Sleep nasendoscopy: a technique of assessment in snoring and obstructive sleep apnoea

Croft, C. B.; Pringle, Märit

doi:10.1111/j.1365-2273.1991.tb02103.x

Cited by 134 publications

(132 citation statements)

References 18 publications

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“…Surgical treatment methods have been developed to decrease the vibration in this region. [1] Although uvulopalatopharyngoplasty (UPPP) has been the most frequently used surgical method, tissue stiffening surgeries have become more popular because they cause less morbidity and provide more patient comfort. Radiofrequency ablation Because radiofrequency is a frequently preferred older method, many studies have been carried out upon it and its side effects and long-term results are well-established.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Long-term results of pillar implant procedure

Server¹,

Alkan²,

Yiğit³

et al. 2016

Kulak Burun Bogaz Ihtis Derg

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Objectives: This study aims to investigate the long-term efficiency and reliability of the Pillar Implant (PI) procedure. Patients and Methods:Between January 2008 and January 2010, a total of 27 patients (16 males, 11 females; mean age 45.8±7.2 years; range 31 to 58 years) who were diagnosed with low obstructive sleep apnea syndrome and simple snoring underwent the PI procedure in this retrospective, nonrandomized study. The patients were evaluated preoperatively with visual analog scale (VAS) scores in terms of snoring, dysphagia, mouth dryness, foreign body sensation, and pain at the first month, third month, and sixth year intervals.Results: Based on the snoring scale, VAS scores were statistically significantly lower in the first month, third month and sixth year compared to preoperative scores (p=0.001, p=0.008, p=0.017, respectively). There was no pain in any patients beyond the third day. The VAS score averages in all evaluations were higher by statistical significance relative to the preoperative averages (p=0.018, p=0.027, p=0.025, respectively). Mouth dryness was encountered in seven patients. It persisted in seven patients at the third month and in five patients at the sixth year interval. The VAS score averages were statistically significantly higher in all evaluations compared to the preoperative scores (p=0.017, p=0.018, p=0.042, respectively). Conclusion:Pillar implant is an efficient, reliable method in the long-term; however, it should be considered that it could cause complaints such as dysphagia, foreign body sensation, and mouth dryness.Keywords: Obstructive sleep apnea syndrome; pillar implant; snoring. ÖZ Amaç: Bu çalışmada pillar implant (Pİ) işleminin uzun dönem etkinlik ve güvenilirliği araştırıldı. Hastalar ve Yöntemler:Bu nonrandomize retrospektif çalışmada Ocak 2008 -Ocak 2010 tarihleri arasında düşük obstrüktif uyku apne sendromu ve basit horlama tanısı konan toplam 27 hastaya (16 erkek, 11 kadın; ort. yaş 45.8±7.2 yıl; dağılım 31-58 yıl) Pİ işlemi uygulandı. Ameliyat öncesi hastaların görsel analog ölçeği (GAÖ) değerleri horlama, yutma güçlüğü, ağız kuruluğu, yabancı cisim hissi ve ağrı açısından, ilk ay, üçüncü ay ve altıncı yılda değerlendirildi. Bulgular: Horlama skalasına göre GAÖ değerleri, ameliyat öncesi değerler ile karşılaştırıldığında ilk ay, üçüncü ay ve altıncı yılda istatistiksel olarak anlamlı derecede düşük bulundu (sırasıyla, p=0.001, p=0.008, p=0.017). Üçüncü gün sonrasında hiçbir hastada ağrı yoktu. Tüm değerlendirmelerde GAÖ değer ortalamaları ameliyat öncesi ortalamalara göre istatistiksel anlamlı olarak yüksekti (sırasıyla, p=0.018, p=0.027, p=0.025). Ağız kuruluğu ile yedi hastada karşılaşıldı. Bu durum yedi hastada üçüncü ayda ve beş hastada altıncı yıl aralığında devam etti. Tüm değerlendirmelerde GAÖ değer ortalamaları ameliyat öncesi değerleri ile karşılaştırıldığında istatistiksel anlamlı olarak yüksek bulundu (sırasıyla p=0.017, p=0.018, p=0.042).Sonuç: Pillar implant uzun dönemde etkin, güvenilir bir yöntemdir; ancak disfaji, yabancı cisim hiss...

