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. |
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