The choice of treatment for adults with sleep-disordered breathing by formal examination

DOI 6 Citations 10 References
  • Kikuchi Atsushi
    Department Of Otolaryngology-Head and Neck Surgery, Kurume University Medical Center Department Of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine Kurume University Sleep Medical Center
  • Izumaru Shinsuke
    Department Of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine Kurume University Sleep Medical Center
  • Sakamoto Kikuo
    Department Of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine Kurume University Sleep Medical Center
  • Sato Kiminori
    Department Of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine
  • Nakashima Tadashi
    Department Of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine

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Other Title
  • 形態診断による成人の睡眠時呼吸障害に対する治療選択

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Abstract

We investigated the treatment of adults with sleep-disordered breathing (SDB). Literally, SDB means sleep disorder and breathing disorder. For diagnosis of sleep disorder, polysomnography (PSG) is indispensable and formal examination is necessary to the diagnosis of breathing disorder. The main points of formal examination are (1) low level soft palate (2) falling of lingual back (3) tonsiller hypertrophy, and (4) small jaw and retreat of mandibular position. The choice of treatments for breathing disorder are decided by results of PSG, formal examination, patient's age, and previous disease. Add treatment of sleep disorder, and the treatment of SDB is completed. This method is useful for the improvement of the results of SDB treatment, in our hospital, and includies continuous positive airway pressure (CPAP), oral appliance, and pharyngeal surgery. In SDB treatment, the role of the otorhinolaryngologist, who can make a formal examination easily and correctly, is very important.

Journal

  • Stomato-pharyngology

    Stomato-pharyngology 20 (3), 311-325, 2008

    Japan Society of Stomato-pharyngology

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