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At least 613 records · Page 34Linked to original sources
PubMed1990

Laser CO2 for snoring. Preliminary results.

CO2 Laser Vaporizations of the PalatoPharynx (LVPP), is a new technique, safe and effective, ambulant, by local anesthetic spray, performed for the treatment of snoring. The LVPP is based on the progressive enlargement of the airspace in the oropharynx, to eliminate or reduce obstructions that occurs during sleep, by successive "vaporizations" (or laser-strip carbonization) of the vibrating soft palate, wide posterior tonsil pillars and redundant posterior pharyngeal mucosa. From December 1988 to July 1990, 31 snorers have been treated by LVPP and have been cured or, at least, improved in their snoring. Advantages of this technique are that it is a simple, reliable, bloodless and painless procedure (under local anesthesia), without hospitalization, just like an ordinary consultation. Disadvantages are the multiples and successives sessions, the high technical effort and cost of the laser. In conclusion, it can be a simple alternative for many patients who are afraid of surgery.

Adult↗
PubMed1990

[Dental aspects of snoring and the obstructive sleep apnea syndrome].

An overview is presented of causes, consequences and treatment possibilities of snoring and the obstructive sleep apnea syndrome. Snoring and the obstructive sleep apnea syndrome are widespread sleep disorders, which may result in serious physical and psychosocial problems. The contribution of oral surgery and orthodontics to the team management of these patients is discussed.

Activator Appliances↗
PubMed1990

[Diagnosis value of lateral pharyngeal roentgenography in snoring disease].

In this paper, X-ray findings of the lateral pharynx before uvulopalatopharyngoplasty in 14 cases of snoring disease were studied. The results are as follows. There is less than 5 mm in anterior-posterior airway of pharyngeal cavity (13 cases), and 8 mm (1 case), in diameter. Minimum 2 mm, average 4.4 mm. There is less than 25 mm length of uvula (7 cases), 28-35 mm (7 cases). Minimum 22 mm, average length is 27.9 mm. Shape of uvula is thick and long (12 cases), thick and short 1 case, thin and long 1 case. The etiology, abnormal X-ray finding and X-ray examination of the lateral pharynx, etc. in snoring disease have been discussed.

Adult↗
PubMed1989

[Snoring as a symptom of severe respiratory obstruction during sleep: causes and results].

Snoring is an epiphenomenon of obstructive respiration during sleep, which may be caused by higher airway abnormalities and may result in impaired quality of nocturnal sleep, complaints of fatigue and daytime sleepiness, decreased performance level, psychic complaints and cardiovascular problems. The test results of seven patients complaining of excessive snoring and daytime sleepiness are discussed. The importance of multidisciplinary management of the underlying pathology is stressed.

Aged↗
PubMed1987

[Treatment with enalapril maleate in patients with arterial hypertension, pluri-metabolic syndrome and habitual snoring].

The effects of enalapril maleate were studied in a group of 6 patients with arterial hypertension, hypertensive cardiopathy, multiple metabolic disorders and habitual snoring. Earlier treatment with antihypertensive drugs (diuretics, antiadrenergics, calcium antagonists) had been suspended when a marked deterioration was noted in metabolic parameters and plasmatic electrolytes as well as extremely disturbed sleep. The latter is probably attributable to increased respiratory obstruction during the night as a result of the increased hypertonia of the muscles of the upper air ways due to low blood potassium as well as the central and peripheral effects of the antiadrenergic drugs. After the wash-out period there was a marked improvement in laboratory parameters that continued after treatment with enalapril maleate. In particular, apart from a further slight fall in blood cholesterol and uricaemia there was a statistically significant drop in triglyceride levels. The improvement in the laboratory parameters made it possible to reduce the doses of the drugs being taken for the metabolic disorders. A distinct improvement was also noted in the sleep disturbances especially the excessive drowsiness during the day. There was also a statistically significant drop in arterial, systolic, diastolic and mean blood pressure without any significant change in heart beat. The results indicate that enalapril maleate should be the treatment of choice for those patients in whom high blood pressure is accompanied by alterations to the main metabolic parameters and habitual snoring.

Aged↗
PubMed1988

[Roentgen cinematographic studies in patients who snore].

A radiocinematographic procedure of the pharyngeal examination of snorers is presented. By swallowing, by the production of pharyngeal sounds and by the forced inspiration which produces snoring sounds a dysfunction or an obstruction in the upper respiration tract can be located. This method is a useful diagnostic aid in snoring disease which should precede surgical interventions in the pharynx.

Airway Obstruction↗
PubMed1988

[Long-term results and complications of uvulopalatopharyngoplasty in snoring without sleep apnea syndrome].

