Özet:

Obstructive sleep apnea syndrome (OUAS) is the most common group of respiratory disorders in sleep. It is characterized by repeated blocks in the sleep of the upper air pathway, especially the pharyngeal part. Purpose: The aim is to compare the results of the dynamic method with static methods applied to determine the place and form of the pathology of the airway that leads to OUAS. The findings of 34 patients with OUAS diagnosis at the levels of velum, orofarinx, tongue root and epiglot were evaluated by the Ear-Burun-Gorge (KBB) examination and Müller Manevra, which was applied as a static evaluation method. Later, the same patients were evaluated with the drug-induced sleep endoscopy (DISE), a dynamic method for the same levels. Results: After a dynamic assessment, 38% of patients found differences in the level and shape of depression. Statistical differences have been identified in the assessment of the level of valum and language root. The result: Dynamic assessment before surgery and the application of the hypoglycemic nerve stimulator and in the determination of the effectiveness of oral apareal therapies, i.e. DISE therapy contributes significantly to the chance of success.

Anahtar Kelimeler: