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Are reduced internal nasal dimensions a risk factor for obstructive sleep apnea syndrome?
INTRODUCTION: Obstructive sleep apnea syndrome is a high-prevalence disorder found in the population. Studies have shown a possible association between nasal obstruction and obstructive sleep apnea syndrome, but the existence of a association between the degree of nasal obstruction and obstructive s...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9422546/ https://www.ncbi.nlm.nih.gov/pubmed/32868224 http://dx.doi.org/10.1016/j.bjorl.2020.06.014 |
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author | Trindade, Sergio Henrique Kiemle Trindade, Inge Elly Kiemle Silva, Andressa Sharllene Carneiro da Araújo, Bruna Mara Adorno Marmontel Trindade-Suedam, Ivy Kiemle Sampaio-Teixeira, Ana Claudia Martins Weber, Silke Anna Theresa |
author_facet | Trindade, Sergio Henrique Kiemle Trindade, Inge Elly Kiemle Silva, Andressa Sharllene Carneiro da Araújo, Bruna Mara Adorno Marmontel Trindade-Suedam, Ivy Kiemle Sampaio-Teixeira, Ana Claudia Martins Weber, Silke Anna Theresa |
author_sort | Trindade, Sergio Henrique Kiemle |
collection | PubMed |
description | INTRODUCTION: Obstructive sleep apnea syndrome is a high-prevalence disorder found in the population. Studies have shown a possible association between nasal obstruction and obstructive sleep apnea syndrome, but the existence of a association between the degree of nasal obstruction and obstructive sleep apnea syndrome severity has not yet been proven. OBJECTIVE: To evaluate the internal nasal dimensions of adults with primary snoring and obstructive sleep apnea syndrome by acoustic rhinometry and to correlate the findings with obstructive sleep apnea severity. METHODS: Twenty-one male Caucasian subjects with complaints of snoring and/or respiratory pauses during sleep, aged between 18 and 60 years of age, were evaluated. After clinical evaluation, otorhinolaryngological examination and flexible nasopharyngolaryngoscopy, all patients underwent type III polysomnography. The participants were divided into two groups according to symptom severity: group 1, primary snoring and/or mild obstructive sleep apnea syndrome(n = 9) and group 2, moderate/severe obstructive sleep apnea syndrome (n = 12). Internal nasal dimensions were measured by acoustic rhinometry, analyzing minimum cross sectional area (CSA) and three nasal segment volumes. RESULTS: The respiratory event index corresponded to 8.1 ± 4.0 in group 1 and 47.5 ± 19.1 in group 2. In group 1, the cross-sectional areas values, in cm2, corresponded to: CSA 1 = 1.1 ± 0.4; CSA 2 = 2.1 ± 0.9; CSA 3 = 3.5 ± 1.8 and, in group 2: CSA 1 = 1.2 ± 0.3, CSA 2 = 2.0 ± 0.5; CSA 3 = 2.8 ± 0.7. In group 1, volumes (V), in cm3, corresponded to: V1 = 3.5 ± 1.0; V2 = 9.3 ± 5.0; V3 = 40.2 ± 21.5 and in group 2 a: V1 = 3.6 ± 0.5; V2 = 7.6 ± 1.5; V3 = 31.5 ± 6.7. Cross-sectional area and volume did not differ between groups. CONCLUSION: There were no significant differences in the cross-sectional areas and nasal volumes between individuals with primary snoring-mild obstructive sleep apnea syndrome and moderate-severe obstructive sleep apnea syndrome. Differently to the raised hypothesis, our results suggest that there is no association between internal nasal dimensions and severity of obstructive sleep apnea syndrome. |
format | Online Article Text |