Results and complications were analyzed in 201 patients operated upon by uvulopalatopharyngoplasty for benign or moderately severe rhonchopathy, after elimination of the sleep apnea syndrome as confirmed after follow up for between 15 and 30 months, and showed total recovery from snoring in 60% of cases, an improvement in 26.5% and lack of efficacy in 13.5%. Social and familial relations were improved concomitantly as well as the functional and general disorders usually attributed to snoring (asthenia, somnolence, sleep hypopnea). Various usually minor functional disorders remain, including the sensation of a pharyngeal paresthesia, the most frequent sequela (19.5% of cases).

Chronic Disease↗
PubMed1985

Snoring and disease.

Snoring is an inspiratory sound caused during sleep by vibration of different parts of the upper airways. It is one of the main symptoms of obstructive sleep apnoea in addition to excessive daytime sleepiness. This review asks what the clinician should know about snoring and considers the following aspects: mechanism, prevalence, significance in cardiovascular and pulmonary diseases, association with psychosocial problems, diagnosis and treatment.

Cardiovascular Diseases↗
PubMed1995

Effectiveness of musculus palatopharyngeus resection in uvulopalatopharyngoplasty for snoring.

Sixty-eight patients with annoying snoring were included in a prospective randomized control study. Thirty-two (group 1) were subjected to classical uvulopalatopharyngoplasty (UPPP) technique; 36 (group 2) underwent a modified "extended UPPP technique" comprising the bilateral resection of the palatopharyngeal muscles. All patients were free of obstructive sleep apnea syndrome (OSAS) as documented by an overnight polysomnography. The two groups were homogeneous for age, preoperative and postoperative body mass index, and duration of follow-up. We recorded the subjective preoperative and postoperative symptoms as evaluated by the patient and the bed partner, and the immediate postoperative complaints. The only statistically significant difference between the two groups was pain. Thus, in this series, the "extended UPPP technique" showed no better results in the surgical approach to snoring, and its morbidity rate is higher.

Adult↗
PubMed1994

[Surgical treatment of snoring and sleep apnea syndromes. Results apropos of 59 cases].

From 1991 to 1993, 59 patients underwent surgical cure for snoring. Polysomnography was performed 47 times when history taking and clinical signs revealed diurnal and nocturnal manifestations. Sleep apnea was confirmed in 20 patients with a mean apnea-hypnea index of 34.1. Treatment was based on surgery of the velum palatinum in 59% of the cases, the palatine tonsils in 39% and the basilingual tonsils in 1 patient. Snoring disappeared in 24 patients (40%) and improved for 75% satisfaction in 22 patients (37%).

Adult↗
PubMed1994

Laser-assisted uvula-palatoplasty for snoring.

Laser-assisted uvula-palatoplasty (LAUP) is a new and effective surgical method for the elimination of habitual snoring. LAUP is safely performed under local anesthesia in the office, and it provides progressive enlargement of the oropharyngeal air space by reshaping and restructuring the uvula, soft palate, and pharyngeal pillars utilizing the CO2 laser with special attachments. LAUP can also reduce oropharyngeal obstruction that may occur during sleep in patients with obstructive sleep apnea syndrome. Our experience includes over 335 patients evaluated and treated within the past year. Successive laser ablation of the vibrating structures, such as the uvula, soft palate, and posterior pharyngeal pillars, provided an 84% cure rate. In addition, 7% of the patients reported significant improvement in the loudness of their snore. The major advantage of this surgical technique is that it is a safe, simple, reliable, and bloodless procedure that can be performed in the office. This method and the results of its use are discussed.

Adult↗
PubMed1994

Increased nasal breathing decreases snoring and improves oxygen saturation during sleep apnoea.

For many years ENT-specialists have performed surgery to create a good air passage in patients with different kinds of nasal deformities. When having a blocked nose one realizes the importance of being able to breathe through the nose. By moving the nasal wings aside with the fingers, or the medical device Nozovent, most people experience that it is easier to breathe through the nose than ever before, which can also be shown with rhinomanometry. When it is easier to inhale there is less energy in the air passing the palate which means less risk for vibrations creating snoring sounds. In different studies it has been possible to show that snoring can be decreased or prevented when the nasal dilator Nozovent is used. It has also been shown to result in a decrease of the sleep apnoea index and improvement of arterial oxygen saturation during sleep apnoea.

Clinical Trials as Topic↗
PubMed1994

A subjective evaluation of a nasal dilator on sleep & snoring.

A noninvasive external nasal dilator device was used by 20 subjects with a history of mild snoring in a 2 week open label study. The baseline assessments were obtained during the first week. Treatment effects were evaluated during the second week. Subjects were evaluated using: pre- and post-sleep questionnaires; Stanford Sleepiness Scales completed at breakfast, lunch and dinner; and post-sleep bed partner questionnaires. All twenty subjects completed the study. A significant number of subjects' scores improved for sleepiness. Mean scores for the subjective assessment for ease of breathing during sleep improved compared to baseline by 25.6%, snoring loudness improved by 34%, sleep quality improved by 21.8%, and the Stanford Sleepiness Scale revealed a 26% reduction in daytime sleepiness.

