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Sleep apnea hypopnea syndrome

J Su, J H Tian, X X Gao, Y F Wu, J M Zu, K F Dong, L G Duan
Objective: To observe the value of multimodal analgesia in patients with OSAHS undergoing multiplanar surgery. Method: A total number of 90 patients with obstructive sleep apnea hypopnea syndrome with tongue hypertrophy or hyperplasia of the root lymphoid tissue were collected. All patients underwent improved uvulatopharyngeal angioplasty (H-UPPP) and tongue root partial resection, or simultaneous tongue ablation at the same time, and they were randomly divided into two groups,45 patients in each group.In multi-modal analgesic group, the parrixibub sodium 40 mg were given intravenously 0...
June 5, 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Jing Kang, Zongsheng Tian, Mingxian Li
The aim of this study was to investigate the changes in insular cortex metabolites and the correlation with clinical manifestations in patients with obstructive sleep apnea syndrome (OSA). Lateral insular metabolite levels were measured and relevant ratios were calculated in OSA patients and healthy individuals, including N-acetyl aspartate/creatine (NAA/Cr), choline/creatine (Cho/Cr), inositol/creatine (Ins/Cr), glutamate compound/creatine (Glx/Cr), N-acetyl aspartate/choline (NAA/Cho), and lactic acid (Lac)...
June 15, 2018: Neuroreport
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
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
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
F Han
No abstract text is available yet for this article.
May 29, 2018: Zhonghua Yi Xue za Zhi [Chinese medical journal]
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
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
Jennifer Best, Sean Mutchnick, Jonathan Ida, Kathleen R Billings
INTRODUCTION: Residual obstructive sleep apnea (OSA) after adenotonsillectomy (T&A) is a common problem in children with Down Syndrome (DS). Our objective was to describe trends in surgical and medical management of OSA in pediatric patients with DS, and to present an algorithmic approach to managing these children. METHODS: Retrospective case series of children with DS seen at a tertiary care medical center between 1/2008-6/2016 who underwent polysomnography (PSG) after having a T&A performed for sleep disordered breathing (SDB)...
July 2018: International Journal of Pediatric Otorhinolaryngology
Michel Hug, Katrin Uehli, Stig Solbach, Stefanie Brighenti-Zogg, Selina Dürr, Sabrina Maier, Jörg Daniel Leuppi, David Miedinger
BACKGROUND: Obstructive sleep apnea syndrome (OSAS) is common in adults. People with OSAS have a higher risk of experiencing traffic accidents and occupational injuries (OIs). We aimed to clarify the diagnostic performance of a three-channel screening device (ApneaLinkTM) compared with the gold standard of full-night attended polysomnography (PSG) among hospital outpatients not referred for sleep-related symptoms. Furthermore, we aimed to determine whether manual revision of the ApneaLinkTM autoscore enhanced diagnostic performance...
2018: PloS One
Emil Ivanov Manov, Ventsislava Pencheva Pencheva, Nikolay Margaritov Runev, Stefan Naydenov Naydenov, Daniela Stoychkova Petrova, Ognian Borisov Georgiev
Background: Pericardial effusion in chronic hypoxemic lung diseases, such as Obstructive Sleep Apnea syndrome, usually occurs after the development of severe pulmonary arterial hypertension. However, data about the frequency of pericardial effusions in Obstructive Sleep Apnea syndrome without pulmonary arterial hypertension and/or daytime hypoxemia are still scarce, and their pathogenesis is unclear. Aims: To assess the prevalence of pericardial effusions and their volume and location in patients with obesity and Obstructive Sleep Apnea syndrome without pulmonary arterial hypertension and/or hypoxemia...
May 29, 2018: Balkan Medical Journal
Jidong Zhang, Yu Song, Yang Ji, Yiying Song, Shanglang Cai, Yanling Yu, Song Liu, Wenzhong Zhang
The correlation between coronary artery disease (CAD) and obstructive sleep apnea syndrome (OSAS) was investigated to analyze its risk factors. A total of 84 patients with suspected CAD due to chest tightness and pain or nocturnal angina, were selected. They were admitted and received coronary angiography in The Affiliated Hospital of Medical College Qingdao University from March, 2016 to June, 2017. The vital signs were monitored, and the sleep monitoring was performed before and after coronary angiography...
June 2018: Experimental and Therapeutic Medicine
X X Huang, H H Chen, J Tang, J Lu, Y Q Deng, X P Li
Objective: To compare the differences of the sites of airway obstruction in OSAHS patients between awake and sleep state by using the VOTE classification system. Method: Forty OSAHS patients diagnosed by PSG underwent awake Müller's maneuver and drug-induced sleep endoscopy (DISE). Video and compare the observation. Its findings were described using the VOTE classification system which include the following features: level, degree and configuration of obstruction. Associations were analyzed between different degrees of obstruction, BMI, AHI, minimal SaO₂ and average SaO₂...
June 20, 2017: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
S X Jin, J Z Wang, H Qu
Objective: To observe the effects of adenotonsillectomy on immunoregulation in children with obstructive sleep apnea hypopnea syndrome. Method: Thirty-six OSAHS children were recruited as an experimental group while 40 healthy children for the control group. Blood samples were collected from experimental group and control group. Tonsillectomy and adenoidectomy were performed under general anesthesia in the experimental group. Blood samples of the experimental group were collected at 4 days, 1, 3 and 6 months after operation, respectively...
December 5, 2017: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
L Li, G H Jin, J Q Lang, N Cui
OSAHS is a kind of the sleep-related breathing disorder, with lack of oxygen. OSAHS can induce many kinds of cardiovascular system diseases. Deep vein thrombosis and pulmonary embolism (deep vein thrombosis and/or pulmonary embolism, DVT and PE) is caused by deep vein thrombosis embolism pulmonary artery trunk or branch pulmonary disorder, potentially lethal diseases of the cardiovascular system. In recent years, researchers have found that OSAHS may have something to do with DVT-PE. So in this review, the relationship was summarized between OSAHS and DVT-PE in epidemiology, pathophysiology, assessment and treatment measures...
August 5, 2017: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
X Q Duan, H L Zheng
OSAHS is a common disease during sleep and its pathogenesis is complex. The anatomic level of upper airway is a more recognized pathogenic factor. Recent studies have shown that nonanatomic factors, such as insufficiency in dilation muscles of upper airway, high loop gain and low arousal threshold, play an important role in the pathogenesis of OSAHS. This paper revives the latest literature home and abroad on the anatomical and nonanatomical factors in the pathogenesis of OSAHS and makes a systemic review.
September 5, 2017: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
G Q Zhao, Y R Li, X Y Wang, X Ding, C Y Wang, W Xu, D M Han
Objective: To evaluate the difference of accessing pediatric sleep symptoms and living qualities between 3 diagnostic criteria: American Thoracic Society (ATS), International Classification of Sleep Disorder (ICSD-3), domestic Urumqi criterion (Draft); To investigate the relationship of PSG parameters and quality of life scale OSA-18. Method: Children with snoring who received PSG in Capital Medical University Beijing Tongren Hospital were recruited from Jan 2016 to Apr 2017. Subjects were diagnosed and grouped to SS, ICSD, ATS&ICSD (ATS&ICSD1, ATS&ICSD2) according to 3 criteria: ATS (AHI>5 or OAI>1), ICSD-3 (OAHI≥1) and Urumqi (AHI>5 or OAI>1, with LSaO₂<92%)...
January 5, 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
G J Huang, M S Luo, M Z Chen, G P Chen, M Y Fu
Transoral robotic surgery (TORS) is a relatively new technique in the treatment of pediatric obstructive sleep apnea-hypopnea syndrome, which has been shown to be safe and feasible. TORS provides a minimally invasive, visualization method, which brings an unprecedented breakthrough in the treatment of pediatric obstructive sleep apnea-hypopnea syndrome. In this paper, the application and development prospect of TORS in the treatment of pediatric obstructive sleep apnea-hypopnea syndrome will be reviewed.
November 20, 2017: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
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