The nasopharyngeal tube: A simple and effective tool to indicate the need for uvulopalatopharyngoplasty

Li, Shuhua; Wu, Dahai; Bao, Junmin; H, Shi

doi:10.1002/lary.24351

Cited by 18 publications

(40 citation statements)

References 16 publications

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“…14 In two separate articles, Li et al described outcomes for OSA patients who underwent polysomnography pre-and post-nasal trumpet insertion to help determine if the patient had strictly oropharyngeal obstruction or oropharyngeal obstruction in combination with glossopharyngeal obstruction. 27,28 The first study 18 which involved evaluation of the following eight items: (1) Case series collected in more than one centre, i.e. multi-centre study?…”

Section: Nasal Trumpetsmentioning

confidence: 99%

Nasopharyngeal airway stenting devices for obstructive sleep apnoea: A systematic review and meta-analysis

et al. 2014

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Objective: To systematically review outcomes of adults with obstructive sleep apnoea treated with nasopharyngeal airway stenting devices.Methods: Medline, Scopus, Web of Science and the Cochrane Library databases were searched, and data on device use and tolerability, sleepiness, oxygen saturation, apnoea index, apnoea-hypopnoea index, and sleep quality were collected.Results: Of 573 potential studies, 29 were retrieved for detailed evaluation and 16 met the study criteria. Polysomnography data for patients treated with nasal trumpets as an isolated therapy were pooled for metaanalysis. The mean apnoea index ± standard deviation, for 53 patients, decreased from 32.4 ± 15.9 to 9.0 ± 7.2 episodes per hour ( p < 0.00001). The mean apnoea-hypopnoea index, for 193 patients, decreased from 44.1 ± 18.9 to 22.7 ± 19.3 episodes per hour ( p < 0.00001). The mean lowest oxygen saturation, for 193 patients, increased from 66.5 ± 14.2 to 75.5 ± 13.9 per cent ( p < 0.00001).Conclusion: Some studies have demonstrated limited effectiveness and low tolerability of nasopharyngeal airway stenting devices, while other studies have shown a significant benefit in treating obstructive sleep apnoea, with a high level of patient acceptance. Nasal trumpets have been successful in decreasing airway obstruction in the short term.

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Section: Nasal Trumpetsmentioning

confidence: 99%

Nasopharyngeal airway stenting devices for obstructive sleep apnoea: A systematic review and meta-analysis

et al. 2014

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“…AHI and LSO 2 decided by NPT-PSG during overnight sleep were recorded. AHI decided by NPT-PSG greater than or equal to 15 times/h was used as the diagnostic criterion for glossopharyngeal obstruction [11][12][13]. For all patients, whether there was glossopharyngeal airway obstruction was observed.…”

Section: Psg Before and After Npt Insertionmentioning

confidence: 99%

“…Nasopharyngeal tube (NPT) insertion can guarantee the responsibility of excluding the obstruction of the nasal cavity, nasopharyngeal and oropharyngeal airways. If nasopharyngeal tube polysomnography (NPT-PSG) still detects obstructive sleep apnea after NPT insertion, it suggests that the obstruction site should be located at the glossopharyngeal area [11,12].…”

Section: Introductionmentioning

confidence: 99%

“…Our previous work has demonstrated that good effi cacy can be achieved by guiding the choice of surgical approach based on NPT-PSG fi ndings, suggesting that NPT-PSG examination is an effective diagnostic tool for diagnosing glossopharyngeal obstruction [12,13]. However, some patients do not tolerate NPT insertion, which prevents proper examination [12].…”

Section: Introductionmentioning

confidence: 99%

“…However, some patients do not tolerate NPT insertion, which prevents proper examination [12]. In a small number of patients, the NPT-PSG results were more severe than the results of the fi rst polysomnography (PSG), so the examination results were uncertain.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Diagnosing Lingual Airway Obstruction Using Nasopharyngeal Tube in OSAHS: Natural Sleep vs Induced Sleep

Li¹

2017

Arch Otolaryngol Rhinold

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A Novel Method to Classify the Responses of Genioglossus to Negative Pressure in OSA Patients

Zhou,

Yin,

et al. 2023

Otolaryngol.--head neck surg.

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ObjectiveThis study aims to develop a novel method to classify different genioglossus (GG) responses to upper airway (UA) negative pressure in obstructive sleep apnea (OSA) patients.Study DesignA single‐center, prospective, cohort study.SettingSleep Medical Center.MethodsPatients with OSA underwent drug‐induced sleep endoscopy with synchronous genioglossus electromyography (ggEMG) and UA pressure monitoring. In spontaneous obstructive apnea events, the value of epiglottis negative pressure at the end of inspiration (Pepi) and corresponding peak phasic ggEMG were recorded as pairing data for linear regression analysis to classify GG response modes: peak phasic ggEMG‐Pepi linear mode (P < .05) were classified as group 1; others (P ≥ .05) were classified as group 2. Using nasopharyngeal tube (NPT) to reopen the palatopharyngeal cavity for comparing the improvement between the OSA patients with different GG response modes.ResultsSixty subjects were analyzed for GG response modes: 22 patients were in group 1 (r2 = 0.233‐0.867), and 38 patients were in group 2. The proportion of partial (63.16% vs 59.09%) or complete (36.84% vs 22.73%) collapse rate of the tongue base in group 2 was significantly higher (χ2 = 7.823, P = .020). The improvement of the apnea‐hypopnea index after NPT placement in group 2 was significantly lower than in group 1 (59.09% vs 31.58%, χ2 = 4.339, P = .037).ConclusionThis novel method is advantageous for distinguishing OSA patients with different GG response abilities to UA negative pressure, whose GG responses conforming to peak phasic ggEMG‐Pepi linear mode might be more suitable for palatopharyngeal surgery.

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The nasopharyngeal tube: A simple and effective tool to indicate the need for uvulopalatopharyngoplasty

Abstract: 4.

Cited by 18 publications

References 16 publications

Nasopharyngeal airway stenting devices for obstructive sleep apnoea: A systematic review and meta-analysis

Nasopharyngeal airway stenting devices for obstructive sleep apnoea: A systematic review and meta-analysis

Diagnosing Lingual Airway Obstruction Using Nasopharyngeal Tube in OSAHS: Natural Sleep vs Induced Sleep

A Novel Method to Classify the Responses of Genioglossus to Negative Pressure in OSA Patients

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