Mouth opening during sleep may be a critical predictor of surgical outcome after uvulopalatopharyngoplasty for obstructive sleep apnea

Journal of Clinical Sleep Medicine

Volumn 6, Issue 2, 2010, Pages 157-162

  Lee, Chul Hee ^a   Mo, Ji Hun ^a,c   Seo, Beom Seok ^a   Kim, Dong Young ^a   Yoon, In Young ^a   Kim, Jeong Whun ^a,b  

^a Seoul National University Bundang Hospital   (South Korea)

^b Seoul National University College of Medicine   (South Korea)

^c Dankook University College of Medicine   (South Korea)

Author keywords

Mouth opening; Obstructive sleep apnea; Uvulopalatopharyngoplasty; Videofluoroscopy

Indexed keywords

ARTICLE; CEPHALOMETRY; CLINICAL EVALUATION; FLUOROSCOPY; HUMAN; MAJOR CLINICAL STUDY; MOUTH CAVITY; OUTCOME ASSESSMENT; PARAMETER; POLYSOMNOGRAPHY; POSTOPERATIVE COMPLICATION; RETROSPECTIVE STUDY; SLEEP; SLEEP APNEA SYNDROME; TREATMENT FAILURE; UVULOPALATOPHARYNGOPLASTY; ADULT; AGED; FEMALE; MALE; METHODOLOGY; MIDDLE AGED; MOUTH; PALATE; PATHOPHYSIOLOGY; PHARYNX; PLASTIC SURGERY; PREDICTION AND FORECASTING; STATISTICS; TREATMENT OUTCOME; VIDEORECORDING;

ADULT; AGED; CEPHALOMETRY; FEMALE; FLUOROSCOPY; HUMANS; MALE; MIDDLE AGED; MOUTH; PALATE; PHARYNX; POLYSOMNOGRAPHY; PREDICTIVE VALUE OF TESTS; RECONSTRUCTIVE SURGICAL PROCEDURES; RETROSPECTIVE STUDIES; SLEEP; SLEEP APNEA, OBSTRUCTIVE; TREATMENT OUTCOME; UVULA; VIDEOTAPE RECORDING; YOUNG ADULT;

EID: 77952309320     PISSN: 15509389     EISSN: 15509397     Source Type: Journal    
DOI: 10.5664/jcsm.27765     Document Type: Article

References (18)

1. Sher AE, Schechtman KB, Piccirillo JF. The efficacy of surgical modifications of the upper airway in adults with obstructive sleep apnea syndrome. Sleep 1996;19:156-177 (Pubitemid 26102853)
2. Lee CH, Mo JH, Kim BJ, et al. Evaluation of soft palate changes using sleep videofluoroscopy in patients with obstructive sleep apnea. Arch Otolaryngol Head Neck Surg 2009;135:168-172
3. Miyamoto K, Ozbek MM, Lowe AA, et al. Mandibular posture during sleep in patients with obstructive sleep apnoea. Arch Oral Biol 1999;44:657-664 (Pubitemid 29334705)
4. Lee SH, Choi JH, Shin C, Lee HM, Kwon SY. How does open-mouth breathing influence upper airway anatomy? Laryngoscope 2007;117:1102-1106
5. Rechtschaffen A KA. A manual of standardized terminology, technique, and scoring system for sleep stages of human subjects. Los Angeles, CA: Brain Information Service/Brain Research Institute, UCLA; 1968.
6. Gould GA, Whyte KF, Rhind GB, et al. The sleep hypopnea syndrome. Am Rev Respir Dis 1988;137:895-898
7. Riley RW, Powell NB, Guilleminault C. Obstructive sleep apnea syndrome: a review of 306 consecutively treated surgical patients. Otolaryngol Head Neck Surg 1993;108:117-125 (Pubitemid 23086687)
8. Friedman M, Vldyasagar R, Bliznikas D, Joseph N. Does severity of obstructive sleep apnea/hypopnea syndrome predict uvulopalatopharyngoplasty outcome? Laryngoscope 2005;115:2109-2113
9. Li HY, Wang PC, Lee LA, Chen NH, Fang TJ. Prediction of uvulopalatopharyngoplasty outcome: anatomy-based staging system versus severity-based staging system. Sleep 2006;29:1537-1541
10. Friedman M, Ibrahim H, Bass L. Clinical staging for sleep-disordered breathing. Otolaryngol Head Neck Surg 2002;127:13-21.
11. Friedman M, Ibrahim H, Joseph NJ. Staging of obstructive sleep apnea/hypopnea syndrome: a guide to appropriate treatment. Laryngoscope 2004;114:454-459 (Pubitemid 38391908)
12. Sher AE, Thorpy MJ, Shprintzen RJ, Spielman AJ, Burack B, McGregor PA. Predictive value of Muller maneuver in selection of patients for uvulopalatopharyngoplasty. Laryngoscope 1985;95:1483-1487
13. Terris DJ, Hanasono MM, Liu YC. Reliability of the Muller maneuver and its association with sleep-disordered breathing. Laryngoscope 2000;110:1819-1823
14. Bhattacharyya N, Blake SP, Fried MP. Assessment of the airway in obstructive sleep apnea syndrome with 3-dimensional airway computed tomography. Otolaryngol Head Neck Surg 2000;123:444-449
15. Donnelly LF, Casper KA, Chen B, Koch BL. Defining normal upper airway motion in asymptomatic children during sleep by means of cine MR techniques. Radiology 2002;223:176-180
16. Bachar G, Feinmesser R, Shpitzer T, Yaniv E, Nageris B, Eidelman L. Laryngeal and hypopharyngeal obstruction in sleep disordered breathing patients, evaluated by sleep endoscopy. Eur Arch Otorhinolaryngol 2008;265:1397-1402
17. Marais J. The value of sedation nasendoscopy: a comparison between snoring and non-snoring patients. Clin Otolaryngol Allied Sci 1998;23:74-76
18. Sadaoka T, Kakitsuba N, Fujiwara Y, Kanai R, Takahashi H. The value of sleep nasendoscopy in the evaluation of patients with suspected sleep-related breathing disorders. Clin Otolaryngol Allied Sci 1996;21:485-9.