The relation of the obstruction site on muller's maneuver with BMI, neck circumference and PSG findings in OSAS

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dc.contributor.authorKum, Rauf Oğuzhan
dc.contributor.authorÖzcan, Müge
dc.contributor.authorYılmaz, Yavuz Fuat
dc.contributor.authorGüngör, Volkan
dc.contributor.authorYurtsever Kum, Nurcan
dc.contributor.authorÜnal, Adnan
dc.date.accessioned2019-05-13T09:07:50Z
dc.date.available2019-05-13T09:07:50Z
dc.date.issued2014
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractWe investigated relation of the site of obstruction detected on Muller maneuver (MM) with polysomnography (PSG) and physical examination findings. Data of 703 patients admitted to Ankara Numune Education and Research Hospital Sleep Laboratory between 2008 and 2013 were analyzed retrospectively; 394 patients with apnea-hypopnea indexes (AHI) ?5/h were included. Site of collapse on MM was determined at retrolingual level at anteroposterior (M1) and lateral-lateral (M2) directions; at retropalatal level at anteroposterior (M3) and lateral-lateral (M4) directions. There were 125 (31.7 %) females and 269 (68.3 %) males. BMI had significant positive correlations with M2 (p < 0.001) and M4 (p = 0.002) scores, ESS (p = 0.013) and AHI (p = 0.001). AHI had significant positive correlations with ESS (p = 0.003), M2 (p < 0.001), M3 (p = 0.037) and M4 (p < 0.001) scores and NC (p = 0.001). Minimum oxygen saturation had significant reverse correlations with M1 (p = 0.046), M2 (p < 0.001), M3 (p = 0.003), M4 (p < 0.001), AHI (p < 0.001), ESS (p = 0.003) and BMI (p = 0.001). In OSAS patients, increased BMI, NC and AHI are correlated with lateral pharyngeal wall (LPW) collapse in retropalatal and retrolingual levels on MM. LPW collapse is more valuable to predict OSAS compared to anteroposterior collapse. LPW collapse on MM may be used as a selection criterion for ordering PSG. Further studies are needed to better clarify importance of LPW in OSAS surgery. © 2014 Association of Otolaryngologists of India.
dc.identifier.citationKum, R. O., Özcan, M., Yılmaz, Y. F., Güngör, V., Yurtsever Kum, N., Ünal, A. (2014). The relation of the obstruction site on Muller’s Maneuver with BMI, neck circumference and PSG findings in OSAS. Indian Journal of Otolaryngology and Head and Neck Surgery, 66(2), 167-172.
dc.identifier.doi10.1007/s12070-014-0699-1
dc.identifier.endpage172en_US
dc.identifier.issn2231-3796
dc.identifier.issue2en_US
dc.identifier.scopusqualityQ3
dc.identifier.startpage167en_US
dc.identifier.urihttps://doi.org/10.1007/s12070-014-0699-1
dc.identifier.urihttps://hdl.handle.net/11491/1883
dc.identifier.volume66en_US
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofIndian Journal of Otolaryngology and Head and Neck Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectBody Mass Indexen_US
dc.subjectEpworth Sleepiness Scaleen_US
dc.subjectMuller's Maneuveren_US
dc.subjectObstructive Sleep Apneaen_US
dc.subjectPolysomnographyen_US
dc.titleThe relation of the obstruction site on muller's maneuver with BMI, neck circumference and PSG findings in OSAS
dc.typeArticle

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