title: Corelations between the ENT modifications and BMI in patients with sleep breathing disorders.
abstract: OBJECTIVE
  To show if between the BMI index of weight and the oro and hypopharingeal modifications we can establish a link for the same value of the index of AHI hypoapnea.
  
  
  METHODS
  At the patients with sleep breathing pathology of an obstructive type we conducted nasal, oro- and hypopharingeal endoscopic examinations, measurements and calculation of the weight index, followed by the polygraphic evaluation of the sleep, the establishment of the degree of sleep obstructive apnea; we used a form of ENT examination. The classification of patients according to the value of the apnea index of AHI hypoapnea in 3 groups: AHI < 10, 10 < AHI < 50, and AHI > 50. According to the value of the BMI weight index we analyze 3 groups of patients: BMI < 27, 27 < BMI < 40, BMI > 40.
  
  
  RESULTS
  For AHI < 10, habitual snoring we can notice that normal amygdales appear in an increased percent for BMI < 27 or BMI > 40 and AHI < 10 the increased webbing is specific for 27 < BMI < 40. For AHI > 50 the occurring oropharingeal modifications are: normal amygdales, long and broad uvula and webbing spanning between 5-10 mm.
  
  
  CONCLUSIONS
  Oropharingeal modifications and the index of BMI weight are essential elements, taken individually in the preoperatory evaluation of patients with syndrome of obstructive sleep apnea.
authors.affiliation: Galenus Medical Centre Tg Mureş, County Clinical Emergency Hospital Tg Mureş.
authors.forename: Adriana
authors.initials: A
authors.lastname: Neagoş
authors.forename: Gh
authors.initials: G
authors.lastname: Muhlfay
authors.forename: Irina
authors.initials: I
authors.lastname: Zetu
mesh_terms: D015992:Body Mass Index; D001835:Body Weight; D006801:Humans; D007013:Hypopharynx; D007828:Laryngoscopy; D009055:Mouth; D015508:Nasal Obstruction / Q000503:physiopathology; D009666:Nose; D010038:Otorhinolaryngologic Diseases / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology; D010808:Physical Examination; D017286:Polysomnography; D012720:Severity of Illness Index; D020181:Sleep Apnea, Obstructive / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology