[Anatomical alterations of the upper airway in the sleeping apnea syndrome. Diagnostical and therapeutic implications].
In this paper are assessed through ENT-exam, rhinomanometry and cephalometry both bipedal and in dorsal decubitus, the anatomical alterations occurring in the upper airways in 100 consecutive patients, polysomnographically diagnosed of SAOS. The patients were classified in 4 groups (after Fujita's modified classification): 2 having oropharyngeal obstruction (I and IIa) and other 2 with hypopharyngeal obstruction (IIb and III), which were subdivided in its time with nasal obstruction present (N+) or absent (N-). Group I and IIa (68 %) -theoretical candidates to an uvulopalatopharyngoplasty, UPPP-showed its predominance, followed by a high incidence of nasal obstruction (N+, 48 %) and a non negligeable number of hypopharyngeal alterations (32 %).
Biurrún
O
O
Servicio de Radiología, Hospital Clínico de Barcelona.
Vilaseca
I
I
Morelló
A
A
Roca
J
J
Bueno
M R
MR
Montserrat
J M
JM
Rodríguez-Roisín
R
R
Traserra
J
J
D000328:Adult; D005260:Female; D006801:Humans; D007013:Hypopharynx / Q000503:physiopathology; D007830:Larynx / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D009960:Oropharynx / Q000503:physiopathology; D012891:Sleep Apnea Syndromes / Q000175:diagnosis* / Q000503:physiopathology
Alteraciones anatómicas de las vías aéreas superiores en el síndrome de apneas durante el sueño. Implicaciones diagnósticas y terapéuticas.