The Friedman Tongue Score Can Predict Sleep Apnea Severity

Abstract

(large mucous cysts, choanal polyp,). PIEC includes: severe not correctable anatomic impairment of the nasal wall or antral mucosa (post-traumatic, post-surgical, or post-radiotherapeutic scars); naso-sinusal inflammation associated with systemic conditions (cystic fibrosis, Kartagener's and Young's syndrome, congenital or acquired immunodeficiency, Wegener's granulomatosis, sarcoidosis); extensive naso-sinusal neoplasms (inverted papilloma, fibroma, lymphomas, primary and metastatic malignancies). CONCLUSION: ENT specialists should be correctly trained to identify and treat, if possible, ENT contraindications to SL in order to be able to collaborate with implantologists dealing with an edentulous upper arch. The PSG confirmed OSAS patients who had mild and moderate apnea (AHI between 0-30) was sedated with propofol (0.25 cc/kg) in OR for examination of obstructive regions. Anatomical structures in obstruction were observed with flexible endoscopy. The images of this examination were analyzed with Ulead video study. The changes in pre-and post-op obstruction areas were compared with the changes in pre-and post-op PSG and Epworth sleepiness scale. Pre-op and post-op AHI, desaturation index, minimal oxygen saturation, Epworth and retro palatal region values investigated. RESULTS: Changes in retrolingual area values were correlated with changes in AHI values. The most important factor effecting this correlation was the formation of tongue base pathology despite that it was absent preoperatively. UPPP operation will be the most enlarging retropalatal region. Soft palate RF operation caused an inefficient retropalatal enlargement. CONCLUSION: Sleep nasopharyngoscopy is an effective diagnostic technique in OSAS with advantages such as low radiation risk, cost effectiveness and precise findings. After UPPP sometimes tongue base pathology may appear. The Friedman Tongue Score Can Predict Sleep Apnea SeverityXavier Barcelo (presenter); Rosa Mirapeix, PhD; Albert Cobos, MSc, MD, PhD; Christian Domingo, PhD OBJECTIVE: To evaluate the usefulness of the examination of the upper airway to confirm the diagnosis of obstructive sleep apnea syndrome (OSAS) and its severity. METHOD: Prospective, single-center cross-sectional study performed in a community hospital. Participants: 301 consecutive patients admitted to the Sleep Unit due to suspicion of OSAS. Assessments: a) Body Mass Index (BMI); b) Neck perimeter; c) Oropharyngeal examination; d) Fiberendoscopy; e) Rhinomanometry; f) Sleep study RESULTS: Mean age: 51(12) years; gender: 71% male (214/ 301); mean BMI: 29.8 (4.6) Kg/m2; mean cervical perimeter 40.5 (3.7) cm. In 283 patients (94.019%) AHI was м 5 /hour. Patients with scores of 2 and 3 for FTP (Friedman tongue position) accounted for 74.08% of the whole cohort, 14.29% were FTP 1, and only 11.63% FTP 4. Eighteen out of 301 (6%) were considered normal (AHI Ն5), 16 were classified as FTP 1 and only two as FTP 2. Tonsil size (pϭ0.005), uvula score (pϭ0.003), BMI (pϽ0001), cervical perimeter (Ն0001), nasal flow at 150 Pascal'...

Oropharyngeal Pathology and Results of Surgical Treatment of Patients with Sleep Disturbed Breathing. Summary of the Doctoral Thesis

“…Barcelo et al has analysed predicators of severe forms of OSA and has found that tonsil size, BMI, neck circumference, age and gender are associated with the severity of OSA, but Mallampati class is statistically the most significant predicator [28].…”