Obstrüktif uyku apneli hastalarda Müller manevrasıyla üst hava yolunun çoklu seviyeli tıkanıklıkları tespit edebilir mi?
Amaç: Müller manevrası MM ’nın obstrüktif uyku apne sendromu OUAS ’nun şiddeti ve üst hava yolundaki tıkanıklık seviyesinin tespitindeki rolü ortaya kondu.Hastalar ve Yöntemler: Ankara Onkoloji Eğitim ve Araştırma Hastanesi, Kulak Burun Boğaz, uyku ve horlama polikliniğinde, OUAS şüphesiyle başvuran MM’de dahil olmak üzere rutin kulak burun boğaz muayenelerini takiben polisomnografi yapıldı. Çalışmaya 221 OUAS’li hasta 142 erkek, 179 kadın; ort. yaş; 46.63 yıl; dağılım 17-82 yıl dahil edildi.Bulgular: Apne hipopne indeksi AHİ sonuçları ile vücut kitle indeksi VKİ , tonsil büyüklüğü ve MM’de tespit edilen tıkanıklık şiddeti arasında anlamlı fark bulunamadı p>0.05 . Müller manevrası sonuçları ile Epworth uykululuk skalası EPUS arasında anlamlı fark tespit edildi r=0.213 ve p
Anahtar Kelimeler:
Müller manevrası, obstrüktif uyku apne sendromu, uvulopalatofarengoplasti, videoendoskopi
Can the Müller maneuver detect multilevel obstruction of the upper airway in patients with obstructive sleep apnea syndrome?
Objectives: Our aim is to figure out the role of Müller maneuver MM to detect the level of upper airway obstruction and the severity of obstructive sleep apnea syndrome OSAS . Patients and Methods: In this study, polysomnographies were made after the routine otorhinolaryngological examination including MM in patients admitted with OSAS suspicion in Ankara Oncology Training and Research Hospital’s Department of Otorhinolaryngology, Sleep Medicine Policlinic. Two-hundred and twenty-one OSAS patients 142 males, 179 females; mean age 47.63 years; range 18 to 82 years were included to the study. Results: There weren’t any significant correlation among apnea hypopnea index AHI results and body mass index BMI , tonsil size and obstruction severity due to MM p>0.05 . Müller maneuver scores are positively correlated to the Epworth sleepiness scale EPSS scores r=0.213 and p
Keywords:
Müller maneuver, obstructive sleep apnea syndrome, uvulopalatopharyngoplasty, videoendoscopy,
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- ISSN: 2602-4837
- Yayın Aralığı: Yılda 4 Sayı
- Başlangıç: 1991
- Yayıncı: İstanbul Üniversitesi
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