title: Acoustic parameters of snoring sound to assess the effectiveness of sleep nasendoscopy in predicting surgical outcome.
abstract: OBJECTIVE
  To assess the effectiveness of two grading systems used to predict surgical outcome in nonapneic snorers.
  
  
  METHODS
  A prospective observational study. Prior to undergoing palatal surgery, 20 patients completed a sleep nasendoscopic examination involving sequential steady-state sedation with intravenous propofol. Using a combination of acoustic parameters of snoring sound as an objective outcome measurement, and the answers to a specifically designed questionnaire as a subjective outcome measurement, the effectiveness of each grading system in predicting surgical outcome was examined.
  
  
  RESULTS
  Depending on the outcome measurement used, sensitivity in predicting success of surgery for snoring varied from 16.7% to 50.0% and specificity from 38.5% to 62.5% for the Pringle and Croft system, while sensitivity varied from 91.7% to 100% and specificity from 30.8% to 31.5% for the Camilleri system.
  
  
  CONCLUSIONS
  Sleep nasendoscopy using these classifications cannot be recommended as a reliable predictor of surgical outcome in nonapneic snorers.
  
  
  METHODS
  C-4.
authors.affiliation: University Hospital Aintree, Lower Lane, Liverpool L7 9AL, United Kingdom. terryjones@doctors.org.uk
authors.forename: Terry M
authors.initials: TM
authors.lastname: Jones
authors.forename: Paul
authors.initials: P
authors.lastname: Walker
authors.forename: Meau-Shin
authors.initials: MS
authors.lastname: Ho
authors.forename: John E
authors.initials: JE
authors.lastname: Earis
authors.forename: Andrew C
authors.initials: AC
authors.lastname: Swift
authors.forename: Peter
authors.initials: P
authors.lastname: Charters
mesh_terms: D000162:Acoustics; D000328:Adult; D000368:Aged; D004724:Endoscopy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010160:Palate, Soft / Q000601:surgery*; D012680:Sensitivity and Specificity; D012913:Snoring / Q000601:surgery*; D016896:Treatment Outcome