폐쇄성 수면무호흡증 환자에서 수면다원검사 결과와 약물유도수면내시경을 이용해 관찰된 폐쇄 부위의 연관성에 대한 분석

최장원; 구수권; 명남숙; 김양재; 이길현; 이형주

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자료유형: 학술저널

저자정보: 최장원 구수권 명남숙 김양재 이길현 이형주

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제56권 제6호

발행연도: 2013.1

수록면: 346 - 353 (8page)

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Background and Objectives Polysomnography (PSG) is useful for the diagnosis of obstructive sleep apnea (OSA) and the analysis of its occurrence and severity. Nevertheless, physical examination and PSG are not sufficient to localize the obstructed structure before operation. Drug-induced sleep endoscopy (DISE), on the other hand, is expected to provide an accurate diagnosis as it can be used to evaluate the intensity of operative effect and can minimize additional unnecessary procedures. The aim of this study is to analyze correlation between the results of polysomnography and obstructive structure by DISE in OSA Patients. Subjects and Method This study was conducted on 75 patients, who were diagnosed with OSA by PSG and DISE. Obstruction levels and individual structures were classified by modified VOTE classification. The patients were divided into groups according to the results of PSG and BSI; the correlation between DSI results and each of these groups were analyzed. Results There were no statistically significant differences in obstruction levels between PSG data and DISE finding. Obese patients, positional-dependent OSA and sleep stage non-dependent OSA (NREM OSA) groups showed more obstruction on the lateral pharyngeal wall. Severe OSA groups showed more obstruction on tonsils. Obese patient groups revealed more obstruction on tongue base, but did not contribute to statistically significant results. Conclusion In our study, obese patients, severe OSA, positional-dependent OSA and NREM OSA groups tended to exert greater influence on the obstruction of lateral pharyngeal wall. Surgeons should be aware of these findings when performing sleep surgery.

#Drug-induced sleep endoscopy #Obstructive #Polysomnography #Sleep apnea.

참고문헌 (24)

참고문헌 신청

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