Nasal airway evaluation in obstructive sleep apnoea patients: volumetric tomography and endoscopic findings
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1016/j.ijom.2017.05.009 http://hdl.handle.net/11449/174756 |
Resumo: | Obstructive sleep apnoea (OSA) results from the recurrent collapse of the upper airway during sleep. Nasal abnormalities influence the stability of the pharynx. The aim of this study was to evaluate the volumetric and anatomical changes of the nasal cavity in patients with OSA. The Nasal Obstruction Symptom Evaluation (NOSE) scale was used to grade nasal obstruction. Sleep-related breathing disorders were evaluated by polysomnography. The nasal airway volume was obtained from computed tomography scans through volumetric reconstruction of the nasal airway. Alterations to the nasal anatomy were identified by nasal fibre-optic endoscopy. Ninety-four patient charts were analyzed. The final sample comprised 32 patients with severe OSA, 16 with moderate OSA, 23 with mild OSA, and 20 without OSA. Three groups were established based on nasal obstruction and OSA. The groups were compared for nasal airway volume (P = 0.464) and body mass index (P = 0.001). The presence of nasal septum deviation and inferior turbinate hypertrophy were related to the NOSE score (P = 0.05 for both), apnoea–hypopnoea index (P = 0.03 and P = 0.05, respectively), and nasal airway volume (P = 0.71 and P = 0.78, respectively). In this nasal airway evaluation of OSA patients, the presence of sites of obstruction was correlated with the severity of OSA; this was not the case for the evaluation of the nasal airway volume dimensions. |
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Nasal airway evaluation in obstructive sleep apnoea patients: volumetric tomography and endoscopic findingsnasal airway volumenasal endoscopyobstructive sleep apnoeaObstructive sleep apnoea (OSA) results from the recurrent collapse of the upper airway during sleep. Nasal abnormalities influence the stability of the pharynx. The aim of this study was to evaluate the volumetric and anatomical changes of the nasal cavity in patients with OSA. The Nasal Obstruction Symptom Evaluation (NOSE) scale was used to grade nasal obstruction. Sleep-related breathing disorders were evaluated by polysomnography. The nasal airway volume was obtained from computed tomography scans through volumetric reconstruction of the nasal airway. Alterations to the nasal anatomy were identified by nasal fibre-optic endoscopy. Ninety-four patient charts were analyzed. The final sample comprised 32 patients with severe OSA, 16 with moderate OSA, 23 with mild OSA, and 20 without OSA. Three groups were established based on nasal obstruction and OSA. The groups were compared for nasal airway volume (P = 0.464) and body mass index (P = 0.001). The presence of nasal septum deviation and inferior turbinate hypertrophy were related to the NOSE score (P = 0.05 for both), apnoea–hypopnoea index (P = 0.03 and P = 0.05, respectively), and nasal airway volume (P = 0.71 and P = 0.78, respectively). In this nasal airway evaluation of OSA patients, the presence of sites of obstruction was correlated with the severity of OSA; this was not the case for the evaluation of the nasal airway volume dimensions.Otolaryngology Division Medical School University of Araraquara – UNIARADepartment of Diagnosis and Surgery Division of Oral and Maxillofacial Surgery Dental School at Araraquara – UNESPGraduate Programme Medical School University of Araraquara – UNIARAOral and Maxillofacial Surgery Department of Surgery School of Medical Sciences – UNICAMPDepartment of Diagnosis and Surgery Division of Oral and Maxillofacial Surgery Dental School at Araraquara – UNESPUniversity of Araraquara – UNIARAUniversidade Estadual Paulista (Unesp)Universidade Estadual de Campinas (UNICAMP)Rodrigues, M. M.Gabrielli, M. F.R. [UNESP]Garcia Junior, O. A.Pereira Filho, V. A. [UNESP]Passeri, L. A.2018-12-11T17:12:43Z2018-12-11T17:12:43Z2017-10-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1284-1290application/pdfhttp://dx.doi.org/10.1016/j.ijom.2017.05.009International Journal of Oral and Maxillofacial Surgery, v. 46, n. 10, p. 1284-1290, 2017.1399-00200901-5027http://hdl.handle.net/11449/17475610.1016/j.ijom.2017.05.0092-s2.0-850206957402-s2.0-85020695740.pdfScopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengInternational Journal of Oral and Maxillofacial Surgery1,137info:eu-repo/semantics/openAccess2023-10-28T06:06:54Zoai:repositorio.unesp.br:11449/174756Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-10-28T06:06:54Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Nasal airway evaluation in obstructive sleep apnoea patients: volumetric tomography and endoscopic findings |
