THE RELATIONSHIP BETWEEN THE ANATOMY FEATURES OF THE STRUCTURES OF THE PHARYNX AND THE DEVELOPMENT OF OBSTRUCTIVE SLEEP APNOEA SYNDROME IN ADULTS.
The aim. To assess the correlation between subjective measurements and objective volume of palatine tonsils in adults, and to test the effect of oropharyngeal anatomy, body mass index, age, and OSA severity on actual tonsil volume. In addition, we evaluated the effect of tonsil size on the developme...
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| Format: | Article |
| Language: | English |
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State Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative Department
2023-08-01
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| Series: | Клінічна та профілактична медицина |
| Subjects: | |
| Online Access: | https://cp-medical.com/index.php/journal/article/view/272 |
| _version_ | 1827792086163783680 |
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| author | Yu. Shevchuk Yu. Dieieva |
| author_facet | Yu. Shevchuk Yu. Dieieva |
| author_sort | Yu. Shevchuk |
| collection | DOAJ |
| description | The aim. To assess the correlation between subjective measurements and objective volume of palatine tonsils in adults, and to test the effect of oropharyngeal anatomy, body mass index, age, and OSA severity on actual tonsil volume. In addition, we evaluated the effect of tonsil size on the development of OSA in adults.
Materials and methods. A prospective study of 130 patients with rhonchopathy and obstructive sleep apnea syndrome was conducted. Patients underwent a physical examination, nocturnal polysomnography, Epworth Sleepiness Scale, body mass index (BMI, kg/m²), and a subjective assessment of snoring on an analog scale from 1 (not important) to 10 (worst possible).
Results: pharyngeal tissues are also found to be proportional to body size in both patients with rhonchopathy and patients with OSA, which indicates a secondary role of anatomy in the pathogenesis of OSA development. Tonsil volume (p = 0.053) tended to correlate with the degree of severity OSA There were no significant differences in the mean apnea-hypopnea index (AHI) between patients with grade I (30.5), II (29.6), or III (38.2) tonsil hypertrophy. Patients with grade IV tonsil hypertrophy had a higher AHI (mean 103.2) than patients with grade I (p = 0.01), II (p = 0.01) or III (p = 0.03) hypertrophy.
Conclusions: In adult patients with rhonchopathy and OSA, there is a reliable correlation between the clinical degree of tonsil hypertrophy and the objective volume of the tonsils. Possible changes in pharyngeal geometry associated with OSA do not affect the clinical ability to determine tonsil volume. Although tonsil volume correlates with AHI, clinically only grade IV tonsils are predictive of severe OSA. Pharyngeal tissue volume likely reflects body mass index rather than OSA. |
| first_indexed | 2024-03-11T17:56:53Z |
| format | Article |
| id | doaj.art-31d08ae5eef842ad8f2850c06e36c518 |
| institution | Directory Open Access Journal |
| issn | 2616-4868 |
| language | English |
| last_indexed | 2024-03-11T17:56:53Z |
| publishDate | 2023-08-01 |
| publisher | State Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative Department |
| record_format | Article |
| series | Клінічна та профілактична медицина |
