JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2017, Vol. 31 ›› Issue (1): 4-7.doi: 10.6040/j.issn.1673-3770.0.2017.007

Previous Articles     Next Articles

Localization diagnosis of obstructive sleep apnea hypopnea syndrome.

  

  1. Otorhinolaryngology-Sleep Breathing Disorders Center, Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou 510655, Guangdong, China
  • Received:2017-01-04 Online:2017-02-16 Published:2017-02-16

PDF (PC)

1193

Abstract: The localization diagnosis of obstructive sleep apnea hypopnea syndrome(OSAHS)is important for selecting the appropriate surgical treatment, and improving curative effect. However, there still remains some confusion. Although there exist many commonly used localization diagnosis methods, including nose throat routine examination, endoscopy plus MULLER, upper-airway-esophageal continuous pressure measurement, upper-airway imaging examination, drug inducing sleep endoscopy, and so on, none of them can provide accurate evidence for surgical treatment or predict the outcome comparatively precisely. Based on relevant literature and the authors clinical experience and research, the author puts forward that elaborate localization diagnosis is not necessarily listed as a routine examination, and it applies only to cases with unknown causes or cases which need to be furthered studied. In the future, studies on the pathogenesis of OSAHS should be strengthened. The localization diagnosis is important, but what is more important is to detect the causes for airway stenosis and blockage, in order to develop more precise treatment plan, and achieve satisfactory outcomes by minimally invasive surgery.

Key words: Sleep apnea, obstructive, Localization diagnosis, Surgery

CLC Number: 