id | pubmed-9422546 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-94225462022-08-31 Are reduced internal nasal dimensions a risk factor for obstructive sleep apnea syndrome? Trindade, Sergio Henrique Kiemle Trindade, Inge Elly Kiemle Silva, Andressa Sharllene Carneiro da Araújo, Bruna Mara Adorno Marmontel Trindade-Suedam, Ivy Kiemle Sampaio-Teixeira, Ana Claudia Martins Weber, Silke Anna Theresa Braz J Otorhinolaryngol Original Article INTRODUCTION: Obstructive sleep apnea syndrome is a high-prevalence disorder found in the population. Studies have shown a possible association between nasal obstruction and obstructive sleep apnea syndrome, but the existence of a association between the degree of nasal obstruction and obstructive sleep apnea syndrome severity has not yet been proven. OBJECTIVE: To evaluate the internal nasal dimensions of adults with primary snoring and obstructive sleep apnea syndrome by acoustic rhinometry and to correlate the findings with obstructive sleep apnea severity. METHODS: Twenty-one male Caucasian subjects with complaints of snoring and/or respiratory pauses during sleep, aged between 18 and 60 years of age, were evaluated. After clinical evaluation, otorhinolaryngological examination and flexible nasopharyngolaryngoscopy, all patients underwent type III polysomnography. The participants were divided into two groups according to symptom severity: group 1, primary snoring and/or mild obstructive sleep apnea syndrome(n = 9) and group 2, moderate/severe obstructive sleep apnea syndrome (n = 12). Internal nasal dimensions were measured by acoustic rhinometry, analyzing minimum cross sectional area (CSA) and three nasal segment volumes. RESULTS: The respiratory event index corresponded to 8.1 ± 4.0 in group 1 and 47.5 ± 19.1 in group 2. In group 1, the cross-sectional areas values, in cm2, corresponded to: CSA 1 = 1.1 ± 0.4; CSA 2 = 2.1 ± 0.9; CSA 3 = 3.5 ± 1.8 and, in group 2: CSA 1 = 1.2 ± 0.3, CSA 2 = 2.0 ± 0.5; CSA 3 = 2.8 ± 0.7. In group 1, volumes (V), in cm3, corresponded to: V1 = 3.5 ± 1.0; V2 = 9.3 ± 5.0; V3 = 40.2 ± 21.5 and in group 2 a: V1 = 3.6 ± 0.5; V2 = 7.6 ± 1.5; V3 = 31.5 ± 6.7. Cross-sectional area and volume did not differ between groups. CONCLUSION: There were no significant differences in the cross-sectional areas and nasal volumes between individuals with primary snoring-mild obstructive sleep apnea syndrome and moderate-severe obstructive sleep apnea syndrome. Differently to the raised hypothesis, our results suggest that there is no association between internal nasal dimensions and severity of obstructive sleep apnea syndrome. Elsevier 2020-07-30 /pmc/articles/PMC9422546/ /pubmed/32868224 http://dx.doi.org/10.1016/j.bjorl.2020.06.014 Text en © 2020 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Original Article Trindade, Sergio Henrique Kiemle Trindade, Inge Elly Kiemle Silva, Andressa Sharllene Carneiro da Araújo, Bruna Mara Adorno Marmontel Trindade-Suedam, Ivy Kiemle Sampaio-Teixeira, Ana Claudia Martins Weber, Silke Anna Theresa Are reduced internal nasal dimensions a risk factor for obstructive sleep apnea syndrome? |
title | Are reduced internal nasal dimensions a risk factor for obstructive sleep apnea syndrome? |
title_full | Are reduced internal nasal dimensions a risk factor for obstructive sleep apnea syndrome? |
title_fullStr | Are reduced internal nasal dimensions a risk factor for obstructive sleep apnea syndrome? |
title_full_unstemmed | Are reduced internal nasal dimensions a risk factor for obstructive sleep apnea syndrome? |
title_short | Are reduced internal nasal dimensions a risk factor for obstructive sleep apnea syndrome? |
title_sort | are reduced internal nasal dimensions a risk factor for obstructive sleep apnea syndrome? |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9422546/ https://www.ncbi.nlm.nih.gov/pubmed/32868224 http://dx.doi.org/10.1016/j.bjorl.2020.06.014 |
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