Search results for "Apnea"
showing 10 items of 290 documents
Uvulopalatopharyngoplasty with tonsillectomy in the treatment of severe OSAS
2009
Objective: To establish the efficacy of uvulopalatopharyngoplasty with tonsillectomy for treating selected patients with severe obstructive sleep apnea syndrome Methodology: Retrospective study of patients who underwent clinical/instrumental evaluation and surgical treatment. Setting: University ENT division with a tertiary snoring referral center Participants: Twenty-two patients with normal body mass index affected by severe obstructive sleep apnea syndrome- Main outcome measures: Pre and post operative cardiopulmonary monitoring during sleep, daytime sleepiness evaluation, post treatment complication recording. Results: Complete response to therapy was obtained in 78% of patients. Four p…
Position paper on the management of patients with obstructive sleep apnea and hypertension: joint recommendations by the European Society of Hyperten…
2012
This article is aimed at addressing the current state of the art in epidemiology, pathophysiology, diagnostic procedures and treatment options for appropriate management of obstructive sleep apnea (OSA) in cardiovascular (particularly hypertensive) patients, as well as for the management of cardiovascular diseases (particularly arterial hypertension) in OSA patients. The present document is the result of the work done by a panel of experts participating in the European Union COST (COoperation in Scientific and Technological research) ACTION B26 on OSA, with the endorsement of the European Respiratory Society (ERS) and the European Society of Hypertension (ESH). These recommendations are par…
Eficacia y cambios anatómicos inducidos por los dispositivos de avance mandibular en pacientes con síndrome de apnea-hipopnea del sueño (SAHS).
2016
Los dispositivos de avance mandibular (DAM) se consideran la primera elección terapéutica en pacientes con síndrome de apnea-hipopnea del sueño (SAHS) leve o moderada y en SAHS severos que no toleren o rechacen otras opciones de tratamiento. Sin embargo, todavía existen cuestiones por resolver acerca de la utilización de los DAM como el lugar y el modo de acción exactos, o identificar aquellos pacientes que pueden tener un resultado satisfactorio a través de la selección de varios factores predictivos, o saber porqué en el paciente SAHS severo el dispositivo de avance mandibular no es siempre un tratamiento eficaz. Objetivos: Determinar los cambios morfológicos en la vía aérea superior (VAS…
Activity of bulbar respiratory modulated neurons and restart of respiration after hypocapnic apnea in rabbits
1980
The activity of respiratory modulated neurons at the end of the apneic pause and during restart of respiration and the diaphragmatic mass activity were examined and both were compared to quiet respiration. Thresholds of mutual inhibition of neurons are unevenly distributed within various phase types of neurons.
Occupational health disparities among U.S. long-haul truck drivers: the influence of work organization and sleep on cardiovascular and metabolic dise…
2018
Objective The organization of work has undergone vast transformations over the past four decades in the United States and has had profound impacts on worker health and wellbeing. The profession of commercial truck driving is one of the best examples. Particularly for long-haul truck drivers, changes in work organization have led to disproportionately poor physiological, psychological, and sleep health outcomes. Methods The present study examined disparities in cardiometabolic disease risk among long-haul truck drivers and the general population, and the influence of work organization and sleep in generating these outcomes. Researchers collected survey data from 260 drivers, and blood assay …
Audiologic profile of OSAS and simple snoring patients: the effect of chronic nocturnal intermittent hypoxia on auditory function
2016
The objective of this work was to study the effect of nocturnal intermittent hypoxia on auditory function of simple snoring patients and subjects affected by OSAS; we compared the audiologic profile with the severity of OSAS to detect early signs of cochlear damage. One hundred-sixty patients underwent overnight polysomnography, micro-otoscopy, multi-frequency audiometry, acufenometry, TEOAE recording and d-ROMs test. All subjects were divided in four groups, based on presence/absence of AHI (simple snoring without OSAS, mild OSAS, moderate OSAS, severe OSAS). Sixty (37.5 %) patients were not affected by OSAS, 58 (36.25 %) presented a mild OSAS, 18 (11.25 %) a moderate OSAS and 24 (15 %) a …
Obesity and intermittent hypoxia increase tumor growth in a mouse model of sleep apnea.
2012
Background: Intermittent hypoxia and obesity which are two pathological conditions commonly found in patients with obstructive sleep apnea (OSA), potentially enhance cancer progression. Objective: To investigate whether obesity and/or intermittent hypoxia (IH) mimicking OSA affect tumor growth. Methods: A subcutaneous melanoma was induced in 40 mice [22 obese (40–45 g) and 18 lean (20–25 g)] by injecting 106 B16F10 cells in the flank. Nineteen mice (10 obese/9 lean) were subjected to IH (6 h/day for 17 days). A group of 21 mice (12 obese/9 lean) were kept under normoxia. At day 17, tumors were excised, weighed and processed to quantify necrosis and endothelial expression of vascular endothe…
Valoración clínica del estado de salud bucodental en el paciente adulto con síndrome de apnea-hipopnea del sueño (SAHS)
2020
El síndrome de apnea-hipopnea del sueño (SAHS) es un gran problema de salud pública. No solo por su alta prevalencia en la población general, sino también por las importantes repercusiones médicas, sociales y económicas que acarrea. Como consecuencia de la hipoxia y de la fragmentación del sueño, se ha vinculado frecuentemente esta enfermedad con alteraciones cardiovasculares, metabólicas y neurocognitivas. En los últimos años, además, numerosas y diversas patologías han sido relacionadas con el síndrome, entre ellas las del aparato estomatognático. El alcance en estos pacientes de enfermedades orales tales como la periodontitis o el bruxismo del sueño, entre otras, ha sido objeto de estudi…
Análisis retrospectivo del tratamiento quirúrgico de la vía aérea superior en la apnea obstructiva del sueño
2022
La cirugía de la vías aérea superior (VAS) es uno de los principales tratamientos del paciente con apnea obstructiva del sueño (AOS). Se presenta una tesis por compendio de publicaciones que recoge cuatro estudios distintos que evalúan los resultados de esta cirugía en sus distintas esferas. Por un lado se comparan las distintas técnicas de faringoplastia utilizadas en el tratamiento del colapso velofaríngeo con el objetivo de conocer cuál es la más exitosa. La faringoplastia de reposición modificada con sutura barbada presenta los mejores resultados, mayor tasa de éxito Sher, mayor reducción relativa del índice de apnea-hipopnea, mayor disminución del índice de desaturación de oxígeno y me…
<p>Memory performances and personality traits in mothers of children with obstructive sleep apnea syndrome</p>
2019
Background Chronic diseases in pediatric age have been identified as stressful risk factors for parents. Studies on caregivers have documented the impact of chronic parenting stress on emotion and cognition. Aim To investigate the differences between a group of mothers of children affected by obstructive sleep apnea syndrome (OSAS) for at least 4 years and a group of mothers of typically developing children (TDC) in relation to parental stress, self-esteem, locus of control, and memory performances. Methods A group of 86 mothers (mean age 35.6±4.9, ranged between 32 and 41 years) of children with OSAS diagnosis, and a group of 52 mothers of TDC (mean age 35.9±4.2, ranged between 32 and 41 y…