  • R766.7
[1] Aurora RN, Casey KR, Kristo D, et al. Practice parameters for the surgical modifications of the upper airway for obstructive sleep apnea in adults[J]. Sleep, 2010, 33(10):1408-1413.
[2] Sher AE, Schechtman KB, Piccirillo JF. The efficacy of surgical modifications of the upper airway in adults with obstructive sleep apnea syndrome[J]. Sleep, 1996, 19(2):156-177.
[3] Friedman M, Ibrahim H, Bass L. Clinical staging for sleep-disordered breathing[J]. Otolaryngol Head Neck Surg, 2002, 127(1):13-21.
[4] Rodrigues MM, Real Gabrielli MF, Watanabe ER, et al. Correlation between the Friedman Staging System and the upper airway volume in patients with obstructive sleep apnea[J]. Oral Maxillofac Surg, 2015, 73(1):162-167.
[5] Sundman J, Bring J, Friberg D. Poor interexaminer agreement on Friedman tongue position[J]. Acta Otolaryngol, 2016, 23:1-3.
[6] Zerpa Z, Llatas C, Porras G. Drug-induced sedation endoscopy versus clinical exploration for the diagnosis of severe upper airway obstruction in OSAHS patients[J]. 2015, 19(4):1367-1372.
[7] Soares D, Folbe AJ, Yoo G. Drug-induced sleep endoscopy vs awake Müllers maneuver in the diagnosis of severe upper airway obstruction[J]. Otolaryngol Head Neck Surg, 2013, 148(1):151-156.
[8] Virkkula P, Silvola J, Maasilta P. et al. Esophageal pressure monitoring in detection of sleep-disordered breathing[J]. Laryngoscope, 2002, 112(7 Pt 1):1264-1270.
[9] 韩德民, 叶京英, 王军, 等. 上气道压力测定对阻塞性睡眠呼吸暂停综合征阻塞部位定位诊断研究[J]. 中华耳鼻咽喉科杂志, 2001, 36(04):301-304. HAN Demin, YE Jingying, WANG Jun, et al. Determining the site of airway obstruction in obstructive sleepapnea with airway pressure measurements during sleep[J]. Chin J Otorhinolarynol, 2001, 36(04):301-304.
[10] 韩德民, 叶京英, 李彦如, 等. 上气道持续压力测定预测悬雍垂腭咽成形术的疗效[J]. 中华耳鼻咽喉头颈外科杂志, 2006, 41(10):753-758. HAN Demin, YE Jingying, LI Yanru, et al. Preoperative overnight airway measurement for predicting the outcome of revised uvulopalatopharyngoplasty[J]. Chin J Otorhinolarynol Head neck Surg, 2006, 41(10):753-758.
[11] 余蕾蕾, 孙建军, 陈曦, 等. AG200与PSG在OSAHS诊断中的应用[J]. 临床耳鼻咽喉头颈外科杂志, 2014, 21:1691-1693. YU Leilei, SUN Jianjun, CHEN Yi, et al. AG200 and polysomnography in patients with obstructive sleep apnea-hypopnea syndrome[J]. J Clin Otorhinolaryngol Head and Neck Surg, 2014, 21:1691-1693.
[12] 田旭, 霍红, 李五一, 等. 内镜检查及上气道压力测定对阻塞性睡眠呼吸暂停低通气综合征患者上气道的评估价值[J]. 山东大学耳鼻喉眼学报, 2016, 30(5):29-32. TIAN Xu, HUO Hong, LI Wuyi, et al. Endoscopy with Müllers maneuver and airway pressure measurement method on the evaluation of the upper airway of obstructive sleep apnea hypopnea syndrome[J]. J Otolaryngology and Ophthalmology of Shandong Univ, 2016, 30(5):29-32.
[13] Paloma C, Rodolfo A, Francisco G. CT in the evaluation of the upper airway in healthy subjects and in patients with obstructive sleep apnea syndrome[J]. Chest, 1998, 113(1):111-116.
[14] 李树华, 董莘, 石洪金, 等. CT测量在阻塞性睡眠呼吸暂停综合征上呼吸道狭窄定位诊断中的意义[J]. 中华耳鼻咽喉科杂志, 2002, 37(2):133-137. LI Shuhua, DONG Xin, SHI Hongjin, et al. Localization of upper airway stricture in patients with sleep apnea syndrome by CT scan[J]. Chin J Otorhinolarynol, 2002, 37(2):133-137.
[15] Andrew M, Brendan T, Nicholas J, et al. Tongue fat and its relationship to obstructive sleep apnea[J]. Sleep, 2014, 37(10):1639-1648.
[16] Kim YC, Lebel RM, Wu Z, et al. Real-time 3D magnetic resonance imaging of the pharyngeal airway in sleep apnea[J]. Magn Reson Med, 2014, 71(4):1501-1510.
[17] Kavcic P, Koren A, Koritnik B, et al. Sleep magnetic resonance imaging with electroencephalogram in obstructive sleep apnea syndrome[J]. Laryngoscope, 2015, 125(6):1485-1490.
[18] Wagshul ME, Sin S, Lipton ML, et al. Novel retrospective, respiratory-gating method enables 3D, high resolution, dynamic imaging of the upper airway during tidal breathing[J]. Magn Reson Med, 2013, 70(6):1580-1590.
[19] Croft CB, Pringle M. Sleep nasendoscopy: a technique of assessment in snoring and obstructive sleep apnoea.[J]. Clin Otolaryngol Allied Sci, 1991, 16(5):504-509.
[20] Charakorn N, Kezirian EJ. Drug-induced sleep endoscopy[J]. Otolaryngologic Clinics of North America, 2006, 17(4):230-232.
[21] Kezirian EJ, Hohenhorst W, Vries N. Drug-induced sleep endoscope: the VOTE classification[J]. Eur Arch Otorhinolaryngol, 2011, 268(8):1233-1236.
