Document Detail


Determining the site of airway collapse in obstructive sleep apnea with airway pressure monitoring.
MedLine Citation:
PMID:  8412449     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Twenty patients with obstructive sleep apnea (OSA) underwent complete polysomnography and simultaneous upper airway pressure monitoring with a custom-made, soft silicone-covered catheter measuring 2.3 mm in diameter. The catheter had four solid-state microtip pressure sensors positioned in the posterior nasopharynx, immediately caudal to the tip of the uvula, at the level of the hyoid bone, and in the midesophagus. The level(s) of airway collapse was determined by changes in the pressure patterns between transducers. In 14 of the 20 patients, airway collapse was confined or initiated at the oropharyngeal region. The obstruction extended to the base of tongue in 7 and to the entire collapsible upper airway in 2 patients. Four patients had collapse at the base of the tongue and 2 had collapse at the hypopharynx. The site of airway collapse remained fairly constant through various sleep stages and positions. Uvulopalatopharyngoplasty (UPPP) and postoperative polysomnography were performed in 4 patients (2 with hypopharyngeal, 1 with base of tongue, and 1 with oropharyngeal airway collapse). Two patients had a favorable response to UPPP.
Authors:
G P Katsantonis; K Moss; S Miyazaki; J Walsh
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Laryngoscope     Volume:  103     ISSN:  0023-852X     ISO Abbreviation:  Laryngoscope     Publication Date:  1993 Oct 
Date Detail:
Created Date:  1993-11-02     Completed Date:  1993-11-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8607378     Medline TA:  Laryngoscope     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1126-31     Citation Subset:  IM    
Affiliation:
Park Central Institute, St. Louis, MO 63139.
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MeSH Terms
Descriptor/Qualifier:
Female
Humans
Hypopharynx / physiopathology
Male
Middle Aged
Oropharynx / physiopathology
Pharynx / physiopathology*
Polysomnography
Pressure
Sleep Apnea Syndromes / physiopathology*,  surgery
Tongue / physiopathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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