Subjective, anatomical, and functional nasal evaluation of patients with obstructive sleep apnea syndrome

Subjective, anatomical, and functional nasal evaluation of patients with obstructive sleep apnea syndrome

Author Vidigal, Tatiana de Aguiar Autor UNIFESP Google Scholar
Martinho Haddad, Fernanda Louise Autor UNIFESP Google Scholar
Gregório, Luiz Carlos Autor UNIFESP Google Scholar
Poyares, Dalva Autor UNIFESP Google Scholar
Tufik, Sergio Autor UNIFESP Google Scholar
Azeredo Bittencourt, Lia Rita Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Studies have shown a high occurrence of nasal alterations in patients with obstructive sleep apnea syndrome (OSAS), but no studies have used different methods to evaluate the nose of patients with OSAS. the objective of this study was to evaluate the nose of patients with OSAS, compare them to controls, and correlate the different methods used to evaluate the nose.Forty-seven patients with moderate/severe OSAS and 20 controls who were matched for gender, age, and body mass index were included. Questionnaires regarding sleep and nasal symptoms, physical examination, rhinoscopy, nasofibroscopy, nasal inspiratory peak flow (NIPF), and acoustic rhinometry (AR) measurements were performed.In the OSAS group, 33 (70.2%) were male, with a mean age of 53.2 +/- 9.1 years. in the control group, 13 (65%) were male, with a mean age of 53.7 +/- 9.7 years. the OSAS group had a higher score on the nasal symptoms scale (p < 0.01) and a higher frequency of nasal alterations [presence of septal deviation, clinical complaints (p = 0.01) and hypertrophy of the inferior nasal turbinate (p < 0.01)]. the NIPF and AR parameters could not differentiate between the OSAS and control groups. There were no significant correlations among the different methods used to evaluate the nose. Lower NIPF values were capable of predicting higher apnea-hypopnea index scores (p = 0.007).Clinical complaints and nasal alterations as measured by rhinoscopy and nasofibroscopy were associated with the presence of OSAS, which was not the case for the NIPF and AR parameters. the results of different evaluation methods were not correlated with each other.
Keywords Acoustic rhinometry
Nasal inspiratory peak flow
Rhinoscopy
Nasal obstruction
Nasal symptoms
Language English
Sponsor AFIP
Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
Date 2013-03-01
Published in Sleep and Breathing. Heidelberg: Springer Heidelberg, v. 17, n. 1, p. 427-433, 2013.
ISSN 1520-9512 (Sherpa/Romeo, impact factor)
Publisher Springer
Extent 427-433
Origin http://dx.doi.org/10.1007/s11325-012-0667-5
Access rights Closed access
Type Article
Web of Science ID WOS:000315167200064
URI http://repositorio.unifesp.br/handle/11600/36026

Show full item record




File

File Size Format View

There are no files associated with this item.

This item appears in the following Collection(s)

Search


Browse

Statistics

My Account