睡眠時呼吸障害に対する鼻内手術の鼻腔抵抗による評価 Evaluation of Endonasal Rhinoplasty for Sleep-Disordered Breathings due to Nasal Resistance

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抄録

In fifty-six patients with sleep-disordered breathing (SDB), including obstructive sleep apnea-hypopnea syndrome (OSAHS), upper airway resistace syndrome (UARS), snoring and excessive daytime sleepiness, the nasal resistance was measured preoperatively with rhinomanometry using the anterior method. All 56 patients (ages ranging from 21 to 73, 48 men and 8 women), underwent endonasal rhinoplasty (ER) consisting of a septoplasty and bilateral submucosal inferior turbinectomy with posterior nasal nerve resection, and bilateral partial middle turbinectomy. Three months later, the postoperative effect of the ER was evaluated using polisomnography with or without electroencephalography, the Epworth sleepiness scale (ESS) and rhinomanometry. In cases with both bilateral or ipsilateral nasal resistance over 0.35 Pa/cm<sup>3</sup>/s ER was highly effective in alleviating OSAHS, UARS, excessive daytime sleepiness and improvement of respiratory events during sleep. The high effectiveness of ER for SDB suggests increased nasal resistance during sleep greatly affects the pathophysiology of SDB.<br>

収録刊行物

  • 耳鼻咽喉科臨床

    耳鼻咽喉科臨床 105(9), 851-857, 2012

    耳鼻咽喉科臨床学会

各種コード

  • NII論文ID(NAID)
    130002141254
  • NII書誌ID(NCID)
    AN00107089
  • 本文言語コード
    ENG
  • ISSN
    0032-6313
  • NDL 記事登録ID
    023965166
  • NDL 請求記号
    Z19-421
  • データ提供元
    NDL  J-STAGE 
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