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Are We Missing Obstructive Sleep Apnea in Patients With Non-traumatic Subglottic Stenosis?
Taylor G Lackey1, Avery Allen1, Nevan McCabe1
1Department of Otolaryngology-Head and Neck Surgery, University of Colorado Denver, Aurora, CO, USA.
The Annals of Otology, Rhinology, and Laryngology
|December 10, 2024
Summary
Obstructive sleep apnea (OSA) is more common in patients with subglottic stenosis (SGS). Further research is needed to understand how airway dilation affects OSA, suggesting OSA screening for SGS patients.
Area of Science:
- Medical Research
- Pulmonology
- Sleep Medicine
Background:
- Subglottic stenosis (SGS) can affect airway patency.
- Obstructive sleep apnea (OSA) is a common sleep disorder characterized by airway collapse.
Purpose of the Study:
- To investigate the association between subglottic stenosis (SGS) and obstructive sleep apnea (OSA).
Main Methods:
- A cross-sectional pilot study enrolled subjects with non-traumatic SGS.
- Participants underwent peak expiratory flow (PEF) measurement, sleep questionnaires (ESS, PSQI), and home sleep testing (HST).
- Partial correlation and Mann-Whitney U tests analyzed relationships between SGS severity, PEF, and OSA parameters.
Main Results:
- 40% of subjects with SGS had OSA, with 15% experiencing moderate OSA.
- No significant correlation was found between PEF and apnea-hypopnea index (AHI).
- High prevalence of poor sleep quality (70%) and daytime sleepiness (20%) was observed, irrespective of OSA status.
Conclusions:
- Elevated OSA prevalence in SGS patients warrants consideration for OSA screening.
- Further research is needed to explore the impact of airway dilation on OSA.
- This study highlights a potential link between SGS and OSA, emphasizing the need for comprehensive patient evaluation.
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