Original Article Original Article Original Article Original Article Original Article DOI: 10.1590/0100-69912015005004 Correlation between the oropharyngo-laryngoscopic findings and Correlation between the oropharyngo-laryngoscopic findings and Correlation between the oropharyngo-laryngoscopic findings and Correlation between the oropharyngo-laryngoscopic findings and Correlation between the oropharyngo-laryngoscopic findings and the severity of obstructive sleep apnea the severity of obstructive sleep apnea the severity of obstructive sleep apnea the severity of obstructive sleep apnea the severity of obstructive sleep apnea Correlação entre os achados orofaringolaringoscópicos e a gravidade da Correlação entre os achados orofaringolaringoscópicos e a gravidade da Correlação entre os achados orofaringolaringoscópicos e a gravidade da Correlação entre os achados orofaringolaringoscópicos e a gravidade da Correlação entre os achados orofaringolaringoscópicos e a gravidade da síndrome da apneia obstrutiva do sono síndrome da apneia obstrutiva do sono síndrome da apneia obstrutiva do sono síndrome da apneia obstrutiva do sono síndrome da apneia obstrutiva do sono We conducted a cross-sectional study of 66 patients of both genders, aged between 21 and 59 years old with complaints of snoring and / or apnea. All underwent full clinical evaluation, including physical examination, nasolarybgoscopy and polisonography. We classified individuals into groups by the value of the apnea-hypopnea index (AHI), calculated measures of association and analyzed differences by the Kruskal-Wallis and chi-square tests. Results Results ResultsResults Results: all patients with obesity type 2 had OSAS. We found a relationship between the uvula projection during nasoendoscopy and OSAS (OR: 4.9; p-value: 0.008; CI: 1.25-22.9). In addition, there was a major strength of association between the circular shape of the pharynx and the presence of moderate or severe OSAS (OR: 9.4, p-value: 0.002), although the CI was wide (1.80-53.13). The septal deviation and lower turbinate hypertrophy were the most frequent nasal alterations, however unrelated to gravity. Nasal obstruction was four times more common in patients without daytime sleepiness. The other craniofacial anatomical changes were not predictors for the occurrence of OSAS. Conclusion Conclusion Conclusion Conclusion Conclusion: oral, pharyngeal and laryngeal disorders participate in the pathophysiology of OSAS. The completion of the endoscopic examination is of great value to the evaluation of these patients. The pathophysiology of OSAS is multifactorial, however evidence shows that UA muscle control is the result of a delicate balance between different forces of intraluminal pressure during inspiration, which leads to a negative transpharyngeal pressure gradient, and the extraluminal pressure forces derived from muscle contractions that contribute to opening of the pharynx. Factors such as vasomotor tone and mucosal adhesive forces seem to collaborate with UA narrowing or collapse 3 . ...

A avaliação otorrinolaringológica tem grande importância na pesquisa de alterações anatômicas em indivíduos com suspeita de síndrome da apneia obstrutiva do sono (SAOS), cuja gênese multifatorial tem uma abordagem multidisciplinar, mas é necessária sempre uma adequada visão anatômica das vias aéreas superiores (VAS). Esta avaliação visa compreender melhor as características da doença e, assim, propor o melhor tipo de tratamento individualmente. Aqui é dada ênfase ao exame antropométrico destes pacientes, à avaliação da orofaringe, da hipofaringe e da cavidade nasal, usando, de preferência, métodos endoscópicos para uma melhor observação. São valorizados critérios observados pela classificação de Mallampati (relação entre base da língua e da faringe) e de Brodsky (tamanho das tonsilas palatinas), assim como pela classificação odontológica de Angle.

Objective: Lipoid proteinosis, or Urbach-Wiethe disease, was first described in 1929. It is a rare recessive genetic disorder that causes a buildup of hyaline material in the skin and mucosa. The objective of this paper is to report a case of lipoid proteinosis, or Urbach Wiethe disease, emphasizing its otolaryngological manifestations. Method: A 38-year-old patient presented since young childhood with skin lesions on buttocks, face, arms, and legs and a weak cry. Currently, the patient has hoarseness that keeps her from talking on the telephone, anodontia, pale and stiff oral mucosa (specially frenulum and tongue), and narrowed nasal vestibules. Results: The clinical investigation included a videolaryngoscopy that showed an infiltration of the arytenoids and epiglottis. The vocal cords had normal mobility and coaptation. In order to confirm the diagnosis, a skin biopsy was performed, and the deposition of hyaline positive PAS material was found in the papillar derme. This rare disease does not have a specific treatment. The patient was treated with topical and systemic corticosteroids and also phonotherapy, obtaining some improvement. She was not interested in any surgical option. She is in clinical follow-up in Gaffrée Guinle University Hospital. Conclusion: Lipoid proteinosis is a rare disease, with approximately 300 reported cases, that has a chronic and benign course, still without a specific treatment. Because of the variety of symptoms in the oral cavity, larynx, and nose, it is important that the otolaryngologist is familiar with that affection.