Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
원저

한국 성인 남성 폐쇄성 수면무호흡증 환자에서의 수면내시경 소견

홍성룡1,2, 이종길1, 이정훈1, 조규섭1, 노환중3,*
Sung-Lyong Hong1,2, Jong-Kil Lee1, Jung-Hoon Lee1, Kyu-Sup Cho1, Hwan-Jung Roh3,*
1부산대학교병원 이비인후과
2의생명연구원
3양산부산대학교병원 이비인후과
1Departments of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Hospital, Busan, Korea
2Biomedical Research Institute, Pusan National University Hospital, Busan, Korea
3Departments of Otorhinolaryngology-Head and Neck Surgery,Pusan National University Yangsan Hospital, Yangsan, Korea
*교신저자: 노환중, 626-770 경남 양산시 물금읍 금오로 20 양산부산대학교병원 이비인후과 전화: (055) 360-2650·전송:(055) 360-2930 E-mail: rohhj@pusan.ac.kr

© Copyright 2012 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Sep 29, 2012; Revised: Oct 09, 2012; Accepted: Nov 09, 2012

Published Online: May 31, 2020

ABSTRACT

Background and Objectives: Drug-induced sleep endoscopy (DISE) is one of the common techniques that visualize the upper airway dynamics during sleep in patients with obstructive sleep apnea (OSA). Authors tried to present the DISE results and to investigate the their relationship with polysomnography (PSG) findings. Materials and methods: Authors enrolled 31 male adults who were diagnosed with OSA between March 2011 and February 2012 at Pusan National University Yangsan Hospital. The data including age, body-mass index (BMI), Friedman staging, DISE findings and PSG results such as apnea-hypopnea index (AHI) and positional dependency were collected by retrospective chart reviews. Results: In DISE, 87.0% (27/31) showed the retropalatal airway obstruction and 48.4% (15/31) showed the retroglossal airway obstruction. Among them, 35.5% (11/31) showed obstructions in both the retropalatal and retroglossal airway. The retroglossal airway obstruction was not related with age, BMI or AHI but with Friedman’s palatal position and positional dependency (p=0.020 and 0.029, respectively). Conclusions: Freidman’s palatal position may be a good predictor of the retroglossal airway obstruction. This study suggests that a palatal airway surgery plus a positional therapy or a mandibular advancement device can be tried even in severe OSA patients with the retroglossal airway obstruction. (J Clinical Otolaryngol 2012;23:224–229)

Keywords: 폐쇄성 수면무호흡; 수면다원검사; 내시경; 기도폐쇄; 앙와위
Keywords: Obstructive sleep apnea; Polysomnography; Endoscopy; Airway obstruction; Supine position