The predictive value of Muller maneuver in REM-dependent obstructive sleep apnea

被引:2
|
作者
Ozcan, Kursat Murat [1 ]
Ozcan, Muge [2 ]
Ozdogan, Fatih [3 ]
Hizli, Omer [2 ]
Dere, Huseyin [1 ]
Unal, Adnan [2 ]
机构
[1] Ankara Educ & Res Hosp, ENT Clin, Ankara, Turkey
[2] Numune Educ & Res Hosp, ENT Clin, Ankara, Turkey
[3] Derince Educ & Res Hosp, ENT Clin, Kocaeli, Turkey
关键词
Sleep apnea syndrome; Polysomnography; Endoscopy; UPPER AIRWAY; QUANTITATIVE-EVALUATION; SEVERITY; FEATURES;
D O I
10.1007/s00405-013-2509-x
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
To our knowledge, no studies up to date have investigated the correlation of rapid eye movement (REM) dependent obstructive sleep apnea syndrome (OSAS) and Muller maneuver. The aim of this study is to investigate whether REM-dependent OSAS is predicted by the findings of the Muller maneuver. The study was conducted on 149 patients with witnessed apnea and daytime sleepiness. Muller maneuver was performed to all patients and the obstruction site was determined using a five-point scale. Then, polysomnography of the patient was obtained and the apnea-hypopnea indexes were determined in total sleep time, REM-dependent sleep and non-REM-dependent sleep. The correlations between the Muller maneuver findings and polysomnographic data were analyzed. The ages of the patients included in the study ranged between 25 and 73 years with a mean age of 49.3 +/- A 10.1 years. Their mean body mass index was 30.8 +/- A 5.1 kg/m(2) (range 21.9-55.4 kg/m(2)). The patients' mean apnea-hypopnea indexes in total sleep time was 28.1 and ranged between 5.4 and 124.3. REM-dependent OSAS was determined in 49 patients. When the data were analyzed, it was determined that there were no statistically significant correlations between tongue base or lateral pharyngeal band obstruction at the level of hypopharynx and the REM-dependent OSAS. At the level of the soft palate, the obstruction caused by the lateral pharyngeal bands or soft palate and REM dependency did not show any statistically significant correlation (p > 0.05). In conclusion, Muller maneuver does not provide useful data to predict REM dependency of OSAS.
引用
收藏
页码:2759 / 2762
页数:4
相关论文
共 50 条
  • [41] Effectiveness of oral appliances for obstructive sleep APNEA in rem vs. non-rem sleep
    Kirsch, D. B.
    Hirunwiwatkut, P.
    Palmisano, J.
    Consens, F. B.
    Chervin, R. D.
    [J]. SLEEP, 2006, 29 : A207 - A207
  • [42] Effects Of Hypoglossal Nerve Stimulation On Obstructive Sleep Apnea (osa) In Non-Rem And Rem Sleep
    Schwartz, A. R.
    Barnes, M.
    Hillman, D.
    Malhotra, A.
    Kezirian, E. J.
    Smith, P. L.
    Penzel, T.
    Parrish, D. A.
    Hoegh, T. B.
    Eastwood, P. R.
    [J]. AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2013, 187
  • [43] The sawtooth sign is predictive of obstructive sleep apnea
    Bourne, Michael H., Jr.
    Scanlon, Paul D.
    Schroeder, Darrell R.
    Olson, Eric J.
    [J]. SLEEP AND BREATHING, 2017, 21 (02) : 469 - 474
  • [44] The Sawtooth Sign Is Predictive Of Obstructive Sleep Apnea
    Bourne, M. H.
    Scanlon, P. D.
    [J]. AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2015, 191
  • [45] The sawtooth sign is predictive of obstructive sleep apnea
    Michael H. Bourne
    Paul D. Scanlon
    Darrell R. Schroeder
    Eric J. Olson
    [J]. Sleep and Breathing, 2017, 21 : 469 - 474
  • [46] Obstructive Sleep Apnea during REM Sleep and Hypertension Results of the Wisconsin Sleep Cohort
    Mokhlesi, Babak
    Finn, Laurel A.
    Hagen, Erika W.
    Young, Terry
    Hla, Khin Mae
    Van Cauter, Eve
    Peppard, Paul E.
    [J]. AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2014, 190 (10) : 1158 - 1167
  • [47] Effect Of Sleeping Positions On Proportion Of Rem Sleep In Patients With Obstructive Sleep Apnea
    Dutta, G.
    Fahmy, S.
    Wadgaonkar, R.
    [J]. AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2015, 191
  • [48] Sleep onset REM periods in obstructive sleep apnea patients: Results of treatment
    Kapen, S
    Anderson, SLP
    Mozahem, K
    [J]. NEUROLOGY, 2000, 54 (07) : A29 - A29
  • [49] Injurious REM-sleep arousal associated with obstructive sleep apnea.
    Bell, DG
    [J]. JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2004, 52 (04) : S123 - S124
  • [50] Association between REM sleep and obstructive sleep apnea in obese and overweight adolescents
    Sever, Orna
    Kezirian, Eric J.
    Gillett, Emily
    Ward, Sally L. Davidson
    Khoo, Michael
    Perez, Iris A.
    [J]. SLEEP AND BREATHING, 2019, 23 (02) : 645 - 650