title: Initial indication of treatment in 60 patients with sleep obstructive ventilatory disturbance.
abstract: OBJECTIVE
  The author present a retrospective descriptive study of 60 patients with sleep obstructive ventilatory disturbance who have taken medical advice at the Centro Campinas de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço during a period of three years. All the patients have been examined after standardized protocol and decisions related to the treatment have been taken after systematic multidisciplinary discussion.
  
  
  METHODS
  clinical retrospective.
  
  
  METHODS
  The patients were distributed into two groups according to the proposal of surgical and non-surgical treatment. After so, they were studied according to the model of treatment proposed and the main propaedeutic findings: respiratory disturbance index (RDI), body mass index (BMI), cephalometric analysis and Müller maneuver. The main features were compared--isolated or in association--with the model of treatment proposed.
  
  
  CONCLUSIONS
  Amongst several conclusions obtained, the most important were: surgical and non-surgical treatment were indicated almost in the same proportion for of snoring; surgical treatments were most indicated for snoring and Apnoea-Hipopnoea Syndrome, despite of its modality; RDI, BMI and cephalometric analysis and Müller maneuver had no influence at any therapeutic modality; the therapeutic decision was taken after standardized protocol and systematic multidisciplinary discussion, where each case was discussed individually.
authors.affiliation: Discipline of Otorhinolaryngology, Federal University of Piauí, UNICAMP.
authors.forename: Paulo
authors.initials: P
authors.lastname: de Tarso Moura Borges
authors.forename: Jorge Rizzato
authors.initials: JR
authors.lastname: Paschoal
mesh_terms: D000328:Adult; D000368:Aged; D015992:Body Mass Index; D002508:Cephalometry; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017286:Polysomnography; D012189:Retrospective Studies; D012720:Severity of Illness Index; D020181:Sleep Apnea, Obstructive / Q000601:surgery / Q000628:therapy*