Shankameswaran B, Viveknarayan G, Gowrishankar M, Suresh V
Department of ENT, Head and Neck Surgery, Stanley Medical College, Chennai, India.
Indian J Otolaryngol Head Neck Surg. 2024 Oct;76(5):3914-3921. doi: 10.1007/s12070-024-04742-4. Epub 2024 May 24.
The aim of this study was to study the prevalence of obstructive sleep apnea syndrome in patients with nasal and nasopharyngeal pathologies. A total of 60 consenting patients between the age of 14 to 60 years with primary nasal and nasopharyngeal pathologies were taken up for the study. These patients underwent history taking, detailed clinical examination including BMI, diagnostic nasal endoscopy and overnight polysomnography. The polysomnography results of people with different pathologies were compared and analysed. Based on the analysis it was arrived that isolated pathologies like septal deviation, nasal polypi and adenoid hypertrophy provided a statistically significant association with occurrence and severity of OSA. Also, that patients with combined pathologies were more proportionately affected by OSA than those with isolated pathologies. Nasal and nasopharyngeal pathologies have significant association with obstructive sleep apnea syndrome and all patients with these pathologies need to undergo polysomnography along with other routine investigations.
本研究的目的是探讨鼻及鼻咽部疾病患者中阻塞性睡眠呼吸暂停综合征的患病率。共有60名年龄在14至60岁之间、患有原发性鼻及鼻咽部疾病且同意参与研究的患者纳入本研究。这些患者接受了病史采集、包括体重指数（BMI）在内的详细临床检查、诊断性鼻内镜检查以及整夜多导睡眠监测。对不同疾病患者的多导睡眠监测结果进行了比较和分析。基于分析得出，鼻中隔偏曲、鼻息肉和腺样体肥大等单一疾病与阻塞性睡眠呼吸暂停（OSA）的发生及严重程度存在统计学上的显著关联。此外，合并多种疾病的患者比单一疾病患者受OSA的影响比例更高。鼻及鼻咽部疾病与阻塞性睡眠呼吸暂停综合征存在显著关联，所有患有这些疾病的患者除其他常规检查外均需接受多导睡眠监测。
