Saul B, Hoffmann T K, Lindemann J
Laryngorhinootologie. 2015 Jan;94(1):42-51; quiz 52-4. doi: 10.1055/s-0034-1395533. Epub 2015 Jan 8.
The somnology occupies a firm place in medical care of the ENT physician. The S3 guideline "non-restorative sleep/sleep" defines the standards in diagnosis and therapy. Among the sleep-disordered breathing obstructive sleep apnea syndrome is the most common sleep breathing disorder among those aged 30-60 years. The diagnostics is based on a stepwise approach by ambulatory polygraphy and subsequent inpatient polysomnography. Depending on the focus degree of OSA and symptoms of the patient various treatment options surgical and conservative for the ENT specialist are available today. The superior form of therapy for all severities of OSA remains the non-invasive nocturnal airway pressure (CPAP). Detailed knowledge of sleep medicine is essential for differential diagnosis and the correct treatment decision. An interdisciplinary collaboration with a neurologist, pediatrician or pulmonologist should be included in more complex cases.
睡眠医学在耳鼻喉科医生的医疗护理中占据着稳固的地位。S3指南“非恢复性睡眠/睡眠”定义了诊断和治疗的标准。在睡眠呼吸障碍中，阻塞性睡眠呼吸暂停综合征是30至60岁人群中最常见的睡眠呼吸障碍。诊断基于动态多导睡眠图的逐步方法以及随后的住院多导睡眠图检查。根据阻塞性睡眠呼吸暂停的严重程度和患者症状，如今耳鼻喉科专家有多种手术和保守治疗选择。对于所有严重程度的阻塞性睡眠呼吸暂停，最佳治疗方式仍然是非侵入性夜间气道压力（持续气道正压通气）。睡眠医学的详细知识对于鉴别诊断和正确的治疗决策至关重要。在更复杂的病例中，应包括与神经科医生、儿科医生或肺科医生的跨学科合作。
