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与阻塞性睡眠呼吸暂停综合征(OSA)相关的鼻腔结构改变的流行病学分析。

Epidemiological analysis of structural alterations of the nasal cavity associated with obstructive sleep apnea syndrome (OSA).

作者信息

Mekhitarian Neto Levon, Fava Antonio Sérgio, Lopes Hugo Canhete, Stamm Aldo

机构信息

Hospital Prof. Edmundo Vasconcelos.

出版信息

Braz J Otorhinolaryngol. 2005 Jul-Aug;71(4):464-6. doi: 10.1016/s1808-8694(15)31200-3. Epub 2005 Dec 15.

Abstract

AIM

The objective of this paper is to demonstrate that structural alterations of the nasal cavity, e.g. septal deviation and conchal hypertrophy have high incidence in patients with sleep apnea and hypopnea syndrome and must be addressed with associated specific procedures of the syndrome.

TYPE OF STUDY

Clinical retrospective.

CASUISTIC AND METHOD

A retrospective study of 200 patients was performed, with 196 male and 4 female, attended at the otorhinolaryngology ambulatory of Hospital Prof. Edmundo Vasconcelos and Unidade Paulista de Otorrinolaringologia, all of them subjected to polysomnography, otorhinolaryngological physical exam, endoscopy exam, and surgical treatment with nasal and pharyngeal procedures.

RESULTS

All of them were subjected to pharyngeal procedure: uvulopalatopharyngoplasty or uvulopalatoplasty and nose procedure: 176 septoplasty with partial turbinectomy (88%) and 24 isolated turbinectomy, with satisfactory results.

CONCLUSION

We can see that structural alterations of the nasal cavity have high incidence in patients with OSA.

摘要

目的

本文的目的是证明鼻腔结构改变,如鼻中隔偏曲和鼻甲肥大,在睡眠呼吸暂停低通气综合征患者中发病率很高,必须通过该综合征的相关特定程序来解决。

研究类型

临床回顾性研究。

病例与方法

对200例患者进行了回顾性研究,其中男性196例,女性4例,均在埃德蒙多·瓦斯康塞洛斯教授医院耳鼻喉科门诊和圣保罗耳鼻喉科单位就诊,所有患者均接受了多导睡眠图检查、耳鼻喉科体格检查、内窥镜检查以及鼻腔和咽部手术治疗。

结果

所有患者均接受了咽部手术:悬雍垂腭咽成形术或悬雍垂腭成形术,以及鼻腔手术:176例行鼻中隔成形术加部分鼻甲切除术(88%),24例行单纯鼻甲切除术,结果满意。

结论

我们可以看到,鼻腔结构改变在阻塞性睡眠呼吸暂停患者中发病率很高。

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