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首页> 外文期刊>Brazilian Journal of Otorhinolaryngology >Orofacial-cervical alterations in individuals with upper airway resistance syndrome a??
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Orofacial-cervical alterations in individuals with upper airway resistance syndrome a??

机译：患有上呼吸道阻力综合征的人的口面-宫颈改变

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INTRODUCTION: Studies that assess the upper airways in sleep-related breathing disorders have been performed only in patients with obstructive sleep apnea syndrome who seek medical attention. Therefore, in addition to the need for population studies, there are no data on the orofacial-cervical physical examination in subjects with upper airway resistance syndrome. OBJECTIVES: To compare the orofacial-cervical examination between volunteers with upper airway resistance syndrome and without sleep-related breathing disorders. METHODS: Through questionnaires, physical measurements, polysomnography, and otorhinolaryngological evaluation, this study compared the orofacial-cervical physical examination, through a systematic analysis of the facial skeleton, mouth, throat, and nose, between volunteers with upper airway resistance syndrome and volunteers without sleep-related breathing disorders in a representative sample of the adult population of the city of S?￡o Paulo. RESULTS: There were 1042 volunteers evaluated; 49 subjects (5%) were excluded as they did not undergo otorhinolaryngological evaluation, 381 (36%) had apnea-hypopnea index > 5 events/hour, and 131 (13%) had oxyhemoglobin saturation < 90%. Among the remaining 481 subjects (46%), 30 (3%) met the criteria for the upper airway resistance syndrome definition and 53 (5%) met the control group criteria. At the clinical evaluation of nasal symptoms, the upper airway resistance syndrome group had more oropharyngeal dryness (17% vs. 29.6%; p = 0.025) and septal deviation grades 1-3 (49.1% vs. 57.7%; p = 0.025) when compared to controls. In the logistic regression model, it was found that individuals from the upper airway resistance syndrome group had 15.6-fold higher chance of having nose alterations, 11.2-fold higher chance of being hypertensive, and 7.6-fold higher chance of complaining of oropharyngeal dryness when compared to the control group. CONCLUSION: Systematic evaluation of the facial skeleton, mouth, throat, and nose, between volunteers with upper airway resistance syndrome and volunteers without sleep-related breathing disorders, showed that the presence of upper airway resistance syndrome is mainly associated with nasal alterations and oropharyngeal dryness, in addition to the risk of hypertension, regardless of gender and obesity.
机译：简介：仅在寻求医疗救助的阻塞性睡眠呼吸暂停综合症患者中进行了评估与睡眠有关的呼吸障碍的上呼吸道的研究。因此，除了需要进行人群研究外，尚无关于上呼吸道阻力综合症患者的口腔-宫颈物理检查的数据。目的：比较患有上呼吸道阻力综合征且无​​睡眠相关呼吸障碍的志愿者的口宫颈检查。方法：本研究通过问卷调查，体格测量，多导睡眠监测和耳鼻喉科评估，比较了上呼吸道阻力综合征志愿者和非上呼吸道阻力综合征志愿者的面部骨骼，口腔，喉咙和鼻子的口颈宫颈物理检查。在圣保罗市成年人口中有代表性的与睡眠有关的呼吸障碍。结果：共有1042名志愿者进行了评估。由于未进行耳鼻喉科评估，因此将49名受试者（5％）排除在外; 381名（36％）的呼吸暂停低通气指数> 5事件/小时; 131名（13％）的氧合血红蛋白饱和度<90％。在其余的481名受试者中（46％），有30名（3％）符合上呼吸道阻力综合征定义的标准，而53名（5％）符合对照组的标准。在对鼻部症状进行临床评估时，上呼吸道阻力综合症组的口咽干燥度较高（17％比29.6％; p = 0.025）和间隔偏差为1-3级（49.1％比57.7％; p = 0.025）。与控件相比。在逻辑回归模型中，发现上呼吸道阻力综合征组的个体发生鼻子改变的几率高15.6倍，高血压的几率高11.2倍，抱怨口咽干燥的几率高7.6倍。与对照组相比。结论：系统评估患有上呼吸道阻力综合征的志愿者和没有睡眠相关呼吸障碍的志愿者之间的面部骨骼，嘴巴，喉咙和鼻子，发现上呼吸道阻力综合征的存在主要与鼻腔改变和口咽干燥有关，除了有高血压的危险，无论性别和肥胖。

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