Adult↗
PubMed1995

Snoring: a review and a reassessment.

The pathophysiology of snoring is discussed and the etiologic importance of nasal obstruction and compliance of the pharynx with respiratory airflow pressures are questioned. The discrepancy between subjective and objective results of therapy is noted and wider use of objective measurement pre- and post-snoring treatment is advocated.

Airway Resistance↗
PubMed1994

Uvulopalatopharyngoplasty for snoring: the Belfast experience.

We have studied thirteen patients to assess the efficacy of uvulopalatopharyngoplasty on snoring and on oxygen desaturation during sleep. Pre- and post-operative overnight pulse oximetry studies were performed and the patients were divided into snorers and those with obstructive sleep apnoea on the basis of the preoperative test. Uvulopalatopharyngoplasty did not result in a significant change in the number of oxygen saturation dips in either snorers or those with the obstructive sleep apnoea syndrome. Subjectively, 85% (11/13) of patients reported good or excellent improvement in snoring following surgery.

Female↗
PubMed1995

[Treatment of velopharyngeal stenosis after pharyngotomy for chronic snoring. Apropos of 13 cases].

Velopharyngeal stenosis is a rare complication of pharyngotomy (UPPP) for chronic snoring. Its treatment is hard because of its recidivant feature. The aim of this study was to determine a therapeutic strategy accorded to each stenosis from clinical and anatomical features of 13 velopharyngeal stenosis. Therapeutic behavior was function of patients complains, of the ground (associated chronic rhinosinusitis and obstructive sleep apnea) and clinical findings (partial or total stenosis, tonsil remainders, short or long residual soft palate). From these data, treatment was medical (1 case) or surgical (12 cases), searching lateral velopharyngeal mucosa recovery in order to avoid recidive of stenosis. This aim needed locoregional mucosal grafts in 4 patients with short soft palate. Patients complains were improved in all cases and there was no patient with recurrence of stenosis. The best treatment of velopharyngeal stenosis still remains a preventive one, by respecting a severe surgical technique during pharyngotomy for chronic snoring.

Adult↗
PubMed1997

[Multiple sleep latency test in patients with obstructive snoring].

The objective of our study was to examine the effect of the n-CPAP on day tiredness of patients suffering from obstructive snoring. This effect was objectified by means of the Multiple Sleep Latency Test (MSLT). The MSLT was performed with optimal pressure at 8.00, 10.00, 12.00 and 14.00 hrs. subsequent to the control night and the third CPAP night. The latencies of falling asleep and the sleep stages were determined in accordance with the criteria of Rechtschaffen and Kales. The average latency of falling asleep before therapy was: at 8.00 hrs 9.0 +/- 14.2 min, at 14.00 hrs. 7.2 +/- 6.3 min. The following latencies of falling asleep were observed after the third CPAP night: 8.00 hrs. 14.2 +/- 6.3, 10.00 hrs. 13.4 +/- 6.4, 12.00 hrs. 13.7 +/- 6.4 hrs. 13.7 +/- 6.0 min. This means that after the therapy there was a marked tendency to longer latencies at all 4 points of measurement with significant differences at 12.00 and 14.00 hrs. A comparison of the quality of sleep before and after the therapy yielded an increase in deep sleep and a significant increase in REM density during dream sleep. MSLT enabled objectivation of improved sleep quality and of subjective decrease in day tiredness after CPAP therapy in patients with obstructive snoring. The latency in falling asleep increased at all the points of measurement. Nevertheless, interindividual differences are great, compared with the uniform subjective success of CPAP therapy achieved with these patients.

Adult↗
PubMed1998

Acoustic analysis of snoring and the site of airway obstruction in sleep related respiratory disorders.

Seventy-five adult patients with sleep related respiratory disorders were examined by polysomnography with simultaneous recordings of the intraluminal pressure of the upper airway and snoring sound. Obstructed sites in the upper airway during sleep were determined by comparing the amplitude of respiratory fluctuation of the pressures in the epipharynx, mesopharynx, hypopharynx and esophagus. A definite correlation existed between the intensity of snoring sound and the amplitude of respiratory fluctuation of the intraesophageal pressure. Based on the results of the intraluminal pressure partitioning, the subjects were divided into the soft palate type (28), the tonsil/tongue base type (14), the combined type (27) and the larynx type (6). The average value of fundamental frequency (ff) was 102.8+/-34.9 Hz in the soft palate type, 331.7+/-144.8 Hz in the tonsil tongue base type, 115.7+/-58.9 Hz in the combined type and around 250 Hz in the larynx type.

Adult↗