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SM ISO690:2012 ENACHI, Victor, VETRICEAN, Sergiu. Sleep endoscopy – method of diagnosis of patients with obstructive sleep apnea syndrome. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 350. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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Pag. 350-350 | ||||||
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Background. Obstructive sleep apnea syndrome (OSAS) is a common sleep disorder characterized by recurrent episodes of upper airway collapse. Because there are a number of changes in the etiology of these episodes in the oropharyngeal area, the assessment of the site of obstruction is extremely important. Aim of study. The aim of the study is to use a new diagnostic method to determine the location and anatomical changes in patients with OSAS. Material and Methods. The study was performed on 34 patients diagnosed with OSAS - moderate and severe form, in the ENT clinic of Nicolae Testemitanu SUMPh, during 2017-2022. Sleep was induced by the administration of propofol, thus allowing the patient to be examined under conditions similar to normal sleep. With the help of the 00 endoscope, it was possible to directly visualize the tutor of the anatomical structures. Results. The examination revealed changes in 3 floors of the upper respiratory tract: in the nostrils - pathological changes in the septum and cornets, palatal area - softer palate with narrowing of the oropharyngeal anteroposterior surface by significantly reducing the distances between the wall posterior pharyngeal and uvula and lingual area - with changes in the base of the tongue which reduces the space between it and the posterior pharyngeal wall narrowing the oro- and hypopharynx during sleep. Conclusions. The study identified three stages of the upper respiratory tract with anatomical changes in patients with OSAS that predispose to upper airway collapse. Drug-induced sleep endoscopy is currently the most modern diagnostic method that provides us with information about the location of the obstruction and the severity of OSAS. |
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Cuvinte-cheie Obstructive Sleep Apnea Syndrome, sleep endoscopy, OSAS, sindromul obstructiv de apnee în somn, endoscopia de somn, SOAS |
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