阻塞性睡眠呼吸暂停患者软腭的同心性与前后-外侧塌陷。
Concentric vs Anteroposterior-Laterolateral Collapse of the Soft Palate in Patients With Obstructive Sleep Apnea.
机构信息
Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.
Department of Otorhinolaryngology-Head and Neck Surgery, Antwerp University Hospital, Edegem, Belgium.
出版信息
Otolaryngol Head Neck Surg. 2022 Apr;166(4):782-785. doi: 10.1177/01945998211026844. Epub 2021 Jul 13.
The presence of complete concentric collapse of the soft palate (CCCp) during drug-induced sleep endoscopy (DISE) has important therapeutic consequences. However, CCCp may present in various, sometimes doubtful, ways due to the complex anatomy of the upper airway. Herein, we aimed to characterize these doubtful variants by reviewing the DISE recordings of patients with obstructive sleep apnea (n = 332). We observed in some individuals that the soft palate collapsed in an anteroposterior-laterolateral (AP-LL) way, producing a polygonal shape that was distinct from CCCp. Patients with this collapse pattern (n = 29) had a smaller neck circumference and less severe obstructive sleep apnea than patients with CCCp (n = 68). The majority of patients with AP-LL collapse (n = 19) were originally diagnosed with CCCp. Based on these findings, AP-LL collapse of the soft palate might represent a distinct DISE phenotype that is easily confounded with CCCp.
药物诱导睡眠内镜（DISE）中软腭完全同心塌陷（CCCp）的存在具有重要的治疗意义。然而，由于上气道的复杂解剖结构，CCCp 可能以各种不同的、有时难以确定的方式出现。在此，我们通过回顾 332 例阻塞性睡眠呼吸暂停（OSA）患者的 DISE 记录来对这些可疑的变异进行特征描述。我们观察到一些个体的软腭以前后-左右（AP-LL）的方式塌陷，形成与 CCCp 不同的多边形形状。与 CCCp 患者（n=68）相比，具有这种塌陷模式的患者（n=29）颈围更小，阻塞性睡眠呼吸暂停程度较轻。大多数（n=19）AP-LL 塌陷患者最初被诊断为 CCCp。基于这些发现，软腭的 AP-LL 塌陷可能代表一种独特的 DISE 表型，容易与 CCCp 相混淆。
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