使用DISE来评估成年人睡眠呼吸暂停综合征中的桃体阻塞
Sarah Cosseron1, Said Rouhani1, Jean-Baptiste Lecanu1
1Otorhinolaryngology - Head and Neck department, Arthur Vernes Institute, Paris, F-75006, France.
概括
药物诱导睡眠内镜 (DISE) 准确地评估阻塞性睡眠呼吸暂停患者的桃体阻塞,与清醒的临床评估相比,改善了手术成功率. 这种方法有助于识别更多患者进行有效的手术干预.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 睡眠医学 睡眠医学
- 进行外科评估.
背景情况:
- 阻塞性睡眠呼吸暂停综合征 (OSAS) 是普遍存在的,并带有重大健康风险.
- 持续正气道压力 (CPAP) 和下前进 (MAS) 是常见的治疗方法,但患者的耐受性较低.
- 喉外科手术为OSAS管理提供了一个潜在的替代方案.
研究的目的:
- 将清醒患者桃体阻塞的临床评估与药物诱导睡眠内镜 (DISE) 的发现进行比较.
- 评估DISE对OSAS手术干预成功的影响.
主要方法:
- 一项回顾性队列研究,涉及从270名初始组中选出的128名患者.
- 患者接受了临床评估和药物诱导睡眠内镜 (DISE).
主要成果:
- 在清醒患者和在DISE期间接受镇静治疗的患者中发现的桃体阻塞模式之间观察到显著的差异.
- DISE导致近一半的病例取消了计划中的手术.
- 大小2桃体,通常被认为是非阻塞性的,在DISE期间,58%的病例被发现是阻塞性的.
- 使用DISE指导的桃切除术和/或喉膜整形术的成功率达到75%.
结论:
- 药物诱导睡眠内镜 (DISE) 是一种有价值的工具,用于准确评估患有阻塞性睡眠呼吸暂停的患者的桃体阻塞.
- DISE可以优化患者进行手术的选择,从而可能增加治疗成功率.
相关概念视频
Tonsillitis I: Introduction
180
Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
Etiology
Three primary contributing factors have been identified.
180
Assessment of Airway, Skin Color, and Use of Accessory Muscles
916
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
916
Chronic Pharyngitis
585
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
585
Physical Assessment of the Respiratory Tract II: Inspection
180
Physical assessment of the respiratory tract through inspection is a crucial step in understanding the patient's respiratory health. It provides insights into the functioning of the respiratory system, the musculoskeletal structure, and even the patient's nutritional status. This comprehensive approach involves observing several vital aspects: chest configuration, breathing patterns, respiratory rates, skin color, and use of accessory muscles.
Chest Configuration
The chest configuration...
Chest Configuration
The chest configuration...
180
Respiratory System Abnormal Finding I: Inspection and Percussion
166
Respiratory system abnormalities are a significant concern in healthcare due to their potential to indicate underlying severe conditions like Chronic Obstructive Pulmonary Disease (COPD), asthma, and pneumonia. These abnormalities can often be detected through physical examination methods like inspection and percussion.
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
166


