Evaluation of the upper airway in obstructive sleep apnoea

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dc.contributor.author Togeiro, Sonia Maria G. P. [UNIFESP]
dc.contributor.author Chaves, Cauby M.
dc.contributor.author Palombini, Luciana [UNIFESP]
dc.contributor.author Tufik, Sergio [UNIFESP]
dc.contributor.author Hora, Francisco [UNIFESP]
dc.contributor.author Nery, Luiz Eduardo [UNIFESP]
dc.date.accessioned 2018-06-15T17:38:32Z
dc.date.available 2018-06-15T17:38:32Z
dc.date.issued 2010-02-01
dc.identifier http://www.ijmr.org.in/article.asp?issn=0971-5916;year=2010;volume=131;issue=2;spage=230;epage=235;aulast=Togeiro;type=0
dc.identifier.citation Indian Journal Of Medical Research. New Delhi: Indian Council Medical Res, v. 131, n. 2, p. 230-235, 2010.
dc.identifier.issn 0971-5916
dc.identifier.uri http://repositorio.unifesp.br/11600/43920
dc.description.abstract The evaluation of the upper airway (UA) includes the physical examination of pharyngeal structures and a number of imaging techniques that vary from the mostly used lateral cephalometry and computed tomography to more sophisticated methods such as tri-dimensional magnetic resonance image (MRI). Other complex techniques addressing UA collapsibility assessed by measurement of pharyngeal critical pressure and negative expiratory pressure however are not routinely performed. These methods provide information about anatomic abnormalities and the level of pharyngeal narrowing or collapse while the patient is awake or asleep. Data suggest that individual patients have different patterns of UA narrowing. So, the best method for evaluating obstruction during obstructive events remains controversial. In general, in clinical practice physical examination including a systematic evaluation of facial morphology, mouth, nasal cavity and the pharynx as well as simple imaging techniques such as nasopharyngoscopy and cephalometry have been more routinely utilized. Findings associated with obstructive sleep apnoea (OSA) are UA narrowing by the lateral pharyngeal walls and enlargements of tonsils, uvula and tongue. Additionally cephalometry identifies the most significant craniofacial characteristics associated with this disease. MRI studies demonstrated that lateral narrowing of UA in OSA is due to parapharyngeal muscle hypertrophy and/or enlargement of non adipose soft tissues.The upper airway evaluation has indubitably contributed to understand the pathophysiology and the diagnosis of OSA and snoring. Additionally, it also helps to identify the subjects with increased OSA risk as well as to select the more appropriate modality of treatment, especially for surgical procedures. en
dc.format.extent 230-235
dc.language.iso eng
dc.publisher Indian Council Medical Res
dc.relation.ispartof Indian Journal Of Medical Research
dc.rights Acesso aberto
dc.subject Acoustic reflection en
dc.subject nasopharyngoscopy en
dc.subject negative expiratory pressure en
dc.subject pharyngeal collapse en
dc.subject OSA en
dc.subject upper airway en
dc.title Evaluation of the upper airway in obstructive sleep apnoea en
dc.type Resenha
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.contributor.institution Univ Fed Ceara
dc.contributor.institution Universidade Federal da Bahia (UFBA)
dc.description.affiliation Univ Fed Sao Paulo, Dept Psychobiol, Sleep Div, EPM,Sleep Inst, BR-04024002 Sao Paulo, Brazil
dc.description.affiliation Univ Fed Sao Paulo, Div Resp, BR-04024002 Sao Paulo, Brazil
dc.description.affiliation Univ Fed Ceara, Sch Dent, Fortaleza, Ceara, Brazil
dc.description.affiliation Univ Fed Bahia, Div Resp, BR-41170290 Salvador, BA, Brazil
dc.description.affiliationUnifesp Univ Fed Sao Paulo, Dept Psychobiol, Sleep Div, EPM,Sleep Inst, BR-04024002 Sao Paulo, Brazil
dc.description.affiliationUnifesp Univ Fed Sao Paulo, Div Resp, BR-04024002 Sao Paulo, Brazil
dc.identifier.file WOS000275635200014.pdf
dc.description.source Web of Science
dc.identifier.wos WOS:000275635200014


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