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Background and Objectives:The aim of this study is to identify diferences in polysomnographic findings acording to the upper airway obstruction level in patients with obstructive sleep apnea (OSA). Subjects and Method:Eighty-four patients with OSA were included in this study. Every patient underwent polysomnography (PSG) and upper airway pressure measurement using tis, and mid-esophagus level, which was inserted through the nasal cavity down to the esophagus. The patients were categorized into two groups of single site obstruction and multi-site obstruction. Results:Twenty-one patients showed single site obstruction and sixty-three patients showed multi-site obstruction. Apnea-hypopnea index, apnea index, and minimal oxygen saturation showed statis-tically significant diferences betwen two groups. There was no diference in bony mas index (BMI). Conclusion:Uper airway pressure measurement can be a method to evaluate the upper airway obstruction site. This study shows that OSA patients with multi-site obstruction have severer slep apnea than those with single site obstruction. (Korean J Otorhinolaryngol-Head Neck Surg 2007 ;50 :779-83)

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