Treatment of patients with snoring and moderate obstructive sleep apnea

Q4 Medicine

Otorhinolaryngology Clinics Pub Date : 2022-05-11 DOI:10.37219/2528-8253-2022-1-50

Yuriy V. Minin, T. Kucherenko

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Abstract

Objective: To increase the effectiveness of treatment of patients with snoring and obstructive sleep apnea in the field of segmental narrowing of the upper respiratory tract. Materials and methods: 20 patients with complaints of constant snoring and sleep apnea were monitored. All patients underwent cardio-respiratory monitoring. To determine the levels of narrowing of the upper respiratory tract, changes in the intensity of the MR signal from the anatomical structures of the upper respiratory tract (VDS) of all patients selected for surgical treatment were studied, followed by determining the effect of therapy. Results: The paper presents the results of treatment of patients with moderate obstructive sleep apnea. All patients underwent clinical and radiological examination to determine the level of narrowing of the upper respiratory tract. With narrowing of the common nasal passages, retropalatinal and retroglossal areas of the pharynx, appropriate surgical correction of HF was performed. After 2 months, obstructive sleep apnea was absent in 55% of patients, the index of hypopnea (IG) did not exceed 10 episodes per hour with a duration of hypopnea up to 14 seconds and maximum desaturation of capillary blood (SpO2) up to 95%. No snoring was noted in 45% of patients in this group, while 15% of individuals reported silent snoring in the supine position and occasional snoring of low intensity. Tactics of surgical treatment of patients with snoring and OSAS of moderate severity, aimed at eliminating obstruction of the airway during sleep at all levels and requires an individualized approach.

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鼾症合并中度阻塞性睡眠呼吸暂停的治疗

目的:提高在节段性上呼吸道狭窄领域治疗鼾症合并阻塞性睡眠呼吸暂停的有效性。材料与方法:对20例主诉持续打鼾伴睡眠呼吸暂停的患者进行监测。所有患者均接受心肺监测。为了确定上呼吸道狭窄的程度，研究了所有选择手术治疗的患者的上呼吸道解剖结构(VDS) MR信号强度的变化，然后确定治疗效果。结果:本文介绍了中度阻塞性睡眠呼吸暂停患者的治疗效果。所有患者均接受临床和影像学检查，以确定上呼吸道狭窄程度。随着普通鼻通道、咽腭后和舌后区域的变窄，对HF进行了适当的手术矫正。2个月后，55%的患者没有阻塞性睡眠呼吸暂停，低通气指数(IG)不超过每小时10次，低通气持续时间达14秒，最大毛细血管血饱和度(SpO2)高达95%。在这组患者中，45%的人没有打鼾，而15%的人报告说他们在仰卧位时无声打鼾，偶尔有低强度的打鼾。中度鼾症和OSAS患者的手术治疗策略，旨在消除各级睡眠期间气道阻塞，需要个性化的方法。

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来源期刊

Otorhinolaryngology Clinics Medicine-Otorhinolaryngology

CiteScore

0.10

自引率

0.00%

发文量

期刊介绍： Otorhinolaryngology Clinics: An International Journal is an International periodical devoted at exploring connections between clinical experience and world literature, and understanding of various pathologies and diseases related to the ear, nose and throat. Issues of recent advancements and research related to disease, illness, health and medical science are examined through various evidence-based clinical research studies. This journal proposes to serve as a collection of clinical notes, with an international perspective, along with the recent advances for postgraduates and consultants. The readership for this journal would include a wide variety of healthcare professionals, such as otolaryngologists, head and neck surgeons, ENT nurses as well as scholars and academicians in the field of medicine, trauma, surgery, etc. This journal aims to encourage the analysis of clinical data from various centers all over the world using standardized protocols to develop an international consensual perspective on the management of disorders related to the field of otorhinolaryngology. Recently, we have introduced "Case Reports", "How I Do It" and "Original Research" categories in the process of expanding the scope of the journal. Thisis a peer-reviewed journal of which three issues would be published each year. Each future issue will cover a different topic of special interest in the field of otorhinolaryngology and head and neck surgery. This issue is the first of its kind dedicated to "anesthesia in otorhinolaryngology" and contains a compilation of articles by experienced anesthesiologists dealing with a large volume of ENT and related surgeries. In each issue, the editors give their perspective based on the submitted articles. All non invited articles are peer-reviewed. Peer-revieweing helps in providing unbiased, independent, critical assessment of the results of the research study in question including the scientific process.