Quinn S J, Daly N, Ellis P D
Department of Otolaryngology, Royal London Hospital, UK.
Clin Otolaryngol Allied Sci. 1995 Aug;20(4):360-4. doi: 10.1111/j.1365-2273.1995.tb00061.x.
We have performed sleep nasendoscopy on 54 adult snorers in whom obstructive sleep apnoea had been excluded by an overnight sleep study. The purpose of the study was to identify the site or sites of noise production in each case. This was successfully achieved in 50 of the 54 and 70% showed palatal flutter snoring only. In a further 20%, palatal flutter snoring was combined with evidence of noise generation at another site. The second site was supraglottic in 10%, tonsillar in 8% and tongue base in 2%. The tongue base was also the sole site of noise generation in 8% and the epiglottis was the sole site in 2%. This study suggests that sleep nasendoscopy can identify different mechanisms of snoring in individual patients. This information is likely to be of use in formulating a logical surgical treatment plan.
我们对54名成年打鼾者进行了睡眠鼻内镜检查，这些患者已通过夜间睡眠研究排除了阻塞性睡眠呼吸暂停。该研究的目的是确定每个病例中产生噪音的部位。54例中有50例成功实现了这一目标，70%仅表现为腭部扑动性打鼾。另外20%中，腭部扑动性打鼾与另一部位产生噪音的证据并存。第二个部位在声门上的占10%，扁桃体的占8%，舌根的占2%。舌根也是8%患者产生噪音的唯一部位，会厌是2%患者产生噪音的唯一部位。这项研究表明，睡眠鼻内镜检查可以识别个体患者打鼾的不同机制。这些信息可能有助于制定合理的手术治疗方案。
