비강수술이 인두기도에 미치는 영향 분석

윤성호; 양형채; Nutsalai Galiulina; 강태구; 김희영; 임혜린; 임상철

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자료유형: 학술저널

저자정보: 윤성호 양형채 Nutsalai Galiulina 강태구 김희영 임혜린 임상철

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제63권 제1호

발행연도: 2020.1

수록면: 21 - 25 (5page)

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Background and Objectives Nasal surgery is known to improve the quality of life in patientswith obstructive sleep apnea; however, its effect on the airway structure is little known. This study attempted to identify the impact of nasal surgery on the pharyngeal airway structure. Subjects and Method We enrolled in the study patients who underwent nasal surgery fromJuly 2015 to March 2018 due to nasal obstruction with severe snoring or sleep apnea. Patientswith palate surgery or previous history of airway surgery were excluded. Demographic factors,symptoms regarding nasal obstruction, sleep study, preoperative cephalometry, and postoperative3-month cephalometry were taken into account and analyzed. We also performed asubgroup analysis according to the severity of sleep apnea. Results Sixty-three patients were enrolled in this study. Soft palate thickness showed no significantchange. Pre and postoperative soft palate thickness were 10.82±3.00 and 11.11±3.35(p=0.261), respectively. However, the pharyngeal airway space was enlarged via nasal surgeryfrom 12.05±3.35 to 13.04±3.35 (p=0.006), respectively. The subgroup analysis showed that thepharyngeal airway was mainly enlarged in the patients with lower Apnea-Hypopnea Index (AHI). Conclusion Although nasal surgery does not reduce soft palate thickness, it can enlarge thepharyngeal airway space. The effect of surgery would be more prominent in patients withAHI of lower than 15 event/hour (p=0.005) as nasal surgery alone does not affect the pharyngealairway of patients with AHI greater than 15.

참고문헌 (25)

참고문헌 신청

Young T / 2002 / Epidemiology of obstructive sleep apnea : a population health perspective / Am J Respir Crit Care Med 165(9):1217~1239

박우성 / 2018 / Long-Term Effects of Adenotonsillectomy on Growth and Symptoms in Childhood / 대한이비인후-두경부외과학회지 61(12):681~685

김대웅 / 2016 / 폐쇄성 수면무호흡증후군 수술 후 잔존 증상이 남아 있는 환자에서 코 수술이 증상 호전에 미치는 영향 / 대한이비인후-두경부외과학회지 59(8):588~592

Li HY / 2008 / Improvement in quality of life after nasal surgery alone for patients with obstructive sleep apnea and nasal obstruction / Arch Otolaryngol Head Neck Surg 134(4):429~433

장현욱 / 2011 / 비중격 교정술 및 비갑개성형술이 수면 호흡장애 환자의 삶의 질에 미치는 영향 / 대한이비인후-두경부외과학회지 54(4):257~264

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