Sleep, breathing and the nose

Pevernagie, Dirk; Meyer, Micheline M D De; Claeys, Sofie

doi:10.1016/j.smrv.2005.02.002

Cited by 50 publications

(37 citation statements)

References 86 publications

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“…Kronik nazal direnç artışı durumlarında OUAS şiddeti ile nazal obstrüksiyonun şiddeti arasında direkt korelasyon gösterilememiş-tir. 20 Diğer yandan obez OUAS'lilerde nazal rezistans artışının hipoksemik apnelerin patogenezinde rol oynayabileceği bildirilmiştir. 21 Ağız kuruluğu şikâyeti muhtemelen burun tıkanık-lığının fazla olmasına bağlı olarak pozisyonel hasta grubunda daha fazlaydı, ancak iki grup arasında anlamlı bir fark yoktu.…”

Section: Discussionunclassified

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Clinical and Polysomnographic Properties of Patients with Positional Obstructive Sleep Apnea Syndrome

Yosunkaya¹,

Öztürk²

2012

Solunum

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ÖZETAmaç: Obstrüktif uyku apne sendromlu (OUAS) hastalardan, sırt üstü yatış pozisyonunda, yan yatış pozisyonuna göre, apne hipopne indeksi (AHİ) en az iki kat artan veya yan yatış pozisyonunda normalleşen (AHİ<5) hastalar yani "pozisyonel hasta"lar ile sırt üstü yatış pozisyonlarında AHİ'de iki kattan daha az bir artış olan "pozisyonel olmayan" OUAS'li hastaların klinik bulgularının, fizik muayene bulgularının ve polisomnografik özelliklerinin karşılaştırılması. Sonuç: Bu çalışmayla, iki yıllık bir süreyi kapsayan hasta kayıtları-mızdan pozisyonel OUAS tanısı alanların temel özelliklerini, hastalığın pozisyonel olup olmamasına göre gruplandırarak belgelemiş olduk. Pozisyonel hastaların bazı klinik, fizik muayene ve polisomnografik bulgularında POH'ye göre farklılıklar tespit edildi. Anah tar kelimeler:Uyku apnesi, apne, tıkayıcı uyku apne sendromu ABST RACTAim: "Positional patients" (PP) were patients with obstructive sleep apnea (OSA) whose apnea hypopnea index (AHI) becomes at least twice as high in the supine position as in the lateral position and an AHI that normalizes (AHI<5) in the non-supine position. Non-positional patients (NPP) were characterised by an AHI in the supine position less than twice as high as in the lateral position. In this study we aimed to compare clinical, polysomnographic and physical characteristics of patients with non-positional and positional sleep apnea. Materials and Methods:Medical records of 500 patients diagnosed with OSA syndrome (OSAS) by polysomnography (PSG) in our clinic, between 2006-2008, were retrospectively reviewed, and 230 of these were included in the study. Patients were separated into two groups according to polisomnographic results as PP and NPP. The clinical, polysomnographic and physical characteristics of the two groups were compared.Results: 112 of the 230 patients (48.6%) were classified as PP. These were younger, with lower body mass index and neck circumflex and a milder OSAS as compared to the NPP. AHI in 31% of the PP fell below 5 in the lateral recumbent position. Excessive daytime sleepiness (EDS), as assessed by the Epworth Sleepiness Scale, was lighter in the PP group. Also, frequency of complaint from year-long nasal blockage and frequency of finding turbinate hypertrophy were more common in the PP as compared to the NPP. Conclusion:In this study, basic features of patients diagnosed as positional OSAS over a two-year period were documented by grouping as PP and NPP. Some differences were identified at the physical examination, clinical and polysomnographic features of the positional and non-positional cases.Keywords: Sleep apnea, apnea, obstructive sleep apnea syndrome Solunum Dergisi'ne www.solunum.org.tr adresinden ulaşabilirsiniz.

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Section: Discussionunclassified

“…Bu etki nazal patolojik durumlar bulunduğunda daha belirgin hale gelebilir. 32 Bizim çalışmamızda bu yönde bir bulgu olarak konka hipertrofisinin yan yatış pozisyonundaki AHİ ve total AHİ değerleri ile ilişkili olduğu görülmüştür.…”

Section: Discussionunclassified

Clinical and Polysomnographic Properties of Patients with Positional Obstructive Sleep Apnea Syndrome

Yosunkaya¹,

Öztürk²

2012

Solunum

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“…Breathing is also completely controlled by the autonomic system during sleep. Most humans tend to sleep in a recumbent position (Pevernagie, De Meyer, and Claeys 2005). In this position, nasal resistance increases.…”

Section: Sleepmentioning

confidence: 99%

The inferior turbinate: An autonomic organ

Smith

Brook

Virani

et al. 2018

American Journal of Otolaryngology

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“…The purpose of the nose and nasal breathing is well understood [11]. However, it is not a priority when it comes to improved outcomes for oral appliance therapy as well as for PAP devices.…”

Section: The Role Of the Nasal Airwaymentioning

confidence: 99%

Oral Appliances for Sleep Breathing Disorders

Bailey

2016

Curr Sleep Medicine Rep

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Oral appliances gained acceptance over the last decade and, at the same time, have been proven to be an effective way to manage sleep breathing disorders. Their role has become more acceptable since the first practice parameters paper was published in 1995. Over a 10-year period since then, they have gained an even larger and expanded role. This has occurred because of an increased number of articles with a higher level of evidence relative to efficacy, they are more widely recognized by the sleep medicine and physician community, and there are improved outcomes associated with their use. In the future, oral appliances will be more recognized and accepted. This will occur as two key areas emerge in the future: studies that validate the use of oral appliances, including long-term studies, and the role of oral appliances as part of combined therapy with positive airway pressure (PAP) devices.

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Sleep, breathing and the nose

Cited by 50 publications

References 86 publications

Clinical and Polysomnographic Properties of Patients with Positional Obstructive Sleep Apnea Syndrome

Clinical and Polysomnographic Properties of Patients with Positional Obstructive Sleep Apnea Syndrome

The inferior turbinate: An autonomic organ

Oral Appliances for Sleep Breathing Disorders

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