폐쇄성 수면 무호흡 환자의 후두개 폐쇄 양상 (The Pattern of Epiglottic Obstruction in Obstructive Sleep Apnea (OSA) Patients)

서지정보

· 발행기관 : 대한이비인후과학회 부산,울산,경남 지부회
· 수록지 정보 : 임상이비인후과 / 34권 / 4호 / 136 ~ 142페이지
· 저자명 : 지영훈, 우주영, 고태경, 구수권

초록

Background and Objectives: We evaluated the pattern of epiglottic obstruction in obstructive sleep apnea (OSA) patients, focusing on the results of drug induced sleep endoscopy (DISE), along with a literature review. Materials and Methods: The subjects were 270 Koreans who underwent DISE. Each patient underwent a thorough history taking, physical examination, polysomnography and DISE image evaluated by one otolaryngologist. Results: The prevalence of epiglottic obstruction was 39% (105/270), anterior-posterior complete obstruction was 26% (70/270), and partial obstruction was 13% (35/270). There was no significant correlation between gender, age, body mass index and epiglottis obstruction. The more severe the epiglottic obstruction, the more severe the sleep apnea. The more severe the anterior-posterior obstruction of the tongue base, the more severe the obstruction of the epiglottis (p<0.001).
Conclusion: The epiglottis is not well understood compared to other anatomical sites, and it can OSA either alone or simultaneously with other obstructive sites, so researches are needed from a therapeutic point of view.

영어초록

Background and Objectives: We evaluated the pattern of epiglottic obstruction in obstructive sleep apnea (OSA) patients, focusing on the results of drug induced sleep endoscopy (DISE), along with a literature review. Materials and Methods: The subjects were 270 Koreans who underwent DISE. Each patient underwent a thorough history taking, physical examination, polysomnography and DISE image evaluated by one otolaryngologist. Results: The prevalence of epiglottic obstruction was 39% (105/270), anterior-posterior complete obstruction was 26% (70/270), and partial obstruction was 13% (35/270). There was no significant correlation between gender, age, body mass index and epiglottis obstruction. The more severe the epiglottic obstruction, the more severe the sleep apnea. The more severe the anterior-posterior obstruction of the tongue base, the more severe the obstruction of the epiglottis (p<0.001).
Conclusion: The epiglottis is not well understood compared to other anatomical sites, and it can OSA either alone or simultaneously with other obstructive sites, so researches are needed from a therapeutic point of view.

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