[22] Ong AA, Murphey AW, Nguyen SA, et al. Efficacy of upper airway stimulation on collapse patterns observed during drug-induced sedation endoscopy[J]. Otolaryngol Head Neck Surg, 2016, 154(5):970-977.
[23] Strollo PJ Jr, Soose RJ, Maurer JT, et al. Upper-airway stimulation for obstructive sleep apnea[J]. N Engl J Med, 2014, 370(2):139-149.
[24] Woodson BT, Soose RJ, Gillespie MB, et al. Three-year outcomes of cranial nerve stimulation for obstructive sleep apnea: the STAR trial[J]. Otolaryngol Head Neck Surg, 2016, 154(1):181-188.
[25] Vicini C, Vito A, Benazzo M, et al. The nose oropharynx hypopharynx and larynx(NOHL)classification: a new system of diagnostic standardized examination for OSAHS patients[J]. Eur Arch Otorhinolaryngol, 2012, 269(4):1297-1300.
[26] Capasso R, Rosa T, Tsou DY, et al. Variable findings for drug-induced sleep endoscopy in obstructive sleep apnea with propofol versus dexmedetomidine[J]. Otolaryngology-Head and Neck Surgery, 2016, 154(4):765-770.
[1] ZHANG Ruxiang, TIAN Hao, MA Youxiang. Computed tomography assessment of skull base height before endoscopic sinus surgery [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 75-77.
[2] TIAN Zenghua. Clinical study of endoscopic nasal vestibular cyst unroofing and low-temperature plasma for the treatment of nasal vestibular cysts while excluding the septal wall [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 86-89.
[3] SHEN Qinfeng, SHEN Xiaoyan, ZHU Rongqiang, JIANG Feifei, LANG Juntian. Role of functional middle turbinectomy in functional endoscopic sinus surgery for chronic sinusitis [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 82-85.
[4] SONG Xicheng. Application value of enhanced recovery after surgery in head and neck cancer surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(5): 1-4.
[5] QI Min, LI Hong, WANG Qian, TU Cuifang, YANG Qintai, XU Huiqing. Preliminary application of enhanced recovery after surgery in the perioperative nursing in functional endoscopic sinus surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(5): 13-18.
[6] LIU Dawei, ZHANG Yu, LI Chenglin, CHEN Xiumei, SONG Xicheng. Use of enhanced recovery after surgery in children with obstructive sleep apnea syndrome during the perioperative period [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 19-22.
[7] WU Xifu, KONG Weifeng, WANG Weihao, XU Huiqing, QI Min, YANG Qintai. Perioperative quality of life in patients with chronic rhinosinusitis with nasal polyps under enhanced recovery after surgery using QoR-15 [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(5): 5-8.
[8] SONG Xiaoyu, ZHANG Yu, LI Chenglin, SONG Xicheng. Enhanced recovery after surgery for the treatment of chronic rhinosinusitis with nasal polyps [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(5): 9-12.
[9] WANG Li, ZHANG Yu, ZHANG Hua, LIU Xueyan, SONG Xicheng. Enhanced recovery after surgery in sinus surgery [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 23-26.
[10] WU Xifu, ZHANG Gehua. Assessment of the effectiveness of problem-based learning during the probation period of the otolaryngology head and [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 116-118.
[11] SUN Shujuan, SHI Lei, FAN Zhaomin, SHI Guanggang. Nasal related somatoform disorders [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 32-36.
[12] LI Houxiu, LIU Zhonghua, CHEN Zhi. Risk factors for rupture of the capsule membrane during phacoemulsification cataract surgery [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 88-90.
[13] HUA Cheng, CHEN Zhenyu, ZHANG Weina, LI Na. Efficacy of nasal endoscope-assisted nasal plastic surgery and nasal septum deviation correction [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(1): 33-36.
[14] ZHOU Xueyi, LI Yiming, WANG Meiju, ZHANG Yuanyuan, ZHANG Lizhuo. Clinical observation of 25-gauge minimally invasive vitreous retinal surgery for treatment of rhegmatogenous retinal detachment. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(5): 92-94.
[15] BI Hongsheng. Design of treatment protocol in refractive cataract surgery is important for postoperative visual outcomes. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(4): 1-4.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd