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preoperative evaluation obstructive sleep syndrome

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https://www.readbyqxmd.com/read/27917446/adenotonsillectomy-outcomes-regarding-bone-age-and-osteocalcin-in-treatment-of-obstructive-sleep-apnea-syndrome-in-children
#1
Qing-Biao Zhang, Yin-Feng Li, Ming-Xiu Li, Ling-Yu Kong, Liang-Fu Jiang, Hui-Wei Feng, Xian-Liang Fan
BACKGROUND: To investigate the effect of adenotonsillectomy (AT) on bone development, quality of life and polysomnography evaluation in children with obstructive sleep apnea syndrome (OSA). METHODS: Preoperative and postoperative (6 months) physical examination, PSG, bone age (BA) and osteocalcin (OC) evaluation were performed on the selected OSA children (n=92) and the healthy children (n=87). The OSA children were also scored based on the OSA 18-item questionnaire...
December 5, 2016: World Journal of Pediatrics: WJP
https://www.readbyqxmd.com/read/27906721/preoperative-evaluation-and-preparation-of-the-morbidly-obese-patient
#2
Andreas B Böhmer, Frank Wappler
PURPOSE OF REVIEW: This review aims to familiarize with the most current findings regarding preoperative evaluation and preparation of morbidly obese patients prior to elective, noncardiac surgery. In the light of the increasing number of surgical patients being morbidly obese, the knowledge of evidence-based preoperative evaluation strategies is profound for a rational approach. RECENT FINDINGS: Preoperative evaluation should be carried out with sufficient time before the day of surgery to allow modification of the perioperative management...
November 30, 2016: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/27906717/spectrum-of-postoperative-complications-in-pulmonary-hypertension-and-obesity-hypoventilation-syndrome
#3
Roop K Kaw
PURPOSE OF REVIEW: The purpose of this review is to identify chronic pulmonary conditions which may often not be recognized preoperatively especially before elective noncardiac surgery and which carry the highest risk of perioperative morbidity and mortality. RECENT FINDINGS: This review discusses some of the most recent studies that highlight the perioperative complications, and their prevention and management strategies. SUMMARY: Pulmonary hypertension is a well recognized risk factor for postoperative complications after cardiac surgery but the literature surrounding noncardiac surgery is sparse...
November 30, 2016: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/27888822/long-term-results-of-pillar-implant-procedure
#4
Ela Araz Server, Zeynep Alkan, Özgür Yiğit, Ahmet Görkem Yasak
OBJECTIVES: This study aims to investigate the long-term efficiency and reliability of the Pillar Implant (PI) procedure. PATIENTS AND METHODS: Between January 2008 and January 2010, a total of 27 patients (16 males, 11 females; mean age 45.8±7.2 years; range 31 to 58 years) who were diagnosed with low obstructive sleep apnea syndrome and simple snoring underwent the PI procedure in this retrospective, nonrandomized study. The patients were evaluated preoperatively with visual analog scale (VAS) scores in terms of snoring, dysphagia, mouth dryness, foreign body sensation, and pain at the first month, third month, and sixth year intervals...
September 2016: Kulak Burun Boğaz Ihtisas Dergisi: KBB, Journal of Ear, Nose, and Throat
https://www.readbyqxmd.com/read/27576233/respiratory-conditions-update-restrictive-lung-disease
#5
H Coleman Robinson
Restrictive lung diseases are a heterogeneous group of conditions characterized by a restrictive pattern on spirometry and confirmed by a reduction in total lung volume. Patients with more severe symptoms may have a reduced diffusing capacity of the lung for carbon monoxide. Etiologies can be intrinsic with lung parenchymal involvement, as in interstitial lung diseases, or extrinsic to the lung, as in obesity and neuromuscular disorders. Idiopathic pulmonary fibrosis is a chronic progressive interstitial pneumonia with fibrosis for which treatment is primarily supportive with oxygen therapy, pulmonary rehabilitation, and management of comorbid conditions...
September 2016: FP Essentials
https://www.readbyqxmd.com/read/27535843/application-of-desaturation-index-in-post-surgery-follow-up-in-children-with-obstructive-sleep-apnea-syndrome
#6
Jui-Fang Liu, Chih-Min Tsai, Mao-Chang Su, Meng-Chih Lin, Hsin-Ching Lin, Wei-Ju Lee, Kai-Sheng Hsieh, Chen-Kuang Niu, Hong-Ren Yu
Adenotonsillectomy is recommended for children who need surgery for obstructive sleep apnea syndrome (OSAS). Overnight, polysomnography (PSG) is suggested for post-surgery follow-up, but this diagnostic technique is time consuming and inconvenient. Desaturation index (DI) has been reported as a good tool for predicting both the presence and severity of OSAS in children. The purpose of this study was to determine the usefulness of the DI for post-surgery follow-up of children with OSAS. This retrospective study enrolled 42 children, aged 3-12 years, who were snorers diagnosed with OSAS by overnight PSG and who underwent an adenotonsillectomy...
August 17, 2016: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/27345007/midline-posterior-glossectomy-and-lingual-tonsillectomy-in-obese-and-nonobese-children-with-down-syndrome-biomarkers-for-success
#7
Evan J Propst, Reshma Amin, Natasha Talwar, Michele Zaman, Allison Zweerink, Susan Blaser, Christian Zaarour, Igor Luginbuehl, Cengiz Karsli, Albert Aziza, Christopher Forrest, James Drake, Indra Narang
OBJECTIVES/HYPOTHESIS: To examine outcomes following midline posterior glossectomy (MPG) plus lingual tonsillectomy (LT) for the treatment of significant obstructive sleep apnea (OSA) in children with Down syndrome (DS). METHODS: Patients with DS who had persistent OSA following tonsillectomy and adenoidectomy (TA) and were relatively intolerant of positive airway pressure (PAP) therapy were evaluated by physical examination and sleep/CINE magnetic resonance imaging to determine the etiology of upper airway obstruction...
June 27, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27171954/multilevel-combined-surgery-with-transoral-robotic-surgery-for-obstructive-sleep-apnea-syndrome
#8
Fatma Tülin Kayhan, Kamil Hakan Kaya, Arzu Karaman Koç, Yakup Yegin, Zahide Mine Yazici, Serkan Türkeli, Ibrahim Sayin
OBJECTIVE: To evaluate the results of combined multilevel surgery with transoral robotic surgery (TORS) in patients with obstructive sleep apnea/hypopnea syndrome for multilevel upper airway obstruction. METHODS: Subjects who underwent combined sleep surgery via TORS were evaluated. The drug-induced sleep endoscopy was used in diagnosing the presence of level-specific upper airway collapse and to detect the type of surgery. Pre- and postoperative Apnea-hypopnea index, Epworth sleepiness scale lowest oxygen saturation, total operation time, robotic set-up time and robotic surgery time, blood loss value, and complications were recorded...
June 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27134905/neutrophil-lymphocyte-ratio-in-patients-with-adenoidectomy
#9
Serhan Derin, Selvet Erdogan, Murat Sahan, Hatice Topal, Hamdi Sozen
INTRODUCTION: Obstructive Sleep Apnea syndrome (OSA) is the most serious consequence of adenoid hypertrophy (AH) and it is one of the most common reasons of nocturnal hypoxia in children. There is some information about the relationship between childhood OSA and atherosclerosis or cardiac diseases. In this study, we evaluated the relationship between, neutrophil-lymphocyte ratio (NLR) and AH which is the most frequent cause leading OSA in children. AIM: Thus we aimed to contribute about subject of preoperative and postoperative NLR values in patients undergoing adenoidectomy that there is limited information...
March 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27093813/-effects-of-simultaneous-multi-level-surgery-intervention-on-the-changes-of-the-oxidative-stress-and-the-cognitive-function-in-young-and-middle-aged-patients-with-moderate-severe-obstructive-sleep-apnea-hypopnea-syndrome
#10
Qingyun Wang, Rui Chen, Zhongsheng Cao, Hui Yuan, Wanjun Zhao, Xiaobo Li, Xiaofan Wu, Jie Xin, Zhiyong Liu, Wenquan Li
OBJECTIVE: To explore the effects of simultaneous multi-level surgery intervention on the changes of the oxidative stress and the cognitive function in young and middle-aged patients with moderate-severe OSAHS. METHOD: One hundred and sixteen young and middle-aged patients with moderate-severe OSAHS received simultaneous multi-level surgery. PSG,malondialdehyde (MDA), advanced oxidation protein products (AOPP) and 8-isoprostaneF2α (8-iso-PGF2α) were tested, together with the evaluation of the questionnaires of Montreal cognitive assessment (MoCA), mini-mental state examination (MMSE) and Epworth sleepiness scale (ESS) before and 6 months after surgery...
December 2015: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/27050997/glucocorticoid-receptor-expression-in-the-tonsils-of-children-with-obstructive-sleep-apnea-hypopnea-syndrome
#11
X Chen, J R Li
The expression of glucocorticoid receptor-α and -β (GR-α and GR-β) in the tonsil tissues of children with and without obstructive sleep apnea hypopnea syndrome (OSAHS) was evaluated. A total of 30 children with OSAHS who underwent tonsillectomy in the Navy General Hospital from June 2012 to June 2014 were enrolled as the experimental group, and 30 non-OSAHS children were enrolled as the control group. The diagnosis of OSAHS was confirmed by preoperative sleep monitoring. The expression of GR-α and GR-β in tonsil tissues was detected using western blot and immunohistochemical analyses...
2016: Genetics and Molecular Research: GMR
https://www.readbyqxmd.com/read/26999846/-the-evaluation-of-128-slice-spiral-ct-for-soft-palate-hard-palate-and-mandible-in-patients-with-obstructive-sleep-apnea-hypopnea-syndrom
#12
Xiaorui Su, Bowei Zhang, Li Su, Rong Xu, Feihong Wu, Haijun Li, Dechang Peng
OBJECTIVE: To discuss the soft palate, hard palate and mandibule for the pathogenesis and clinical treatment of patients who have obstructive sleep apnea hypopnea syndrome. METHOD: There were 52 patients with OSAHS diagnosed by the PSG and 32 cases of normal healthy volunteers in our hospital. All objects were given 128 slice spiral CT scan of the upper airway. We measured the related indexes of the soft palate, hard palate and mandible, then analysed statistical differences between them and did Pearson correlation analysis with apnea hypoventilation index (AHI), average blood oxygen saturation (MSaO2) in PSG...
October 2015: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/26961117/is-there-a-difference-between-the-stop-bang-and-the-berlin-obstructive-sleep-apnoea-syndrome-questionnaires-for-determining-respiratory-complications-during-the-perioperative-period
#13
Pervin Gokay, Sevinc Tastan, Mehmet Emin Orhan
AIMS AND OBJECTIVES: This study aimed to compare the efficiency of the STOP-BANG and Berlin Obstructive Sleep Apnoea Syndrome questionnaires for evaluating potential respiratory complications during the perioperative period. BACKGROUND: Questionnaires that are used to determine obstructive sleep apnoea risk are not widely used for surgical patients. Among the questionnaires that are commonly used for obstructive sleep apnoea screening, it remains unclear whether the STOP-BANG or Berlin Obstructive Sleep Apnoea Syndrome questionnaire is more effective in terms of ease of use, usage period and diagnosis of surgical patients with obstructive sleep apnoea risk...
May 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/26865338/the-effects-of-anterior-palatoplasty-on-floppy-eyelid-syndrome-patients-with-obstructive-sleep-apnea
#14
Ömer Bayır, Mutlu Acar, Elvan Yüksel, Melike Yüceege, Güleser Saylam, Emel Çadalli Tatar, Ali Özdek, Hikmet Firat, Canan Gürdal, Mehmet Hakan Korkmaz
OBJECTIVES/HYPOTHESIS: To investigate the effects of anterior palatoplasty on the presence and stage of floppy eyelid syndrome (FES) among patients diagnosed with mild or moderate obstructive sleep apnea (OSA) according to the apnea-hypopnea index (AHI). STUDY DESIGN: Prospective controlled trial. METHODS: Those patients whose AHI scores were between 5 and 30 according to full-night polysomnography were included in the study. The patients in whom anterior palatoplasty was performed were included in the study group, whereas those refusing surgery comprised the control group...
September 2016: Laryngoscope
https://www.readbyqxmd.com/read/26806727/long-term-results-after-laparoscopic-sleeve-gastrectomy-in-a-large-monocentric-series
#15
Giovanni Casella, Emanuele Soricelli, Domenico Giannotti, Marco Collalti, Roberta Maselli, Alfredo Genco, Adriano Redler, Nicola Basso
BACKGROUND: Laparoscopic sleeve gastrectomy (SG) has gained great popularity as a stand-alone bariatric procedure because short- and mid-term outcomes in terms of weight loss and resolution of co-morbidities have been very positive. However, long-term results from large series still are sparse. OBJECTIVES: To evaluate the long-term clinical outcomes of SG in a large series of patients undergoing SG as a stand-alone procedure. SETTING: University hospital in Italy...
May 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/26583828/intracapsular-and-extracapsular-tonsillectomy-and-adenoidectomy-in-pediatric-obstructive-sleep-apnea
#16
Pamela Mukhatiyar, Kiran Nandalike, Hillel W Cohen, Sanghun Sin, Mona Gangar, John P Bent, Raanan Arens
IMPORTANCE: Limited information exists regarding clinical outcomes of children undergoing extracapsular tonsillectomy and adenoidectomy (ETA) or intracapsular tonsillectomy and adenoidectomy (ITA) for treatment of obstructive sleep apnea syndrome (OSAS). OBJECTIVES: To quantify polysomnography (PSG) and clinical outcomes of ETA and ITA in children with OSAS and to assess the contribution of comorbid conditions of asthma and obesity. DESIGN, SETTING, AND PARTICIPANTS: Retrospective cohort study using medical records at a tertiary pediatrics inner-city hospital...
January 2016: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/26583788/retinal-nerve-fiber-layer-thickness-alteration-in-apneic-children
#17
Ali Simsek, Cem Bayraktar, Sedat Dogan, Fatih Uckardes, Ali Hakim Reyhan, Yasin Sarikaya, Mehmet Karatas, Musa Capkin
PURPOSE: We examined retinal nerve fiber layer (RNFL) thickness alterations in children with chronic upper airway obstructions (UAOs) and obstructive sleep apnea syndrome (OSAS). We also investigated whether it was affected by an adenotonsillectomy operation. METHODS: Forty-two children aged 3 to 8 years with chronic UAO resulting from adenotonsillar enlargement and 34 age-matched controls were included in the study. Patients underwent a Brouillette scoring questionnaire to be divided into mild (N = 10), moderate (N = 22), severe (N = 10), and total (N = 42) UAO groups...
January 2016: Optometry and Vision Science: Official Publication of the American Academy of Optometry
https://www.readbyqxmd.com/read/26468852/comparative-analysis-of-lateral-pharyngoplasty-and-uvulopalatopharyngoplasty-techniques-with-polisomnography-and-epworth-sleepiness-scales
#18
COMPARATIVE STUDY
Denizhan Dizdar, Şenol Civelek, Zeynep Asli Batur Çaliş, Senem Kurt Dizdar, Berna Uslu Coşkun, Alperen Vural
Snoring is caused by the vibration of structures of the oral cavity, such as the soft palate, uvula, tonsils, base of the tongue, epiglottis, and lateral pharyngeal walls. When these structures collapse and obstruct the airway, apnea occurs. Obstructive sleep apnea syndrome (OSAS) is characterized by repeated periods of upper airway obstruction, a decrease in arterial oxygen saturation, and interrupted sleep. The prevalence of OSAS is 1% to 5% in men and 1.2% to 2.5% in women. Crucial factors in deciding the surgical approach include a detailed ear-nose-throat examination, Muller maneuver, sleep endoscopy, and apnea hypopnea index scores...
October 2015: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/26429742/outcome-of-adenotonsillectomy-for-children-with-sleep-apnea
#19
Jagdish Chander Suri, Manas K Sen, V P Venkatachalam, Shikha Bhool, Rahul Sharma, Mir Elias, Tulsi Adhikari
BACKGROUND AND OBJECTIVES: The prevalence of obstructive sleep apnea syndrome is about 1%-4.9% in children aged 2-18 years. This is a prospective study carried out to evaluate the role of adenotonsillectomy (AT) in pediatric sleep apnea. METHODS: Fifty children aged less than 15 years presenting with the chief complaints of snoring, mouth breathing, recurrent upper respiratory infections, and adenotonsillar hypertrophy were included in the study. Physical examination included body mass index (BMI) z-score, orodental and nasal examination, modified Mallampati scoring; whole-night level I polysomnography was conducted and repeated after three to six months of AT...
October 2015: Sleep Medicine
https://www.readbyqxmd.com/read/26272004/objective-and-subjective-outcomes-following-maxillomandibular-advancement-surgery-for-treatment-of-patients-with-extremely-severe-obstructive-sleep-apnea-apnea-hypopnea-index-100
#20
COMPARATIVE STUDY
Reginald H Goodday, Susan E Bourque, Pember B Edwards
PURPOSE: It is important for patients and treating clinicians to know whether maxillomandibular advancement (MMA) surgery is effective when treating patients with obstructive sleep apnea syndrome (OSAS) and an extremely high apnea-hypopnea index (AHI) score. The purpose of this study was to evaluate objective and subjective treatment outcomes after MMA surgery for the treatment of OSAS in patients with a preoperative AHI score higher than 100. PATIENTS AND METHODS: This retrospective study included all patients who underwent MMA surgery for OSAS by members of the Department of Oral and Maxillofacial Surgery, QEII Health Science Centre (Halifax, Nova Scotia, Canada) from November 1996 through February 2014...
March 2016: Journal of Oral and Maxillofacial Surgery
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