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Snoring patterns during home polysomnography. A proposal for a new classification.
Jacopo Cambi1, Zaira Maddalena Chiri1, Simone Boccuzzi1
1Department of ENT, Azienda USL Toscana Sud Est, Ospedale Misericordia, Grosseto, Italy.
American Journal of Otolaryngology
|June 22, 2020
Summary
This study introduces a new classification for snoring patterns using home sleep monitoring. It identifies four distinct snoring types, aiding in diagnosing simple snoring and obstructive sleep apnea-hypopnea syndrome.
Area of Science:
- Sleep Medicine
- Respiratory Physiology
Background:
- Snoring is a prevalent condition lacking a standardized classification.
- Accurate classification is crucial for understanding simple snoring and obstructive sleep apnea-hypopnea syndrome (OSAHS).
Purpose of the Study:
- To propose a home sleep monitoring-based classification for snoring patterns.
- To differentiate snoring characteristics in simple snorers versus OSAHS patients.
Main Methods:
- Utilized home sleep monitoring in 561 patients with snoring.
- Analyzed polysomnographic traces and snoring sensor data to identify snoring patterns.
Main Results:
- Identified four snoring patterns: episodic, positional, continuous, and alternating, categorized by severity (mild, moderate, severe).
- In OSAHS, snoring occurs between respiratory events.
- Episodic snoring is common in mild cases; continuous snoring dominates moderate to severe cases.
Conclusions:
- The proposed classification offers a realistic disturbance index.
- It can aid in selecting and evaluating surgical interventions for snoring and OSAHS.
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