| spelling | doaj.art-31d08ae5eef842ad8f2850c06e36c5182023-10-17T12:06:33ZengState Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative DepartmentКлінічна та профілактична медицина2616-48682023-08-013333810.31612/2616-4868.3(25).2023.04272THE RELATIONSHIP BETWEEN THE ANATOMY FEATURES OF THE STRUCTURES OF THE PHARYNX AND THE DEVELOPMENT OF OBSTRUCTIVE SLEEP APNOEA SYNDROME IN ADULTS.Yu. Shevchuk0Yu. Dieieva1Bogomolets National Medical University, Kyiv, UkraineBogomolets National Medical University, Kyiv, UkraineThe aim. To assess the correlation between subjective measurements and objective volume of palatine tonsils in adults, and to test the effect of oropharyngeal anatomy, body mass index, age, and OSA severity on actual tonsil volume. In addition, we evaluated the effect of tonsil size on the development of OSA in adults. Materials and methods. A prospective study of 130 patients with rhonchopathy and obstructive sleep apnea syndrome was conducted. Patients underwent a physical examination, nocturnal polysomnography, Epworth Sleepiness Scale, body mass index (BMI, kg/m²), and a subjective assessment of snoring on an analog scale from 1 (not important) to 10 (worst possible). Results: pharyngeal tissues are also found to be proportional to body size in both patients with rhonchopathy and patients with OSA, which indicates a secondary role of anatomy in the pathogenesis of OSA development. Tonsil volume (p = 0.053) tended to correlate with the degree of severity OSA There were no significant differences in the mean apnea-hypopnea index (AHI) between patients with grade I (30.5), II (29.6), or III (38.2) tonsil hypertrophy. Patients with grade IV tonsil hypertrophy had a higher AHI (mean 103.2) than patients with grade I (p = 0.01), II (p = 0.01) or III (p = 0.03) hypertrophy. Conclusions: In adult patients with rhonchopathy and OSA, there is a reliable correlation between the clinical degree of tonsil hypertrophy and the objective volume of the tonsils. Possible changes in pharyngeal geometry associated with OSA do not affect the clinical ability to determine tonsil volume. Although tonsil volume correlates with AHI, clinically only grade IV tonsils are predictive of severe OSA. Pharyngeal tissue volume likely reflects body mass index rather than OSA.https://cp-medical.com/index.php/journal/article/view/272rhonchopathyobstructive sleep apnea syndromepalatine tonsilsuvulopalatopharyngoplastypolysomnography |
| spellingShingle | Yu. Shevchuk Yu. Dieieva THE RELATIONSHIP BETWEEN THE ANATOMY FEATURES OF THE STRUCTURES OF THE PHARYNX AND THE DEVELOPMENT OF OBSTRUCTIVE SLEEP APNOEA SYNDROME IN ADULTS. Клінічна та профілактична медицина rhonchopathy obstructive sleep apnea syndrome palatine tonsils uvulopalatopharyngoplasty polysomnography |
| title | THE RELATIONSHIP BETWEEN THE ANATOMY FEATURES OF THE STRUCTURES OF THE PHARYNX AND THE DEVELOPMENT OF OBSTRUCTIVE SLEEP APNOEA SYNDROME IN ADULTS. |
| title_full | THE RELATIONSHIP BETWEEN THE ANATOMY FEATURES OF THE STRUCTURES OF THE PHARYNX AND THE DEVELOPMENT OF OBSTRUCTIVE SLEEP APNOEA SYNDROME IN ADULTS. |
| title_fullStr | THE RELATIONSHIP BETWEEN THE ANATOMY FEATURES OF THE STRUCTURES OF THE PHARYNX AND THE DEVELOPMENT OF OBSTRUCTIVE SLEEP APNOEA SYNDROME IN ADULTS. |
| title_full_unstemmed | THE RELATIONSHIP BETWEEN THE ANATOMY FEATURES OF THE STRUCTURES OF THE PHARYNX AND THE DEVELOPMENT OF OBSTRUCTIVE SLEEP APNOEA SYNDROME IN ADULTS. |
| title_short | THE RELATIONSHIP BETWEEN THE ANATOMY FEATURES OF THE STRUCTURES OF THE PHARYNX AND THE DEVELOPMENT OF OBSTRUCTIVE SLEEP APNOEA SYNDROME IN ADULTS. |
| title_sort | relationship between the anatomy features of the structures of the pharynx and the development of obstructive sleep apnoea syndrome in adults |
| topic | rhonchopathy obstructive sleep apnea syndrome palatine tonsils uvulopalatopharyngoplasty polysomnography |
| url | https://cp-medical.com/index.php/journal/article/view/272 |
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