Subjective, anatomical, and functional nasal evaluation of patients with obstructive sleep apnea syndrome

Subjective, anatomical, and functional nasal evaluation of patients with obstructive sleep apnea syndrome

Autor Vidigal, Tatiana de Aguiar Autor UNIFESP Google Scholar
Martinho Haddad, Fernanda Louise Autor UNIFESP Google Scholar
Gregório, Luiz Carlos Autor UNIFESP Google Scholar
Poyares, Dalva Autor UNIFESP Google Scholar
Tufik, Sergio Autor UNIFESP Google Scholar
Azeredo Bittencourt, Lia Rita Autor UNIFESP Google Scholar
Instituição Universidade Federal de São Paulo (UNIFESP)
Resumo Studies have shown a high occurrence of nasal alterations in patients with obstructive sleep apnea syndrome (OSAS), but no studies have used different methods to evaluate the nose of patients with OSAS. the objective of this study was to evaluate the nose of patients with OSAS, compare them to controls, and correlate the different methods used to evaluate the nose.Forty-seven patients with moderate/severe OSAS and 20 controls who were matched for gender, age, and body mass index were included. Questionnaires regarding sleep and nasal symptoms, physical examination, rhinoscopy, nasofibroscopy, nasal inspiratory peak flow (NIPF), and acoustic rhinometry (AR) measurements were performed.In the OSAS group, 33 (70.2%) were male, with a mean age of 53.2 +/- 9.1 years. in the control group, 13 (65%) were male, with a mean age of 53.7 +/- 9.7 years. the OSAS group had a higher score on the nasal symptoms scale (p < 0.01) and a higher frequency of nasal alterations [presence of septal deviation, clinical complaints (p = 0.01) and hypertrophy of the inferior nasal turbinate (p < 0.01)]. the NIPF and AR parameters could not differentiate between the OSAS and control groups. There were no significant correlations among the different methods used to evaluate the nose. Lower NIPF values were capable of predicting higher apnea-hypopnea index scores (p = 0.007).Clinical complaints and nasal alterations as measured by rhinoscopy and nasofibroscopy were associated with the presence of OSAS, which was not the case for the NIPF and AR parameters. the results of different evaluation methods were not correlated with each other.
Palavra-chave Acoustic rhinometry
Nasal inspiratory peak flow
Rhinoscopy
Nasal obstruction
Nasal symptoms
Idioma Inglês
Financiador AFIP
Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
Data de publicação 2013-03-01
Publicado em Sleep and Breathing. Heidelberg: Springer Heidelberg, v. 17, n. 1, p. 427-433, 2013.
ISSN 1520-9512 (Sherpa/Romeo, fator de impacto)
Publicador Springer
Extensão 427-433
Fonte http://dx.doi.org/10.1007/s11325-012-0667-5
Direito de acesso Acesso restrito
Tipo Artigo
Web of Science WOS:000315167200064
Endereço permanente http://repositorio.unifesp.br/handle/11600/36026

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