폐쇄성 수면무호흡증후군 수술 후 잔존 증상이 남아 있는 환자에서 코 수술이 증상 호전에 미치는 영향

김대웅; 김남국; 김위황; 이장수; 최동진

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자료유형: 학술저널

저자정보: 김대웅 김남국 김위황 이장수 최동진

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제59권 제8호

발행연도: 2016.1

수록면: 588 - 592 (5page)

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Background and Objectives Obstructive sleep apnea syndrome is one type of sleep disorder breathing. During sleep, in respiration, nasal obstruction causes negative pressure, which in turn causes the pharyngeal airway to collapse during inspiration. We investigated how nasal surgery affects patients who have undergone OSA surgery but still suffer from the remaining symptoms of snoring and sleep disorder breathing. Subjects and Method We reviewed 24 patients, who had undergone obstructive sleep apnea (OSA) surgery only to show no enhancement in snoring and qualities of sleep; they showed nasal septal deviation or inferior turbinate hypertrophy. Septal surgery or inferior turbinoplasty was performed by the same otolaryngologist. Over the period between preoperation and 1, 3, 6, 12 months after operation, we evaluated Apnea-Hypopnea Index (AHI) and oxygen saturation by polysomnography, degree of snoring by Visual Analogue Sacle (VAS) score, satisfaction for quality of sleep by Epworth Sleepiness Scale (ESS), minimal cross section area and volume of nasal cavity by acoustic rhinometry, respectively. Results After nasal surgery, the volume of nasal cavity and MCA increased. There were significant improvements of AHI, oxygen saturation, VAS and ESS score. Conclusion As for OSA surgery, the evaluation of nasal cavity is an indispensible factor for improving the quality of sleep and snoring. When treating OSA patients who have nasal obstruction, nasal surgery including septoplasty and inferior turbinoplasty should be considered. Korean J Otorhinolaryngol-Head Neck Surg 2016;59(8):588-92

#Nasal obstruction ㆍNasal surgery ㆍObstructive sleep apnea syndrome ㆍSnoring.

참고문헌 (14)

참고문헌 신청

정유삼 / 2002 / 코골이 및 폐쇄성 수면무호흡증에서 비중격 수술 전후의 수면다원화검사 결과분석 / 대한이비인후과학회지 두경부외과학 45(11):1081~1085

Fairbanks DN / 1985 / Effect of nasal surgery on snoring / South Med J 78(3):268~270

Zwillich CW / 1979 / Effects of nasal obstruction on sleep in normal men / Clin Res 27:405

장현욱 / 2011 / 비중격 교정술 및 비갑개성형술이 수면 호흡장애 환자의 삶의 질에 미치는 영향 / 대한이비인후과학회지 두경부외과학 54(4):257~264

최지훈 / 2005 / 소아에서 수면호흡장애로 인한 삶의 질과 인성 및 행동장애와의 관계 / 대한이비인후과학회지 두경부외과학 48(10):1235~1241

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