Use of Muller's maneuver in the evaluation of patients with sleep apnea: literature review

Detalhes bibliográficos
Autor(a) principal: Soares, Maria Claudia Mattos [UNIFESP]
Data de Publicação: 2009
Outros Autores: Sallum, Ana Carolina [UNIFESP], Gonçalves, Michele Themis Moraes [UNIFESP], Haddad, Fernanda Louise Martinho [UNIFESP], Gregório, Luiz Carlos [UNIFESP]
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.
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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
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