Goldberg A N, Schwab R J
Penn Center for Sleep Disorders, Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania 19104-4283, USA.
Otolaryngol Clin North Am. 1998 Dec;31(6):919-30. doi: 10.1016/s0030-6665(05)70099-2.
Since the final common pathway for obstructive sleep apnea is obstruction of the upper airway during nocturnal respiration, examination and assessment of the anatomy of the upper airway plays a central role in patient evaluation. Since the upper airway begins at the nose and lips and ends at the larynx, a complete assessment of the upper airway evaluates this entire length of this anatomic region including the bony framework and soft tissue. Though office assessment of these structures does not necessarily mimic the appearance of behavior of these structures during physiologic sleep, the office examination can give important information as to the site of obstruction during sleep that can help direct therapy.
由于阻塞性睡眠呼吸暂停的最终共同途径是夜间呼吸时上气道阻塞，因此对上气道解剖结构的检查和评估在患者评估中起着核心作用。由于上气道始于鼻和唇，止于喉，对上气道的全面评估需要对该解剖区域的整个长度进行评估，包括骨框架和软组织。虽然在诊室对这些结构的评估不一定能模拟这些结构在生理性睡眠期间的外观或行为，但诊室检查可以提供有关睡眠期间阻塞部位的重要信息，有助于指导治疗。
