Pringle M B, Croft C B
Royal National Throat, Nose and Ear Hospital, London, UK.
Clin Otolaryngol Allied Sci. 1991 Dec;16(6):559-62. doi: 10.1111/j.1365-2273.1991.tb00974.x.
Knowledge of the level of pharyngeal obstruction during sleep is an important factor in deciding whether or not a patient suffering from obstructive sleep apnoea syndrome (OSAS) will benefit from uvulopalatopharyngoplasty. The Muller manoeuvre has been advocated as a method of obtaining this information. We compared the findings from the technique of sleep nasendoscopy, which actually allows visualization of the level of obstruction in the sleeping patient, with the results of the Muller manoeuvre performed in the same patients while awake. We found the Muller manoeuvre to be less accurate than previously believed.
了解睡眠期间咽部阻塞的程度是决定阻塞性睡眠呼吸暂停综合征（OSAS）患者是否能从悬雍垂腭咽成形术中获益的一个重要因素。有人主张采用米勒动作来获取这一信息。我们将睡眠鼻内镜检查技术（该技术实际上可观察睡眠中患者的阻塞程度）的检查结果与同一患者清醒时进行米勒动作的结果进行了比较。我们发现米勒动作的准确性不如之前认为的那样高。
