Treatment of patients with chronic tonsillitis and obstructive sleep apnoea

Q4 Medicine

Otorhinolaryngology Clinics Pub Date : 2023-04-10 DOI:10.37219/2528-8253-2023-1-62

J. Deyeva, Yuriy V. Shevchuk

引用次数: 0

Abstract

Obstructive sleep apnoea syndrome (OSAS) is a disease associated with high morbidity and mortality that can significantly affect the patient's quality of life. The consequences of OSAS are a decrease in blood oxygenation and frequent nocturnal episodes of awakening, which can lead to the increase of sleep fragmentation and, as a result, daytime sleepiness, increased activity of the sympathetic nervous system, and increased blood pressure with further complications. In the case of hypertrophy of the tonsils, the condition can gain complications which require a complex approach towards the tactics of treating the patients. In this case, surgery highlights the best treatment option for mild to moderate OSAS over CPAP, which calls into question the benefits of this method and encourages reconsideration of surgical intervention as the first-line treatment.

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慢性扁桃体炎伴阻塞性睡眠呼吸暂停的治疗

阻塞性睡眠呼吸暂停综合征(OSAS)是一种高发病率和死亡率的疾病，可显著影响患者的生活质量。OSAS的后果是血氧合降低和夜间频繁觉醒，这可能导致睡眠碎片化的增加，从而导致白天嗜睡，交感神经系统活动增加，血压升高并伴有进一步的并发症。在扁桃体肥大的情况下，这种情况可以获得并发症，需要复杂的方法来治疗患者。在这种情况下，与CPAP相比，手术是轻度至中度OSAS的最佳治疗选择，这引起了对该方法的益处的质疑，并鼓励重新考虑手术干预作为一线治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.