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Is polysomnographic examination necessary for subjects with diaphragm pathologies?
Oruc, Ozlem; Sarac, Sema; Afsar, Gulgun Cetintas; Topcuoglu, Ozgur Bilgin; Kanbur, Serda; Yalcinkaya, Irfan; Tepetam, Fatma Merve; Kirbas, Gokhan.
Afiliación
  • Oruc, Ozlem; Chest Diseases. Sureyyapasa Chest & Thoracic Surgery Training and Research Hospital. Istanbul. TR
  • Sarac, Sema; Chest Diseases. Sureyyapasa Chest & Thoracic Surgery Training and Research Hospital. Istanbul. TR
  • Afsar, Gulgun Cetintas; Chest Diseases. Sureyyapasa Chest & Thoracic Surgery Training and Research Hospital. Istanbul. TR
  • Topcuoglu, Ozgur Bilgin; Chest Diseases. Sureyyapasa Chest & Thoracic Surgery Training and Research Hospital. Istanbul. TR
  • Kanbur, Serda; Chest Diseases. Sureyyapasa Chest & Thoracic Surgery Training and Research Hospital. Istanbul. TR
  • Yalcinkaya, Irfan; Chest Diseases. Sureyyapasa Chest & Thoracic Surgery Training and Research Hospital. Istanbul. TR
  • Tepetam, Fatma Merve; Chest Diseases. Sureyyapasa Chest & Thoracic Surgery Training and Research Hospital. Istanbul. TR
  • Kirbas, Gokhan; Chest Diseases. Sureyyapasa Chest & Thoracic Surgery Training and Research Hospital. Istanbul. TR
Clinics ; Clinics;71(9): 506-510, Sept. 2016. tab
Article en En | LILACS | ID: lil-794642
Biblioteca responsable: BR1.1
ABSTRACT

OBJECTIVES:

While respiratory distress is accepted as the only indication for diaphragmatic plication surgery, sleep disorders have been underestimated. In this study, we aimed to detect the sleep disorders that accompany diaphragm pathologies. Specifically, the association of obstructive sleep apnea syndrome with diaphragm eventration and diaphragm paralysis was evaluated.

METHODS:

This study was performed in Süreyyapasa Chest Diseases and Thoracic Surgery Training and Research Hospital between 2014-2016. All patients had symptoms of obstructive sleep apnea (snoring and/or cessation of breath during sleep and/or daytime sleepiness) and underwent diaphragmatic plication via video-assisted mini-thoracotomy. Additionally, all patients underwent pre- and postoperative full-night polysomnography. Pre- and postoperative clinical findings, polysomnography results, Epworth sleepiness scale scores and pulmonary function test results were compared.

RESULTS:

Twelve patients (7 males) with a mean age of 48 (range, 27-60) years and a mean body mass index of 25 (range, 20-30) kg/m2 were included in the study. Preoperative polysomnography showed obstructive sleep apnea syndrome in 9 of the 12 patients (75%), while 3 of the patients (25%) were regarded as normal. Postoperatively, patient complaints, apnea hypopnea indices, Epworth sleepiness scale scores and pulmonary function test results all demonstrated remarkable improvement.

CONCLUSION:

All patients suffering from diaphragm pathologies with symptoms should undergo polysomnography, and patients diagnosed with obstructive sleep apnea syndrome should be operated on. In this way, long-term comorbidities of sleep disorders may be prevented.
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Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Asunto principal: Parálisis Respiratoria / Trastornos del Sueño-Vigilia / Diafragma / Polisomnografía / Apnea Obstructiva del Sueño / Eventración Diafragmática Tipo de estudio: Diagnostic_studies Límite: Adult / Female / Humans / Male Idioma: En Revista: Clinics Asunto de la revista: MEDICINA Año: 2016 Tipo del documento: Article País de afiliación: Turquía

Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Asunto principal: Parálisis Respiratoria / Trastornos del Sueño-Vigilia / Diafragma / Polisomnografía / Apnea Obstructiva del Sueño / Eventración Diafragmática Tipo de estudio: Diagnostic_studies Límite: Adult / Female / Humans / Male Idioma: En Revista: Clinics Asunto de la revista: MEDICINA Año: 2016 Tipo del documento: Article País de afiliación: Turquía
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