Palatopharyngeal Arch Staging System (PASS): Consensus about Oropharyngeal Evaluation
Intraoral examinations are essential in the evaluation of the upper airway in patients with obstructive sleep apnea (OSA). The morphology of the anatomic structures of the soft palate, the tonsillar fossae, and the palatoglossus and palatopharyngeal muscles is an important determinant of the size an...
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MDPI AG
2023-03-01
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| Series: | Life |
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| Online Access: | https://www.mdpi.com/2075-1729/13/3/709 |
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| author | Marta Morato Maribel P. Cardona-Sosa Gabriela Bosco Nuria Pérez-Martín Mayerin M. Marte-Bonilla Alfonso Marco Carlos O’Connor-Reina Rodolfo Lugo Guillermo Plaza |
| author_facet | Marta Morato Maribel P. Cardona-Sosa Gabriela Bosco Nuria Pérez-Martín Mayerin M. Marte-Bonilla Alfonso Marco Carlos O’Connor-Reina Rodolfo Lugo Guillermo Plaza |
| author_sort | Marta Morato |
| collection | DOAJ |
| description | Intraoral examinations are essential in the evaluation of the upper airway in patients with obstructive sleep apnea (OSA). The morphology of the anatomic structures of the soft palate, the tonsillar fossae, and the palatoglossus and palatopharyngeal muscles is an important determinant of the size and collapsibility of the velum and oropharynx. The Palatopharyngeal Arch Staging System (PASS) is a systematic way to explore the oropharynx and report anatomic variations in the visible part of the palatopharyngeal muscle. In this prospective study, 30 sleep surgeons evaluated the reliability of the PASS using a selection of 23 videos of oropharyngeal examinations of healthy patients. The corresponding score on the PASS scale was graded for each examination. For internal structure and internal agreement, the Cronbach and Krippendorff alpha values were 0.96 and 0.46, which corresponded to a nearly perfect interrelationship and a moderate agreement, respectively. These findings suggest that the PASS is a valuable tool for evaluating the position of the palatopharyngeus muscle during oropharyngeal examinations and may be useful for creating a common language for sleep surgeons when evaluating the palatopharyngeal muscle. |
| first_indexed | 2024-03-11T06:16:53Z |
| format | Article |
| id | doaj.art-108fb14b18bd4fa986ec774d4a181164 |
| institution | Directory Open Access Journal |
| issn | 2075-1729 |
| language | English |
| last_indexed | 2024-03-11T06:16:53Z |
| publishDate | 2023-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Life |
| spelling | doaj.art-108fb14b18bd4fa986ec774d4a1811642023-11-17T12:11:16ZengMDPI AGLife2075-17292023-03-0113370910.3390/life13030709Palatopharyngeal Arch Staging System (PASS): Consensus about Oropharyngeal EvaluationMarta Morato0Maribel P. Cardona-Sosa1Gabriela Bosco2Nuria Pérez-Martín3Mayerin M. Marte-Bonilla4Alfonso Marco5Carlos O’Connor-Reina6Rodolfo Lugo7Guillermo Plaza8Department of Otolaryngology, Hospital Universitario de Fuenlabrada, Universidad Rey Juan Carlos, 28942 Madrid, SpainRonquido Monterrey, Centro de Diagnóstico y Tratamiento, Monterrey 64660, MexicoDepartment of Otolaryngology, Hospital Universitario de Fuenlabrada, Universidad Rey Juan Carlos, 28942 Madrid, SpainDepartment of Otolaryngology, Hospital Universitario de Fuenlabrada, Universidad Rey Juan Carlos, 28942 Madrid, SpainRonquido Monterrey, Centro de Diagnóstico y Tratamiento, Monterrey 64660, MexicoDepartment of Otolaryngology, Hospital Universitario Reina Sofía, 30003 Murcia, SpainDepartment of Otolaryngology, Hospital Quirónsalud Marbella, 29603 Marbella, SpainRonquido Monterrey, Centro de Diagnóstico y Tratamiento, Monterrey 64660, MexicoDepartment of Otolaryngology, Hospital Universitario de Fuenlabrada, Universidad Rey Juan Carlos, 28942 Madrid, SpainIntraoral examinations are essential in the evaluation of the upper airway in patients with obstructive sleep apnea (OSA). The morphology of the anatomic structures of the soft palate, the tonsillar fossae, and the palatoglossus and palatopharyngeal muscles is an important determinant of the size and collapsibility of the velum and oropharynx. The Palatopharyngeal Arch Staging System (PASS) is a systematic way to explore the oropharynx and report anatomic variations in the visible part of the palatopharyngeal muscle. In this prospective study, 30 sleep surgeons evaluated the reliability of the PASS using a selection of 23 videos of oropharyngeal examinations of healthy patients. The corresponding score on the PASS scale was graded for each examination. For internal structure and internal agreement, the Cronbach and Krippendorff alpha values were 0.96 and 0.46, which corresponded to a nearly perfect interrelationship and a moderate agreement, respectively. These findings suggest that the PASS is a valuable tool for evaluating the position of the palatopharyngeus muscle during oropharyngeal examinations and may be useful for creating a common language for sleep surgeons when evaluating the palatopharyngeal muscle.https://www.mdpi.com/2075-1729/13/3/709interexaminer agreementobstructive sleep apneapalatopharyngeal archstaging system |
| spellingShingle | Marta Morato Maribel P. Cardona-Sosa Gabriela Bosco Nuria Pérez-Martín Mayerin M. Marte-Bonilla Alfonso Marco Carlos O’Connor-Reina Rodolfo Lugo Guillermo Plaza Palatopharyngeal Arch Staging System (PASS): Consensus about Oropharyngeal Evaluation Life interexaminer agreement obstructive sleep apnea palatopharyngeal arch staging system |
| title | Palatopharyngeal Arch Staging System (PASS): Consensus about Oropharyngeal Evaluation |
| title_full | Palatopharyngeal Arch Staging System (PASS): Consensus about Oropharyngeal Evaluation |
| title_fullStr | Palatopharyngeal Arch Staging System (PASS): Consensus about Oropharyngeal Evaluation |
| title_full_unstemmed | Palatopharyngeal Arch Staging System (PASS): Consensus about Oropharyngeal Evaluation |
| title_short | Palatopharyngeal Arch Staging System (PASS): Consensus about Oropharyngeal Evaluation |
| title_sort | palatopharyngeal arch staging system pass consensus about oropharyngeal evaluation |
| topic | interexaminer agreement obstructive sleep apnea palatopharyngeal arch staging system |
| url | https://www.mdpi.com/2075-1729/13/3/709 |
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