SCIENTIFIC-PRACTICAL JOURNAL

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No5(4) 2021

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DOI 10.37219/2528-8253-2021-5-12

Minin YuV, Kucherenko TI, Minina GYu
Peculiarities of the upper airways condition in patients with snoring and obstructive apnea during sleeping 
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

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: 0000-0002-2158-8101
Scopus Author ID: 6701383048

Minina Ganna Y.
State Institution “O.S. Kolomiychenko Institute of Otolaryngology of National Academy of Medical Science of Ukraine”; Kyiv, Ukraine.
Ear Microsurgery and Otoneurosurgery Department
Researcher
Candidate of Medical Sciences
Email: mininy1956@gmail.com

Abstract

Aim: study the anatomical features of the upper respiratory tract in patients with ronchopathy of varying degrees of clinical manifestations.
Materials and methods: 60 patients with persistent snoring were under supervision. They were divided into four clinical groups depending on the degree of snoring and obstructive sleep apnea. All patients underwent clinical and instrumental examination, which included cardio-respiratory monitoring and MRI examination of the upper respiratory tract.
Results: In the comparative analysis of results of clinical studies of the upper respiratory tract of patients with and without obstructive sleeping apnea, there was a statistically significant narrowing of the retroglossal space in 45,7% and 16%, respectively. In the analysis of morphometric parameters of the upper respiratory tract in patients with sleep-disordered breathing of varying severity, there was a narrowing of the retropalatinal and retroglossal lumens of the pharynx due to the increase in the soft palate and tongue with its dislocation posteriorly. It is stated that more pronounced narrowing of the lumen of the upper respiratory tract leads to respiratory disorders during sleeping. The most severe manifestation of respiration deterioration during sleeping were observed in the narrowing of the upper respiratory tract at several levels.

Keywords

 upper respiratory tract, snoring, obstructive sleeping apnea, cardio-respiratory monitoring, MRI.


Reference

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