Orofacial-cervical alterations in individuals with upper airway resistance syndrome

Orofacial-cervical alterations in individuals with upper airway resistance syndrome

Alternative title Alteração cérvico-orofacial em indivíduos com síndrome da resistência de via aérea superior
Author Barbosa de Oliveira, Pedro Wey Autor UNIFESP Google Scholar
Gregorio, Luciano Lobato Autor UNIFESP Google Scholar
Silva, Rogerio Santos Google Scholar
Azevedo Bittencourt, Lia Rita Google Scholar
Tufik, Sergio Autor UNIFESP Google Scholar
Gregorio, Luis Carlos Autor UNIFESP Google Scholar
Abstract 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 Sao 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. (C) 2015 Associacao Brasileira de Otorrinolaringologia e Cirurgia Cervico-Facial. Published by Elsevier Editora Ltda.
Keywords Sleep disorders
Airway resistance
Nasal obstruction
Transtornos do sono
Resistências das vias respiratórias
Obstrução nasal
xmlui.dri2xhtml.METS-1.0.item-coverage Sao Paulo
Language English
Portuguese
Date 2016
Published in Brazilian Journal Of Otorhinolaryngology. Sao Paulo, v. 82, n. 4, p. 377-384, 2016.
ISSN 1808-8694 (Sherpa/Romeo, impact factor)
Publisher Assoc Brasileira Otorrinolaringologia & Cirurgia Cervicofacial
Extent 377-384
Origin http://dx.doi.org/10.1016/j.bjorl.2015.05.015
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000382184000003
SciELO ID S1808-86942016000400377 (statistics in SciELO)
URI https://repositorio.unifesp.br/handle/11600/57641

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