This prospective study aimed to evaluate the relationship between sleep endoscopy findings, the apnea-hypopnea index (AHI) or the Epworth sleepiness scale in patients and obstructive sleep apnea syndrome (OSAS). Patients with symptoms of OSAS were searched, and their polysomnography findings, Epworth sleepiness scales and sleep endoscopy findings were recorded. Those who were diagnosed with mild, moderate or heavy OSAS were included in the study. Patients included in the study were observed under sedative-induced sleep in the operation room using flexible nasopharyngoscopy. The obstruction levels and degrees were recorded and compared with other variables. Of the 88 patients included in the study, 67 (76.1 %) were male, and 21 (23.9 %) were female. The mean age (±standard deviation) of all 88 patients was 43.77 ± 10.07 years (range 21-65 years). Sleep endoscopy findings were classified as uvulopalatal, lateral pharyngeal, tongue base and laryngeal collapses. The Epworth sleepiness scale showed no significant correlation with the sleep endoscopy findings. No significant relationship was found between the AHI and collapses in the uvulopalatal, lateral and laryngeal zones (p > 0.05). However, tongue base collapse was correlated with AHI (p < 0.05). AHI increased with the degree of collapse in the tongue base. No meaningful relationship was noted among the Epworth sleepiness scale, AHI, and number of involved zones (p > 0.05). The degree of collapse in the related zones was not meaningfully associated with AHI, which is accepted as the indicator of disease severity.
Objective:In this study, we aimed to evaluate coexistent allergic conjunctivitis with allergic rhinitis in Van province and the patients' quality of life in this region. Methods:A total of 94 patients who were admitted to the Otorhinolaryngology Clinics of Van Province Training and Research Hospital and Erciş State Hospital were included in this study. All patients underwent an ophthalmologic evaluation for coexistent allergic conjunctivitis. Moreover, allergic rhinitis and conjunctivitis symptom scoring was applied to all patients. The rhinoconjunctivitis quality-of-life scale (RQLQ) was used to assess quality of life in all patients.Results: Mean total symptom score was found to be 12.1±4.2. In 37.2% of patients, coexistent allergic conjunctivitis was diagnosed. Scores of RQLQ sleep, non-hay fever complaints, nasal and ophthalmic complaints, and restricted activities were significantly higher in the group with coexistent allergic conjunctivitis than in the group with no allergic conjunctivitis. Conclusion:Patients with allergic rhinitis must be evaluated by taking the places where they live into account. It is crucial that the treatment procedures of particularly patients with ophthalmic complaints should be planned after they are examined by an ophthalmologist. It should be kept in mind that patients with allergic rhinitis must also be examined by a psychiatrist when necessary.
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