CORELATIONS BETWEEN THE ENT MODIFICATIONS AND BMI IN PATIENTS WITH SLEEP BREATHING DISORDERS
Abstract
Aim: To show if between the BMI
index of weight and the oro and hypopharingeal modifications we can establish a link for the
same value of the index of AHI hypoapnea. Material and method: At the patients with sleep
breathing pathology of an obstructive type we conducted nasal, oro- and hypopharingeal
endoscopic examinations, measurements and calculation of the weight index, followed by the
polygraphic evaluation of the sleep, the establishment of the degree of sleep obstructive apnea;
we used a form of ENT examination. The classification of patients according to the value of the
apnea index of AHI hypoapnea in 3 groups: AHI<10, 10<AHI<50, and AHI>50.
According to the value of the BMI weight index we analyze 3 groups of patients :BMI<27,
27<BMI<40, BMI>40. Results: For AHI<10, habitual snoring we can notice that normal
amygdales appear in an increased percent for BMI<27 or BMI>40 and AHI<10 the
increased webbing is specific for 27<BMI<40. For AHI>50 the occurring oropharingeal
modifications are: normal amygdales, long and broad uvula and webbing spanning between
5-10 mm. Conclusion: Oropharingeal modifications and the index of BMI weight are essential
elements, taken individually in the preoperatory evaluation of patients with syndrome of
obstructive sleep apnea.
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