title |
Nasal airway evaluation in obstructive sleep apnoea patients: volumetric tomography and endoscopic findings |
spellingShingle |
Nasal airway evaluation in obstructive sleep apnoea patients: volumetric tomography and endoscopic findings Rodrigues, M. M. nasal airway volume nasal endoscopy obstructive sleep apnoea |
title_short |
Nasal airway evaluation in obstructive sleep apnoea patients: volumetric tomography and endoscopic findings |
title_full |
Nasal airway evaluation in obstructive sleep apnoea patients: volumetric tomography and endoscopic findings |
title_fullStr |
Nasal airway evaluation in obstructive sleep apnoea patients: volumetric tomography and endoscopic findings |
title_full_unstemmed |
Nasal airway evaluation in obstructive sleep apnoea patients: volumetric tomography and endoscopic findings |
title_sort |
Nasal airway evaluation in obstructive sleep apnoea patients: volumetric tomography and endoscopic findings |
author |
Rodrigues, M. M. |
author_facet |
Rodrigues, M. M. Gabrielli, M. F.R. [UNESP] Garcia Junior, O. A. Pereira Filho, V. A. [UNESP] Passeri, L. A. |
author_role |
author |
author2 |
Gabrielli, M. F.R. [UNESP] Garcia Junior, O. A. Pereira Filho, V. A. [UNESP] Passeri, L. A. |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
University of Araraquara – UNIARA Universidade Estadual Paulista (Unesp) Universidade Estadual de Campinas (UNICAMP) |
dc.contributor.author.fl_str_mv |
Rodrigues, M. M. Gabrielli, M. F.R. [UNESP] Garcia Junior, O. A. Pereira Filho, V. A. [UNESP] Passeri, L. A. |
dc.subject.por.fl_str_mv |
nasal airway volume nasal endoscopy obstructive sleep apnoea |
topic |
nasal airway volume nasal endoscopy obstructive sleep apnoea |
description |
Obstructive sleep apnoea (OSA) results from the recurrent collapse of the upper airway during sleep. Nasal abnormalities influence the stability of the pharynx. The aim of this study was to evaluate the volumetric and anatomical changes of the nasal cavity in patients with OSA. The Nasal Obstruction Symptom Evaluation (NOSE) scale was used to grade nasal obstruction. Sleep-related breathing disorders were evaluated by polysomnography. The nasal airway volume was obtained from computed tomography scans through volumetric reconstruction of the nasal airway. Alterations to the nasal anatomy were identified by nasal fibre-optic endoscopy. Ninety-four patient charts were analyzed. The final sample comprised 32 patients with severe OSA, 16 with moderate OSA, 23 with mild OSA, and 20 without OSA. Three groups were established based on nasal obstruction and OSA. The groups were compared for nasal airway volume (P = 0.464) and body mass index (P = 0.001). The presence of nasal septum deviation and inferior turbinate hypertrophy were related to the NOSE score (P = 0.05 for both), apnoea–hypopnoea index (P = 0.03 and P = 0.05, respectively), and nasal airway volume (P = 0.71 and P = 0.78, respectively). In this nasal airway evaluation of OSA patients, the presence of sites of obstruction was correlated with the severity of OSA; this was not the case for the evaluation of the nasal airway volume dimensions. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-10-01 2018-12-11T17:12:43Z 2018-12-11T17:12:43Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1016/j.ijom.2017.05.009 International Journal of Oral and Maxillofacial Surgery, v. 46, n. 10, p. 1284-1290, 2017. 1399-0020 0901-5027 http://hdl.handle.net/11449/174756 10.1016/j.ijom.2017.05.009 2-s2.0-85020695740 2-s2.0-85020695740.pdf |
url |
http://dx.doi.org/10.1016/j.ijom.2017.05.009 http://hdl.handle.net/11449/174756 |
identifier_str_mv |
International Journal of Oral and Maxillofacial Surgery, v. 46, n. 10, p. 1284-1290, 2017. 1399-0020 0901-5027 10.1016/j.ijom.2017.05.009 2-s2.0-85020695740 2-s2.0-85020695740.pdf |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
International Journal of Oral and Maxillofacial Surgery 1,137 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
1284-1290 application/pdf |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1799964730534658048 |