No1-2(5) 2022
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DOI 10.37219/2528-8253-2022-1-50 |
Minin YuV, Kucherenko TI
Treatment of patients with snoring and moderate obstructive sleep apnea |
Minin Yuriy V.
State Institution “O.S. Kolomiychenko Institute of Otolaryngology of
National Academy of Medical Science of Ukraine”; Kyiv, Ukraine.
Department of inflammatory diseases of ENT-organs, leading researcher.
Doctor of Medical Sciences, Professor
ORCID ID: 0000-0002-7836-3480
Scopus Author ID: 6508004691
Email: mininy1956@gmail.com
ORCID ID: https://orcid.org/0000-0002-7836-3480
Scopus Author ID: 6508004691
Kucherenko Tetiana I.
State Institution “O.S. Kolomiychenko Institute of Otolaryngology of
National Academy of Medical Science of Ukraine”; Kyiv, Ukraine.
Department of inflammatory diseases of ENT-organs, Senior Researcher
E-mail: tkucherenko@hotmail.com
ORCID ID: https://orcid.org/0000-0002-2158-8101
Scopus Author ID: 6701383048 |
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Abstract
Objective: To increase the effectiveness of treatment of patients
with snoring and obstructive sleep apnea in the field of segmental narrowing
of the upper respiratory tract.
Materials and methods: 20 patients with complaints of constant
snoring and sleep apnea were monitored.
All patients underwent cardio-respiratory monitoring. To determine the
levels of narrowing of the upper respiratory tract, changes in the intensity
of the MR signal from the anatomical structures of the upper respiratory
tract (VDS) of all patients selected for surgical treatment were studied,
followed by determining the effect of therapy.
Results: The paper presents the results of treatment of patients with
moderate obstructive sleep apnea. All patients underwent clinical and
radiological examination to determine the level of narrowing of the upper
respiratory tract. With narrowing of the common nasal passages,
retropalatinal and retroglossal areas of the pharynx, appropriate surgical
correction of HF was performed.
After 2 months, obstructive sleep apnea was absent in 55% of patients, the
index of hypopnea (IG) did not exceed 10 episodes per hour with a duration
of hypopnea up to 14 seconds and maximum desaturation of capillary blood
(SpO2) up to 95%. No snoring was noted in 45% of patients in this group,
while 15% of individuals reported silent snoring in the supine position and
occasional snoring of low intensity.
Tactics of surgical treatment of patients with snoring and OSAS of moderate
severity, aimed at eliminating obstruction of the airway during sleep at all
levels and requires an individualized approach. |
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Keywords
upper respiratory tract, snoring, obstructive sleep apnea,
cardio-respiratory monitoring, MRI examination, radiofrequency ablation,
combined surgical treatment. |
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