Assessment of Change in Palatal Sensation in Obstructive Sleep Apnea Patients by Using Two-Point Palatal Discrimination

정경화; 양영수; 최혜랑; 조재훈; 김기태; 김진국

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자료유형: 학술저널

저자정보: 정경화 양영수 최혜랑 조재훈 김기태 김진국

저널정보: 대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology 제9권 제3호

발행연도: 2016.1

수록면: 226 - 232 (7page)

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Objectives. Patients with obstructive sleep apnea syndrome (OSAS) have impaired responses to inspiratory resistive loading during sleep. This may be due, in part, to a change in the upper airway sensation. Therefore, we hypothesized that patients with OSAS have diminished upper airway sensation due to snoring. Methods. A total of 53 participants were selected based on clinical evaluation and polysomnography. Two-point discrimination was measured with modified calipers in the tongue and soft palate. Results. A total of 10 participants were included in the control group, 12 participants in the simple snoring group, and 27 participants in the OSAS group. There were 12 patients in the impaired sensation group of the OSAS group. On comparing polysomnography, patients with impairment of their palatal sensory input in two-point discrimination (TPD) had a more protracted duration of the longest snoring episode than those with simple snoring and normal sensation. Patients with decreased sensory input in TPD had longer average duration of snoring episodes and relative snoring time than those with simple snoring and normal sensory input in cold uvular TPD. Comparison of the cold uvular TPD for normal sensation and impaired sensation in patients with OSAS after treatment showed a different trend. Conclusion. Impaired sensation of the soft palate was correlated with the longest snoring episode duration, average snoring episode duration, and relative snoring time. It is helpful in detecting the early stage of neural degradation in OSAS patients by assessing snoring components of polysomnography and TPD in the soft palate.

#Keywords. Sensory Neuropathy #Sleep Apnea Syndromes #Snoring #Polysomnography #Palate #Soft

참고문헌 (21)

참고문헌 신청

Silva GE. / 2009 / Longitudinal evaluation of sleep-disordered breathing and sleep symptoms with change in quality of life : the Sleep Heart Health Study(SHHS) / Sleep 32(8):1049~1057

Berger G. / 2009 / Progression of snoring and obstructive sleep apnoea : the role of increasing weight and time / Eur Respir J 33(2):338~345

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Friberg D. / 1998 / Histological indications of a progressive snorers disease in an upper airway muscle / Am J Respir Crit Care Med 157(2):586~593

Hagander L. / 2009 / Quantitative sensory testing in the oropharynx : a means of showing nervous lesions in patients with obstructive sleep apnea and snoring / Chest 136(2):481~489

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