Swallowing and pharyngo-esophageal manometry in obstructive sleep apnea
INTRODUCTION: Upper airway nerve and muscle damage associated with obstructive sleep apnea may impair the strength and dynamics of pharyngeal and esophageal contractions during swallowing. OBJECTIVE: To evaluate the presence of alterations in pharyngoesophageal manometry in patients with obstructive...
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| Format: | Article |
| Language: | English |
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Elsevier
2015-06-01
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| Series: | Brazilian Journal of Otorhinolaryngology |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942015000300294&lng=en&tlng=en |
| _version_ | 1818447229820600320 |
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| author | Luciana Almeida Moreira da Paz Oliveira Luiz Henrique de Souza Fontes Michel Burihan Cahali |
| author_facet | Luciana Almeida Moreira da Paz Oliveira Luiz Henrique de Souza Fontes Michel Burihan Cahali |
| author_sort | Luciana Almeida Moreira da Paz Oliveira |
| collection | DOAJ |
| description | INTRODUCTION: Upper airway nerve and muscle damage associated with obstructive sleep apnea may impair the strength and dynamics of pharyngeal and esophageal contractions during swallowing. OBJECTIVE: To evaluate the presence of alterations in pharyngoesophageal manometry in patients with obstructive sleep apnea with and without oropharyngeal dysphagia. METHODS: This study prospectively evaluated 22 patients with obstructive sleep apnea without spontaneous complaints of dysphagia, using a questionnaire, fiberoptic endoscopic evaluation of swallowing, and pharyngoesophageal manometry, including measurement of the upper and lower esophageal sphincter pressures and mean pharyngeal pressures at three levels during swallowing. RESULTS: The dysphagia group consisted of 17 patients (77.3%) in whom swallowing abnormalities were detected on fiberoptic endoscopic evaluation of swallowing (n = 15; 68.2%) and/or in the questionnaire (n = 7; 31.8%). The five remaining cases comprised a control group without oropharyngeal dysphagia. In all cases of abnormalities on fiberoptic endoscopic evaluation of swallowing, there was premature bolus leakage into the pharynx. There was no statistically significant difference between the groups regarding any of the pharyngoesophageal manometry measurements, age, or severity of obstructive sleep apnea. CONCLUSION: Pharyngoesophageal manometry detected no statistically significant difference between the groups with and without oropharyngeal dysphagia. |
| first_indexed | 2024-12-14T20:00:18Z |
| format | Article |
| id | doaj.art-1ada27f2a1af4be2a2c5041c279db6e2 |
| institution | Directory Open Access Journal |
| issn | 1808-8686 |
| language | English |
| last_indexed | 2024-12-14T20:00:18Z |
| publishDate | 2015-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Otorhinolaryngology |
| spelling | doaj.art-1ada27f2a1af4be2a2c5041c279db6e22022-12-21T22:49:10ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86862015-06-0181329430010.1016/j.bjorl.2015.03.006S1808-86942015000300294Swallowing and pharyngo-esophageal manometry in obstructive sleep apneaLuciana Almeida Moreira da Paz OliveiraLuiz Henrique de Souza FontesMichel Burihan CahaliINTRODUCTION: Upper airway nerve and muscle damage associated with obstructive sleep apnea may impair the strength and dynamics of pharyngeal and esophageal contractions during swallowing. OBJECTIVE: To evaluate the presence of alterations in pharyngoesophageal manometry in patients with obstructive sleep apnea with and without oropharyngeal dysphagia. METHODS: This study prospectively evaluated 22 patients with obstructive sleep apnea without spontaneous complaints of dysphagia, using a questionnaire, fiberoptic endoscopic evaluation of swallowing, and pharyngoesophageal manometry, including measurement of the upper and lower esophageal sphincter pressures and mean pharyngeal pressures at three levels during swallowing. RESULTS: The dysphagia group consisted of 17 patients (77.3%) in whom swallowing abnormalities were detected on fiberoptic endoscopic evaluation of swallowing (n = 15; 68.2%) and/or in the questionnaire (n = 7; 31.8%). The five remaining cases comprised a control group without oropharyngeal dysphagia. In all cases of abnormalities on fiberoptic endoscopic evaluation of swallowing, there was premature bolus leakage into the pharynx. There was no statistically significant difference between the groups regarding any of the pharyngoesophageal manometry measurements, age, or severity of obstructive sleep apnea. CONCLUSION: Pharyngoesophageal manometry detected no statistically significant difference between the groups with and without oropharyngeal dysphagia.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942015000300294&lng=en&tlng=enApneia do sono tipo obstrutivaTranstornos de deglutiçãoManometriaFaringeEsôfago |
| spellingShingle | Luciana Almeida Moreira da Paz Oliveira Luiz Henrique de Souza Fontes Michel Burihan Cahali Swallowing and pharyngo-esophageal manometry in obstructive sleep apnea Brazilian Journal of Otorhinolaryngology Apneia do sono tipo obstrutiva Transtornos de deglutição Manometria Faringe Esôfago |
| title | Swallowing and pharyngo-esophageal manometry in obstructive sleep apnea |
| title_full | Swallowing and pharyngo-esophageal manometry in obstructive sleep apnea |
| title_fullStr | Swallowing and pharyngo-esophageal manometry in obstructive sleep apnea |
| title_full_unstemmed | Swallowing and pharyngo-esophageal manometry in obstructive sleep apnea |
| title_short | Swallowing and pharyngo-esophageal manometry in obstructive sleep apnea |
| title_sort | swallowing and pharyngo esophageal manometry in obstructive sleep apnea |
| topic | Apneia do sono tipo obstrutiva Transtornos de deglutição Manometria Faringe Esôfago |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942015000300294&lng=en&tlng=en |
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