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Section: Discussionmentioning

confidence: 99%

“…Vibration, however, most frequently occurs at the level of the soft palate. [1] For that reason, the key strategy for preventing snoring is to prevent vibration of the soft palate. Surgeries at the soft palate level can include those that decrease tissue volume, harden the tissue through fibrosis, or both.…”

mentioning

confidence: 99%

Long-term results of pillar implant procedure

Server¹,

Alkan²,

Yiğit³

et al. 2016

Kulak Burun Bogaz Ihtis Derg

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“…Good measurement characteristics include accuracy, low testretest variability and low interrater variability. Sleep endoscopy in the naturally asleep patient was introduced in 1978 by Borowiecki et al [20] and in the asleep or sedated patient by Croft and Pringle [21]. The evaluation requires pharmacologic induction of sedation and flexible fiberoptic endoscopy to visualize the upper airway obstruction and/or snoring.…”

Section: Introductionmentioning

confidence: 99%

The Utility of Sleep Endoscopy in Adults with Obstructive Sleep Apnea: A Review of the Literature

Maanen

Ravesloot

Safiruddin

et al. 2013

Curr Otorhinolaryngol Rep

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Since history and physical examination alone cannot reliably diagnose obstructive sleep apnea (OSA), the gold standard for the diagnosis of OSA is polysomnography. When an oral device or surgery is considered, it is of utmost importance to examine an individual's pattern, degree and site(s) of upper airway obstruction. This article tries to evaluate recent literature published on the use of (drug-induced) sleep endoscopy in evaluating the individually tailored treatment. Different techniques, interrater reliability, test-retest reliability and currently available data on the relationship with treatment outcome are reviewed.

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“…Croft and Pringle described the technique in 1991 [8]. Sleep endoscopy is a technique that consists of pharmacologically inducing sleep in Sleep Disordered Breathing patients to identify the area(s) of vibration and collapse in the upper airway.…”

Section: Introductionmentioning

confidence: 99%

“…This inaccurate assessment leads to inappropriate surgical intervention [6,7]. As obstructive sleep apnea can occur at many levels (multilevel obstruction), and the main regions of obstruction are the soft palate and hypopharynx (actually corresponding to the hypopharynx and the retro-lingual portion of the oropharynx) [8].…”

Section: Introductionmentioning

confidence: 99%

Morphological Characteristics of Osa Patients Using Drug Induced Sleep Endoscopy

Tabbakh¹

2017

JOENTR

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To evaluate the reliability of drug induced sleep endoscopy (DISE) in identifying levels and degrees of severity of obstruction in sleep disordered breathing (SDB) patients. Patients with obstructive sleep apnea syndrome (OSAS) and habitual snoring diagnosed by polysomnography assessed by history and Epworth Sleepiness Scale (ESS), modified Malampatti index, Friedman staging system, Assessment of the Body mass index (BMI), neck circumference (NC), Müller maneuver (MM) and DISE using the NOHL (nose, oropharynx, hypopharynx and larynx) classification system. Our results revealed 66 patients, 34 males and 32 females with ages ranging from 23 to 58 years. BMI showed that 86.4 % of cases were obese with mean BMI (35.1 ± 5.6) ranging from (24 -50 kg/m 2 ). NC showed large NC (> 37cm) in 100 % of females while it was large (> 43 cm) in only 29.4 % of males. The mean apnea/hypopnea index was 10.7 ± (11.8/h). Obstruction at oropharyngeal level was 82% of the patients with grades ranging from 50 to 100%followed by obstruction at the level of hypopharynx in 68%. Only 13.6% showed supraglottic obstruction due to flappy epiglottis. Almost all patients showed multilevel obstruction with different grades. We found no correlation between the results of DISE, MM and classic ENT evaluation techniques. DISE treatment recommendations was different in 82% of patients at the oropharyngeal level and in 39% at the hypopharyngeal level than those of MM, but was nearly the same regarding supraglottic obstruction.Conclusion: DISE is a reliable tool of upper airway collapse assessment leading to better treatment recommendations for SDB patients.

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Sleep nasendoscopy: a technique of assessment in snoring and obstructive sleep apnoea

Cited by 134 publications

References 18 publications

Long-term results of pillar implant procedure

Long-term results of pillar implant procedure

The Utility of Sleep Endoscopy in Adults with Obstructive Sleep Apnea: A Review of the Literature

Morphological Characteristics of Osa Patients Using Drug Induced Sleep Endoscopy

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