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Shaoxiong Huang, Tingting Wang, Xiangmin Zhang, Chen-Wen Yen, Jiuxing Liang, Lingzi Zeng, Yuxi Luo
The purpose of this study was to explore the ways in which the Electroencephalogram (EEG) and oxygen saturation (SpO2 ) are involved in the progressive respiratory restoration process in patients with sleep apnea hypopnea syndrome (SAHS). Twenty-five SAHS patients were enrolled in the analysis. The respiratory events scored from polysomnography (PSG) recordings were divided into two groups as follows: the events followed by secondary events (SREs), which failed to recover stable breathing and those that spontaneously restored stable ventilation (N-SREs)...
June 13, 2018: Respiratory Physiology & Neurobiology
Y R Li, X Ding, C Y Wang, D M Han
Objective: To investigate the sleep-related deglutition in patients with obstructive sleep apnea-hypopnea syndrome (OSAHS) and its correlation with sleep stage and cortical arousals. Methods: From December 2015 to September 2017, simultaneous polysomnography and pharyngeal pressure monitoring were performed in 23 adult patients with OSAHS, Mann-Whitney U test were employed to analyze the following parameters: (1) the relationship between arousal and deglutition; (2) the effect of sleep stage on deglutition; (3) The relationship between the frequency of deglutition and the severity of OSAHS...
June 7, 2018: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Michael W Noller, Christian Guilleminault, Christopher J Gouveia, Douglas Mack, Cindy L Neighbors, Soroush Zaghi, Macario Camacho
OBJECTIVES: Mandibular distraction osteogenesis and mandibular advancement, collectively referred to as mandibular advancement surgeries (MAS), have been used to treat children with mandibular insufficiency and obstructive sleep apnea (OSA). The objective is to perform a systematic review and meta-analysis for MAS as treatment for obstructive sleep apnea. METHODS: Three authors searched multiple databases (including PubMed/Medline) from inception through April 25, 2018...
May 4, 2018: Journal of Cranio-maxillo-facial Surgery
Babak Amra, Behzad Rahmati, Forogh Soltaninejad, Awat Feizi
Obstructive sleep apnea (OSA) is the most common sleep-related breathing disorder and is associated with significant morbidity. We sought to present an updated systematic review of the literature on the accuracy of screening questionnaires for OSA against polysomnography (PSG) as the reference test. Using the main databases (including Medline, Cochrane Database of Systematic Reviews and Scopus) we used a combination of relevant keywords to filter studies published between January 2010 and April 2017. Population-based studies evaluating the accuracy of screening questionnaires for OSA against PSG were included in the review...
May 2018: Oman Medical Journal
Xiaolong Zhao, Huajun Xu, Jianyin Zou, Yingjun Qian, Hongliang Yi, Jian Guan, Shankai Yin
Numerous studies have observed a relationship between obstructive sleep apnea and hypertension, but the effects of metabolic syndrome on hypertension, and their interaction with obstructive sleep apnea, remain unclear. For this study, a total of 2972 patients were recruited from the Shanghai Sleep Health Study. Data from overnight polysomnography parameters, serum lipids, fasting blood glucose, blood pressure, and anthropometric measurements were collected. The authors then explored the independent associations and multiplicative and additive interactions of predictors of metabolic syndrome with hypertension...
June 12, 2018: Journal of Clinical Hypertension
Cyrus C Rabbani, Mohamad Z Saltagi, Shalini K Manchanda, Charles W Yates, Rick F Nelson
OBJECTIVE: To determine the prevalence of obstructive sleep apnea (OSA) in a prospective cohort of patients with spontaneous CSF (sCSF) leaks of the temporal bone. STUDY DESIGN: Prospective cohort study. SETTING: Tertiary referral center. PATIENTS: Consecutive sCSF leak patients (21) over a 3-year period. Four patients presented with a history of OSA and 17 patients were prospectively offered polysomnogram (PSG) testing during the initial clinic encounter...
July 2018: Otology & Neurotology
M Däzlä, M Yilmaz, F Karaloglu, R Karamert, V C Goksu, S A Kahraman, Y K Kemaloglu
Objective: : We aimed to present our clinical experience with maxillomandibular advancement (MMA) for the treatment of obstructive sleep apnea (OSA) syndrome and to compare our results with literature data. Materials and Methods: : The patients who were operated for OSA in the last 10 years were included in the study. A detailed patient's charts review was retrospectively performed. Inclusion criteria were to be available with preoperative and postoperative polysomnography data...
