Otorhinolaryngologic Evaluation of Patients with Obstructive Sleep Apnea Syndrome in Tertiary Hospital of Nepal

Background: Obstructive sleep apnea is a global health problem characterized by collapse of upper airway during sleep. It is commonly associated with road traffic accidents, diabetes mellitus and cardiovascular disease. The study aimed to measure the different otorhinolaryngologic parameters of pat...

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Main Authors: Inku Shrestha, Subodh Dhakal, Sudeep Acharya, Meera Bista
Format: Article
Language:English
Published: Karnali Academy of Health Sciences 2021-08-01
Series:Journal of Karnali Academy of Health Sciences
Subjects:
Online Access:http://jkahs.org.np/jkahs/index.php/jkahs/article/view/488
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author Inku Shrestha
Subodh Dhakal
Sudeep Acharya
Meera Bista
author_facet Inku Shrestha
Subodh Dhakal
Sudeep Acharya
Meera Bista
author_sort Inku Shrestha
collection DOAJ
description Background: Obstructive sleep apnea is a global health problem characterized by collapse of upper airway during sleep. It is commonly associated with road traffic accidents, diabetes mellitus and cardiovascular disease. The study aimed to measure the different otorhinolaryngologic parameters of patients with obstructive sleep apnea and to compare these findings with different class of polysomnography. Methods: A hospital based cross-sectional study was carried out among patient coming to department of Otorhinolaryngology of Kathmandu Medical College and Teaching Hospital. In total 74 patients with obstructive sleep apnea participated in this study. Sociodemographic details, co-morbid illness and anthropometric measurements were recorded. Data was presented in the form of mean, standard deviation and percentage. Chi-square, student’s t-test were done using Statistical Package for the Social Sciences version 16. A p-value of <0.05 was considered statistically significant. Results: The mean age of the patient was 47.43±11.30 years. Majority of the patients were male. Out of 74 patients, 24 (32.4%) patients were obese, 22 (29.7%) were overweight. The PSG showed 49 (66.2%) participant had severe obstructive sleep apnea.  According to Modified Mallampati score, 28 (37.8%) of patients belonged to Class 3, 20 (27%) belonged to Class 2. There was no significant association observed between the studied variables and polysomnographic results. Conclusion: Male and old age were the predominant factor in obstructive sleep apnea patients. In patients with snoring, the Otorhinolaryngologists should rely on thorough medical history, anatomic examination, radiological examination of head and neck should be done.    Keywords: Modified Mallampati Score; Obstructive sleep apnea; Otolaryngology: Polysomnography.
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spelling doaj.art-3c6c895833c24f1bb4f5b31787fcb9fe2023-10-31T15:43:16ZengKarnali Academy of Health SciencesJournal of Karnali Academy of Health Sciences2616-00642676-13272021-08-0142Otorhinolaryngologic Evaluation of Patients with Obstructive Sleep Apnea Syndrome in Tertiary Hospital of NepalInku Shrestha0Subodh Dhakal1Sudeep Acharya2Meera Bista3Department of ENT-HNS, Kathmandu Medical College, Sinamangal, Kathmandu, NepalProfessor, Department of Medicine, KMC, Sinamangal, Om Hospital and Research Center, ChabahelProfessor, Oral and Maxillofacial surgeon, B.P. Eye Foundation, LokanthaliProfessor and HOD, Department of ENT-HNS, Kathmandu Medical College, Sinamangal, Kathmandu Background: Obstructive sleep apnea is a global health problem characterized by collapse of upper airway during sleep. It is commonly associated with road traffic accidents, diabetes mellitus and cardiovascular disease. The study aimed to measure the different otorhinolaryngologic parameters of patients with obstructive sleep apnea and to compare these findings with different class of polysomnography. Methods: A hospital based cross-sectional study was carried out among patient coming to department of Otorhinolaryngology of Kathmandu Medical College and Teaching Hospital. In total 74 patients with obstructive sleep apnea participated in this study. Sociodemographic details, co-morbid illness and anthropometric measurements were recorded. Data was presented in the form of mean, standard deviation and percentage. Chi-square, student’s t-test were done using Statistical Package for the Social Sciences version 16. A p-value of <0.05 was considered statistically significant. Results: The mean age of the patient was 47.43±11.30 years. Majority of the patients were male. Out of 74 patients, 24 (32.4%) patients were obese, 22 (29.7%) were overweight. The PSG showed 49 (66.2%) participant had severe obstructive sleep apnea.  According to Modified Mallampati score, 28 (37.8%) of patients belonged to Class 3, 20 (27%) belonged to Class 2. There was no significant association observed between the studied variables and polysomnographic results. Conclusion: Male and old age were the predominant factor in obstructive sleep apnea patients. In patients with snoring, the Otorhinolaryngologists should rely on thorough medical history, anatomic examination, radiological examination of head and neck should be done.    Keywords: Modified Mallampati Score; Obstructive sleep apnea; Otolaryngology: Polysomnography. http://jkahs.org.np/jkahs/index.php/jkahs/article/view/488Modified Mallampati Scoreobstructive sleep apnoeaPolysomnographyOtolaryngology
spellingShingle Inku Shrestha
Subodh Dhakal
Sudeep Acharya
Meera Bista
Otorhinolaryngologic Evaluation of Patients with Obstructive Sleep Apnea Syndrome in Tertiary Hospital of Nepal
Journal of Karnali Academy of Health Sciences
Modified Mallampati Score
obstructive sleep apnoea
Polysomnography
Otolaryngology
title Otorhinolaryngologic Evaluation of Patients with Obstructive Sleep Apnea Syndrome in Tertiary Hospital of Nepal
title_full Otorhinolaryngologic Evaluation of Patients with Obstructive Sleep Apnea Syndrome in Tertiary Hospital of Nepal
title_fullStr Otorhinolaryngologic Evaluation of Patients with Obstructive Sleep Apnea Syndrome in Tertiary Hospital of Nepal
title_full_unstemmed Otorhinolaryngologic Evaluation of Patients with Obstructive Sleep Apnea Syndrome in Tertiary Hospital of Nepal
title_short Otorhinolaryngologic Evaluation of Patients with Obstructive Sleep Apnea Syndrome in Tertiary Hospital of Nepal
title_sort otorhinolaryngologic evaluation of patients with obstructive sleep apnea syndrome in tertiary hospital of nepal
topic Modified Mallampati Score
obstructive sleep apnoea
Polysomnography
Otolaryngology
url http://jkahs.org.np/jkahs/index.php/jkahs/article/view/488
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