CORELATIONS BETWEEN THE ENT MODIFICATIONS AND BMI IN PATIENTS WITH SLEEP BREATHING DISORDERS

  • Adriana NEAGOS County Clinical Emmergency Hospital Tg. Mureș
  • Gh. MUHLFAY University of Medicine and Pharmacy Tg. Mureț
  • Irina ZETU ”Gr.T. Popa” University of Medicine and Pharmacy Iași
Keywords: OBSTRUCTIVE SLEEP APNEA, BMI INDEX, AHI INDEX

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.

Author Biographies

Adriana NEAGOS, County Clinical Emmergency Hospital Tg. Mureș

ENT Clinic
Galenus Medical Centre Tg Mureș

Gh. MUHLFAY, University of Medicine and Pharmacy Tg. Mureț

School of Medicine
ENT Clinic

Irina ZETU, ”Gr.T. Popa” University of Medicine and Pharmacy Iași

School of Dental Medicine
Department of Orthodontics

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Published
2019-11-04