June 2018: Nigerian Journal of Clinical Practice
B X Chen, Q Ou, M X Pan
Objective: To investigate the treatment acceptance in patients with obstructive sleep apnea (OSA) and its influence factors. Methods: This cross-sectional survey recruited OSA patients diagnosed at sleep center in Guangdong General Hospital from January 2014 to December 2015. By phone follow-up, a pre-designed questionnaire was performed for all adults, which composed of the following sections: treatment or none, treatment method, reason for non-treatment, revisit or none. Results: From 524 OSA patients with completed contact information, 480 (91...
May 29, 2018: Zhonghua Yi Xue za Zhi [Chinese medical journal]
X R Yang, R Ren, X Li, J M He, X F Xue, Y Zhang, F Lei, X D Tang, L H Yang
Objective: To investigate the effects of continuous positive airway pressure (CPAP) on periodic limb movements during sleep (PLMS) in patients with obstructive sleep apnea (OSA). Methods: The polysomnography (PSG) data of 828 consecutive OSA outpatients from January 2015 to January 2017 who had undergone overnight CPAP titration were analyzed retrospectively. On the basis of changes in periodic limb movements index (PLMI) values (cut off level≥15/h) from baseline PSG (BPSG) to CPAP titration PSG, patients were assigned to one of the following four groups: persistent, CPAP-emergent, CPAP-disappeared, and non-PLMS...
May 29, 2018: Zhonghua Yi Xue za Zhi [Chinese medical journal]
M Xie, F Lei, D Guo, Y Ma, X D Tang, J Y Zhou
Objective: To explore the diagnostic value of cardiopulmonary coupling analysis in the screening of obstructive sleep apnea (OSA). Methods: A total of 44 participants with sleep disorders from Sleep Medicine Center of West China Hospital in May 2016 were included in the study. All participants were monitored with cardiopulmonary coupling while undergoing polysomnography (PSG). The sleep parameters detected by cardiopulmonary coupling and PSG were compared and the correlation between respiratory disturbance index (RDI) of cardiopulmonary coupling and sleep parameters of PSG were analyzed...
May 29, 2018: Zhonghua Yi Xue za Zhi [Chinese medical journal]
F Han
No abstract text is available yet for this article.
May 29, 2018: Zhonghua Yi Xue za Zhi [Chinese medical journal]
Leila Kheirandish-Gozal, Ashish K Sahib, Paul M Macey, Mona F Philby, David Gozal, Rajesh Kumar
Children with long-standing obstructive sleep apnea (OSA) show evidence of neural injury and functional deficits in behavioral and cognitive regulatory brain regions that are reflected in symptoms of altered cognitive performance and behaviors. While we earlier showed reduced gray matter volume and increased and reduced regional cortical thicknesses, such structural changes give little indication of the underlying pathology. Brain tissue integrity in pediatric OSA subjects can reflect the nature and extent of injury or structural adaptation, and can be assessed by entropy tissue texture, a measure of local changes in signal intensity patterns from high-resolution magnetic resonance images...
June 5, 2018: Neuroscience Letters
Wanyuan Xia, Yanhong Huang, Bin Peng, Xin Zhang, Qingmeng Wu, Yiying Sang, Yetao Luo, Xun Liu, Qian Chen, Kaocong Tian
OBJECTIVE: The objective of this study was to summarize the evidence regarding the relationship between obstructive sleep apnoea syndrome (OSAS) and the risk of essential hypertension. METHODS: The study was a dose-response meta-analysis of observational studies. The PubMed, Embase, CNKI, VIP and CBM databases were searched to collect relative studies examining the relationship between OSAS and the risk of essential hypertension. Studies were retrieved from database establishment through September 2016, and new literature published between September 2016 and May 2017 was later supplemented...
July 2018: Sleep Medicine
Q R Chen, Q Q Dai, J Zou, H Zheng
A case of Crouzon syndrome coupled with OSAHS and congenital heart disease in our hospital was reported. The patient who was a 2 years and 7 months old boy, was admitted in our hospital for repetitive sore throat, snoring with mouth breathing during sleep for more than 2 years and been found with some typical defect of Crouzon syndrome during physical examination. Half a year ago the boy underwent ventricular septal defect closure surgery. PSG shows severe apnea hypopnea and low ventilation existed. Under general anesthesia, the patient accepted bilateral tonsillectomy and adenoidectomy but dyspnea occurred after post-operative extubation till 2 days later the boy can breathe by himself...
