Systematic head and neck physical examination as a predictor of obstructive sleep apnea in class III obese patients

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dc.contributor.author Martinho, Fernanda Louise [UNIFESP]
dc.contributor.author Tangerina, Rodrigo de Paiva [UNIFESP]
dc.contributor.author Togeiro, Sonia Maria [UNIFESP]
dc.contributor.author Gregório, Luiz Carlos [UNIFESP]
dc.contributor.author Tufik, Sergio [UNIFESP]
dc.contributor.author Bittencourt, Lia Rita Azeredo [UNIFESP]
dc.date.accessioned 2015-06-14T13:38:52Z
dc.date.available 2015-06-14T13:38:52Z
dc.date.issued 2008-12-01
dc.identifier http://www.scielo.br/scielo.php?pid=S0100-879X2008001200008&script=sci_arttext
dc.identifier.citation Brazilian Journal of Medical and Biological Research. Associação Brasileira de Divulgação Científica, v. 41, n. 12, p. 1093-1097, 2008.
dc.identifier.issn 0100-879X
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/4689
dc.description.abstract Our aim was to determine if anatomical abnormalities of the upper airway (UA) and facial skeleton of class III severely obese patients are related to the presence and severity of obstructive sleep apnea syndrome (OSAS). Forty-five patients (69% females, mean age 46.5 ± 10.8 years) with a body mass index (BMI) over 40 kg/m² underwent UA and facial skeletal examinations as well as polysomnography. Mean BMI was 49 ± 7 kg/m² and mean neck circumference was 43.4 ± 5.1 cm. Polysomnographic findings showed that 22% had a normal apnea-hypopnea index (AHI) and 78% had an AHI over 5. The presence of OSAS was associated with younger age (P = 0.02), larger neck circumference (P = 0.004), presence of a voluminous lateral wall (P = 0.0002), posteriorized soft palate (P = 0.0053), thick soft palate (P = 0.0014), long uvula (P = 0.04), thick uvula (P = 0.0052), and inferior turbinate hypertrophy (P = 0.04). A larger neck circumference (P = 0.02), presence of a voluminous lateral wall (P = 0.04), posteriorized soft palate (P = 0.03), and thick soft palate (P = 0.04) were all associated with OSAS severity. The prevalence of OSAS in this group was high. A larger neck circumference and soft tissue abnormalities of the UA were markers for both the presence and severity of OSAS. Conversely, no abnormalities in the facial skeleton were associated with OSAS in patients with morbid obesity. en
dc.format.extent 1093-1097
dc.language.iso eng
dc.publisher Associação Brasileira de Divulgação Científica
dc.relation.ispartof Brazilian Journal of Medical and Biological Research
dc.rights Acesso aberto
dc.subject Obesity en
dc.subject Obstructive sleep apnea syndrome en
dc.subject Snore en
dc.subject Physical examination en
dc.subject Predictors en
dc.title Systematic head and neck physical examination as a predictor of obstructive sleep apnea in class III obese patients en
dc.type Artigo
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.description.affiliation Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
dc.description.affiliation Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Instituto do Sono
dc.description.affiliationUnifesp UNIFESP, EPM, Depto. de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
dc.description.affiliationUnifesp UNIFESP, EPM, Instituto do Sono
dc.identifier.file S0100-879X2008001200008.pdf
dc.identifier.scielo S0100-879X2008001200008
dc.identifier.doi 10.1590/S0100-879X2008001200008
dc.description.source SciELO
dc.identifier.wos WOS:000262580300008



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