Permeabilization surgery of the upper respiratory tract and its effects on sleep fragmentation and REM sleep
Journal Title: Romanian Journal of Rhinology - Year 2017, Vol 7, Issue 25
Abstract
Usually, patients with sleep disorders may complain of tiredness, fatigue, daytime sleepiness, difficulty in concentrating, and can reach up to falling asleep in inappropriate situations – condition known as the Pickwick syndrome. To avoid these unpleasant symptoms, a series of surgical procedures regarding the anatomical structures involved in sleep apnea were developed. The article is a general review regarding the sleep disorders and the influence of upper airways permeability on the quality of sleep and the sleep staging distribution. Also, we present some preliminary data obtained in a clinical study underwent in CESITO Centre “Sfanta Maria” Hospital, Bucharest, involving patients with sleep pathology that had polysomnographic evaluations before and after various surgical procedures of nasal and pharyngeal permeabilization. AIMS. To determine that permeabilization surgery of the upper airway tract may be used successfully in order to decrease the sleep fragmentation and increase the time of slow-wave sleep. CONCLUSION. 6 months after the permeabilization surgery of the upper airway tract, the polysomnography reveals that the arousals index decreased and the sleep architecture undergoes changes that consist in decreasing the Stage 1 and Stage 2 sleep, therefore REM sleep reaches a better score.
Authors and Affiliations
Ionut Tanase, Claudiu Manea, Codrut Sarafoleanu
Keywords
Related Articles
- EP ID EP267670
- DOI 10.1515/rjr-2017-0006
- Views 64
- Downloads 0
Romanian ENT residency program - expectations and real facts
Romanian ENT residency program - expectations and real facts
The role of PLUNC proteins in the etiopathogeny of chronic rhinosinusitis
BACKGROUND. Innate immunity represents the first way of protection against different pathogenic agents. Recently, it has been a permanent interest regarding an innate immune molecule, that is known as palate, lung, nasal...
Legal aspects in patients with complications and sequelae after rhinological surgery
BACKGROUND. In time, the field of surgery has developed, introducing new techniques for old diseases. Along with this evolution, postoperative complications occurred and patients denounced doctors for insufficient medica...
Possible association between -954G/C iNOS polymorphism in nasal polyposis. A case-control study in a population group of Northern Romania
BACKGROUND. Polymorphisms for genes encoding chemosensitive signalling proteins like NOS2 might contribute to the variability in individual susceptibility to nasal polyposis. NO produced by the inducible NO synthase enzy...
The value of posterior rhinomanometry in evaluating patients with snoring and obstructive sleep apnea syndrome
BACKGROUND. Nowadays, snoring and obstructive sleep apnea are the most common sleep-related breathing disorders (SRBD) found in the medical practice and they are estimated to affect approximately 4% of men and 2% of wome...