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Medicina do Sono

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December 15, 2015: American Journal of Respiratory and Critical Care Medicine
Ramazan Gun, Kasim Durmus, Cuneyt Kucur, Ricardo L Carrau, Enver Ozer
OBJECTIVE: With the emergence of transoral robotic approaches, head and neck surgeons are faced with an unfamiliar inside-out head and neck anatomy. This study was performed to describe key anatomic landmarks and surgical considerations of transoral robotic resection of the lateral oropharyngeal wall, the parapharyngeal space, and the base of the tongue. STUDY DESIGN: Descriptive transoral anatomic study. SETTING: Academic anatomy laboratory and tertiary academic hospital...
March 2016: Otolaryngology—Head and Neck Surgery
Robson Capasso, Talita Rosa, David Yung-An Tsou, Vladimir Nekhendzy, David Drover, Jeremy Collins, Soroush Zaghi, Macario Camacho
OBJECTIVE: To compare VOTE classification findings (velum, oropharyngeal-lateral walls, tongue base, and epiglottis) for drug-induced sleep endoscopy (DISE) among patients with obstructive sleep apnea (OSA) using 2 sedation protocols. STUDY DESIGN: Case series with chart review. SETTING: Single tertiary institution. SUBJECTS: Patients with OSA who underwent DISE. METHODS: A total of 216 patients underwent DISE between November 23, 2011, and May 1, 2015...
April 2016: Otolaryngology—Head and Neck Surgery
Derek J Lam, Edward M Weaver, Carol J Macarthur, Henry A Milczuk, Eleni O'Neill, Timothy L Smith, Thuan Nguyen, Steven A Shea
OBJECTIVES/HYPOTHESIS: Assess the reliability of a Sleep Endoscopy Rating Scale (SERS) and its relationship with pediatric obstructive sleep apnea (OSA) severity. STUDY DESIGN: Retrospective case series of pediatric patients who underwent drug-induced sleep endoscopy (DISE) at the time of surgery for OSA from January 1, 2013 to May 1, 2014. METHODS: Three blinded otolaryngologists scored obstruction on DISE recordings as absent (0), partial (+1), or complete (+2) at six anatomic levels: nasal airway, nasopharynx, velopharynx, oropharynx, hypopharynx, and arytenoids...
June 2016: Laryngoscope
Pierre Escourrou, Ludger Grote, Thomas Penzel, Walter T Mcnicholas, Johan Verbraecken, Rosa Tkacova, Renata L Riha, Jan Hedner
Polygraphy (PG) and polysomnography (PSG) are used in clinical settings in Europe for diagnosing obstructive sleep apnea (OSA), but their equivalence in unselected clinical cohorts is unknown. We hypothesized that the method would affect both diagnostic outcomes and disease severity stratification. Data from 11 049 patients in the multi-centre European Sleep Apnea Cohort (ESADA) with suspected OSA (male and female, aged 18-80 years) were used in two groups of patients to compare PG (n = 5745) and PSG (n = 5304)...
December 2015: Journal of Sleep Research
Carole L Marcus, Lee Jay Brooks, Kari A Draper, David Gozal, Ann Carol Halbower, Jacqueline Jones, Michael S Schechter, Sally Davidson Ward, Stephen Howard Sheldon, Richard N Shiffman, Christopher Lehmann, Karen Spruyt
OBJECTIVE: This technical report describes the procedures involved in developing recommendations on the management of childhood obstructive sleep apnea syndrome (OSAS). METHODS: The literature from 1999 through 2011 was evaluated. RESULTS AND CONCLUSIONS: A total of 3166 titles were reviewed, of which 350 provided relevant data. Most articles were level II through IV. The prevalence of OSAS ranged from 0% to 5.7%, with obesity being an independent risk factor...
September 2012: Pediatrics
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