Floppy epiglottis during drug-induced sleep endoscopy: an almost complete resolution by adopting the lateral posture.
Sleep Breath
; 24(1): 103-109, 2020 Mar.
Article
em En
| MEDLINE
| ID: mdl-31020483
ABSTRACT
PURPOSE:
To analyze the presence of a floppy epiglottis (FE) during drug-induced sleep endoscopy in non-apneic snoring patients, non-positional obstructive sleep apnea (OSA) patients (NPP), and position-dependent OSA patients (PP) and to evaluate the impact of maneuvers and body position during drug-induced sleep endoscopy, including jaw thrust and supine and lateral head (and trunk) position.METHODS:
Retrospective cohort study.RESULTS:
In total, 324 patients were included. In 60 patients (18.5%), a FE was found in supine position seven non-apneic snoring patients and 53 OSA patients. When performing lateral head rotation only, a FE was present in four patients (NPP, N = 0; PP, N = 4). When patients were tilted to both lateral head and trunk position, a FE was found in only one subject. After applying jaw thrust, a FE was still present in 10 patients. The prevalence of a FE did not differ between NPP and PP. When comparing baseline characteristics between patients with and without a FE in supine position, no significant differences were found.CONCLUSION:
A FE appears almost exclusively in supine position. In patients with a FE, positional therapy can be a promising alternative as a standalone treatment, but also as part of combination therapy with for example mandibular advancement devices or less invasive forms of upper airway surgery.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Postura
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Apneia Obstrutiva do Sono
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Endoscopia
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Epiglote
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Hipnóticos e Sedativos
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Anestesia
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article