JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2016, Vol. 30 ›› Issue (5): 29-32.doi: 10.6040/j.issn.1673-3770.0.2016.340

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Endoscopy with Müllers maneuver and airway pressure measurement method on the evaluation of the upper airway of obstructive sleep apnea hypopnea syndrome.

TIAN Xu, HUO Hong, LI Wuyi, WANG Jian, YANG Dahai   

  1. Department of Otolaryngology &Head and Neck Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China
  • Received:2016-08-03 Online:2016-10-20 Published:2016-10-20

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Abstract: Objective To compare daytime video-endoscopy with Müllers maneuver and nocturnal airway pressure measurement for upper airway(UA)assessment in patients with obstructive sleep apnea and hypopnea syndrome(OSAHS), in order to explore the clinical value of daytime endoscopy in airway evaluation. Methods A total of 125 OSAHS cases were evaluated by daytime video-endoscopy with Müllers maneuver to determine the sites of obstruction and patterns of collapse. The cases also underwent nocturnal pressure measurements(ApneaGraph, AG)to identify obstruction sites. The results of the two methods were compared. Results Endoscopy with Müllers maneuver detected retropalatal obstruction in all cases, of which 74 had retroglossal obstruction, and the patterns of collapse were different. AG results showed that lower apnea hypopnea index(AHI)and the proportion of lower AHI were significantly higher in multilevel obstruction group than in isolated retropalatal obstruction group(all P<0.01). Conclusion Daytime endoscopy with Müllers maneuver is of clinical value to evaluate the sites of obstruction and patterns of UA collapse. Combined with AG, it can help to guide the choice of surgical plan.

Key words: Sleep apnea hypopnea syndrome, obstructive, Video-endoscopy, Manometry, Upper airway, Müllers maneuver

CLC Number: 

  • R766.7
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