書誌事項
- タイトル別名
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- Endoscopic Examination of OSAS Patients during Drug Induced Sleep.
- ―薬物睡眠下内視鏡検査を用いて―
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抄録
Objective: 55 patients diagnosed as having obstructive sleep apnea syndrome (OSAS) underwent uvulopalatopharyngoplasty (UPPP). The effects of surgery were studied based on the findings of endoscopic examination under drug-induced sleep and AHI measurements performed before and after the operation. Changes in airway form during sleep were observed, and the usefulness of upper airway endoscopy in the diagnosis and surgical treatment of OSAS was studied.<br>Methods: The site of airway obstruction during sleep induced by intravenous injection of 10mg of diazepam was classified into five types, and changes in AHI and the site of airway obstruction were compared before and after surgery.<br>Results: The postoperative improvement rate was 73.5% in the soft palate type of obstruction, 75.6% in the tonsillar type, 52.3% in the full-circumference palatal type and 32.3% in the mixed type. Surgical treatment by UPPP had an excellent or good effect on the soft palate and tonsillar types. However, many patients with the ful1-circumference palatal type and the mixed type showed less improvement compared with the soft palate and tonsillar type.<br>Conclusion: In the full-circumference palatal type and the mixed type, improvement can be expected following operations which include surgical treatment of the posterior pharyngeal wall or the lateral funiculus, or midline laser glossectomy.
収録刊行物
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- 耳鼻咽喉科臨床
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耳鼻咽喉科臨床 90 (10), 1123-1127, 1997
耳鼻咽喉科臨床学会
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詳細情報 詳細情報について
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- CRID
- 1390001204260981632
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- NII論文ID
- 10005263364
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- NII書誌ID
- AN00107089
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- ISSN
- 18844545
- 00326313
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可
