Article
The role of ultrasound in diagnosing patients with obstructive sleep apnea-hypopnea syndrome and its comorbidities
Search Medline for
Authors
-
Irén Csiszér
- Iuliu Hatieganu Doctoral School, University of Medicine and Pharmacy, Cluj Nap, Singeorgiu de Mures, Romania
-
Alexandra Cirticioiu
- Mures County Emergency Hospital Tirgu Mures,Department of Otorhinolaryngology, Turceni, Romania
-
Adriana Neagos
- Mures County Emergency Hospital Tirgu Mures,Department of Otorhinolaryngology, G, Singeorgiu de Mures, Romania
| Published: | March 30, 2016 |
|---|
Outline
Text
Introduction: Obstructive Sleep Apnea-Hypopnea Syndrome (OSAHS) is the most common form of sleep disorder breathing in adult population. In this pathology the modifications of superior airway and soft tissue of the neck are in the most cases present. This patients frequently are associated with an increased risk of cardiovascular disease. The aim of this study was to prove the importance of ultrasounds (US) examination in patients with OSAHS and its comorbidities.
Methods: We describe a clinical prospective study, in which we evaluated the anatomical modifications of superior airway and the soft tissue of the neck with US, during 9 months. In our study we included 30 patients with OSAHS and 30 subjects without any sleep pathology. The subjects were undergoing to a general clinical examination, otorhinolaringological examination, anthropometrical measurements, polysomnography, Epworth Sleepiness Scale and imagistic evaluation. US results were compared with computed tomography scan (CT) measurements.
Results: There was a significant relationship between the severity of sleep apneea and the lower tongue base, the pharyngeal airway and the soft tissue of neck. After this we compared the results obtained from US, CT and the anthropometric measuremets. In patients with OSAHS we observed a narrower of pharyngeal airway diameter and a large tongue base. Also, the US dimensions are almost equal as CT measurements. In patients with sever OSAHS we have found comorbidities like arterial hypertension, dyslipidemia, jugular vein flow changes.
Conclusions: Our study proves that US have an important role in evaluating of anatomical modification in patients with OSAHS. The US examination is one noninvasive, inexpensive, repeatable and non-irradiating clinical procedure.
Supported by: Csiszér Irén
Der Erstautor gibt keinen Interessenkonflikt an.