May 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Y G Lan, K Chen, Z X Zhang, Y H Ye, Z G Zhang
Objective: To remove the immune function of children with obstructive sleep apnea hypopnea syndrome by resection of adenoids and tonsillar. Method: The fasting peripheral venous blood of children with OSAHS and healthy children were collected. The lymphocyte subsets, NK cells and immunoglobulin levels were compared between the two groups. The fasting blood samples of OSAHS children were collected again after 2d, 30d, 60d and 90d after operation. The changes of lymphocyte subsets, NK cells and immunoglobulin levels were observed after operation...
May 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Angela L D'Rozario, Delwyn J Bartlett, Keith K H Wong, Toos Sach, Qiao Yang, Ronald R Grunstein, Caroline D Rae
Study Objectives: Obstructive sleep apnea (OSA) is a well-established cause of impaired daytime functioning. However, there is a complex inter-individual variability in neurobehavioural performance in OSA patients. We previously reported compromised brain bioenergetics during apneic sleep in severe OSA. In this study, we investigate whether brain bioenergetics during resting wakefulness are related to neurobehavioural performance. Methods: Patients attended the sleep laboratory in the evening and were kept awake over-night...
June 1, 2018: Sleep
Angela L D'Rozario, Clarice J Field, Camilla M Hoyos, Sharon L Naismith, George C Dungan, Keith K H Wong, Ronald R Grunstein, Delwyn J Bartlett
Objective/Background: Although polysomnography (PSG) is the gold-standard measure for assessing disease severity in obstructive sleep apnea (OSA), it has limited value in identifying individuals experiencing significant neurobehavioural dysfunction. This study used a brief and novel computerised test battery to examine neurobehavioural function in adults with and without OSA. Patients/Methods: 204 patients with untreated OSA [age 49.3 (12.5) years; body mass index, [BMI] 33...
2018: Frontiers in Surgery
Yu-Ting Liu, Hui-Xin Zhang, Hui-Jun Li, Ting Chen, Ya-Qing Huang, Lian Zhang, Zhi-Chun Huang, Bin Liu, Ming Yang
Objective: To determine the changes in interhemispheric functional coordination in patients with obstructive sleep apnea-hypopnea syndrome (OSAHS) relative to controls, using a recently introduced method of analysis: voxel-mirrored homotopic connectivity (VMHC). Methods: Twenty-nine patients with OSAHS and twenty-six normal sex-, age-, and education-matched controls were recruited and resting-state functional magnetic resonance imaging data were obtained. We employed VMHC to analyze the interhemispheric functional connectivity differences between groups...
2018: Frontiers in Neurology
Valerie E Rogers, Mary E Bollinger, Mohan E Tulapurkar, Shijun Zhu, Jeffrey D Hasday, Kevin D Pereira, Steven M Scharf
OBJECTIVES: A bi-directional relationship exists between asthma and obstructive sleep apnea (OSA) in which presence of one is associated with increased prevalence and severity of the other. Our objective was to determine whether OSA accounted for differences in airway and systemic inflammation in asthmatic children and whether inflammation was associated with asthma control. We hypothesized that greater severity of SDB would correlate with increased upper airway and systemic inflammation and result in reduced asthma control...
June 3, 2018: Pediatric Pulmonology
Amanda Lucas da Costa, Denise Manica, Cláudia Schweiger, Gabriel Kuhl, Leo Sekine, Simone Chaves Fagondes, Marcus Vinicius Collares, Paulo Jose Cauduro Marostica
INTRODUCTION: The optimal surgical technique for the management of patients with Robin Sequence (RS) has not been established. One of the most commonly used surgical techniques, mandibular distraction osteogenesis (MDO), is still controversial because of its potential risks and the lack of clear evidence of its efficacy. OBJECTIVES: To assess variations in airway patency, clinical symptoms, and polysomnographic parameters in children with RS who underwent MDO. METHODS: In this prospective cohort study, 38 patients with RS were evaluated before and after MDO...
May 18, 2018: Journal of Cranio-maxillo-facial Surgery
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