty, location of upper airway obstruction and severity of the disease.A Síndrome da Apnéia e Hipopnéia Obstrutiva do Sono é uma patologia descrita há apenas vinte anos, havendo ainda várias dúvidas e controvérsias a seu respeito. Nesse âmbito inclui-se a nasofibrolaringoscopia com Manobra de Müller descrita por Borowieck e Sassin em 1983 e motivo de análise neste artigo. OBJETIVO: Revisão da literatura, com análise crítica e comparativa a respeito da capacidade da nasofibrolaringoscopia com manobra de Müller de predizer o sucesso da uvulopalatofaringoplastia, o local de colapso da via aérea superior e a gravidade da doença. DISCUSSÃO E REVISÃO DA LITERATURA: A revisão da literatura mostra que não há um consenso sobre a utilização da manobra de Müller, pois apesar de ser um exame de fácil execução, custo e tempo efetivos, é também bastante inespecífico e subjetivo. CONCLUSÃO: A relevância da manobra de Müller na avaliação do paciente apnéico tem sido questionada, pois há controvérsias na literatura quanto a sua capacidade de predizer o sucesso da cirurgia orofaríngea, o local de colapso da via aérea superior e a gravidade da apnéia.UNIFESP-EPMUNIFESP-EPM Otolaryngology and Head and Neck Surgery ProgramUNIFESP, EPM, Otolaryngology and Head and Neck Surgery ProgramSciELOAssociação Brasileira de Otorrinolaringologia e Cirurgia CervicofacialUniversidade Federal de São Paulo (UNIFESP)Soares, Maria Claudia Mattos [UNIFESP]Sallum, Ana Carolina [UNIFESP]Gonçalves, Michele Themis Moraes [UNIFESP]Haddad, Fernanda Louise Martinho [UNIFESP]Gregório, Luiz Carlos [UNIFESP]2015-06-14T13:40:59Z2015-06-14T13:40:59Z2009-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion463-466application/pdfhttp://dx.doi.org/10.1590/S1808-86942009000300024Brazilian Journal of Otorhinolaryngology. Associação Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial, v. 75, n. 3, p. 463-466, 2009.10.1590/S1808-86942009000300024S1808-86942009000300024.pdf1808-8694S1808-86942009000300024http://repositorio.unifesp.br/handle/11600/5114engBrazilian Journal of Otorhinolaryngologyinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-06T10:10:41Zoai:repositorio.unifesp.br/:11600/5114Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-06T10:10:41Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
Use of Muller's maneuver in the evaluation of patients with sleep apnea: literature review Utilização da manobra de Müller na avaliação de pacientes apnéicos: revisão da literatura |
title |
Use of Muller's maneuver in the evaluation of patients with sleep apnea: literature review |
spellingShingle |
Use of Muller's maneuver in the evaluation of patients with sleep apnea: literature review Soares, Maria Claudia Mattos [UNIFESP] sleep apnea endoscopy obstructive apnéia do sono endoscopia obstrutiva |
title_short |
Use of Muller's maneuver in the evaluation of patients with sleep apnea: literature review |
title_full |
Use of Muller's maneuver in the evaluation of patients with sleep apnea: literature review |
title_fullStr |
Use of Muller's maneuver in the evaluation of patients with sleep apnea: literature review |
title_full_unstemmed |
Use of Muller's maneuver in the evaluation of patients with sleep apnea: literature review |
title_sort |
Use of Muller's maneuver in the evaluation of patients with sleep apnea: literature review |
author |
Soares, Maria Claudia Mattos [UNIFESP] |
author_facet |
Soares, Maria Claudia Mattos [UNIFESP] Sallum, Ana Carolina [UNIFESP] Gonçalves, Michele Themis Moraes [UNIFESP] Haddad, Fernanda Louise Martinho [UNIFESP] Gregório, Luiz Carlos [UNIFESP] |
author_role |
author |
author2 |
Sallum, Ana Carolina [UNIFESP] Gonçalves, Michele Themis Moraes [UNIFESP] Haddad, Fernanda Louise Martinho [UNIFESP] Gregório, Luiz Carlos [UNIFESP] |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) |
dc.contributor.author.fl_str_mv |
Soares, Maria Claudia Mattos [UNIFESP] Sallum, Ana Carolina [UNIFESP] Gonçalves, Michele Themis Moraes [UNIFESP] Haddad, Fernanda Louise Martinho [UNIFESP] Gregório, Luiz Carlos [UNIFESP] |
dc.subject.por.fl_str_mv |
sleep apnea endoscopy obstructive apnéia do sono endoscopia obstrutiva |
topic |
sleep apnea endoscopy obstructive apnéia do sono endoscopia obstrutiva |
description |
Sleep apnea-hypopnea syndrome was described twenty years ago, and since then there have been doubts and controversies regarding it. Fiberoptic nasopharyngoscopy with Muller's maneuver, first described by Borowieck and Sassin (1983), is among them. AIM: Careful literature review on Muller's maneuver, regarding whether it can predict the sucess of uvulopalatopharyngoplasty, location of upper airway obstruction and severity of the disorder. DISCUSSION AND LITERATURE REWIEW: Literature has shown that there isn't a consensus about the use of Muller's maneuver. In spite of being technically easy, inexpensive and widely used, it is very unespecific and subjective. CONCLUSION: The importance of Muller's maneuver in evaluating apneic patients has been questioned, because there are controversies whether it can predict the sucess of uvulopalatopharyngoplasty, location of upper airway obstruction and severity of the disease. |
publishDate |
2009 |
dc.date.none.fl_str_mv |
2009-06-01 2015-06-14T13:40:59Z 2015-06-14T13:40:59Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/S1808-86942009000300024 Brazilian Journal of Otorhinolaryngology. Associação Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial, v. 75, n. 3, p. 463-466, 2009. 10.1590/S1808-86942009000300024 S1808-86942009000300024.pdf 1808-8694 S1808-86942009000300024 http://repositorio.unifesp.br/handle/11600/5114 |
url |
http://dx.doi.org/10.1590/S1808-86942009000300024 http://repositorio.unifesp.br/handle/11600/5114 |
identifier_str_mv |
Brazilian Journal of Otorhinolaryngology. Associação Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial, v. 75, n. 3, p. 463-466, 2009. 10.1590/S1808-86942009000300024 S1808-86942009000300024.pdf 1808-8694 S1808-86942009000300024 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Brazilian Journal of Otorhinolaryngology |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
463-466 application/pdf |
dc.publisher.none.fl_str_mv |
Associação Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial |
publisher.none.fl_str_mv |
Associação Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
_version_ |
1814268404636319744 |