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European Archives of Oto-Rhino-Laryngology
Published in: European Archives of Oto-Rhino-Laryngology 12/2018

01-12-2018 | Rhinology

The aging effect on upper airways collapse of patients with obstructive sleep apnea syndrome

Authors: Claudio Vicini, Andrea De Vito, Giannicola Iannella, Riccardo Gobbi, Ruggero Massimo Corso, Filippo Montevecchi, Antonella Polimeni, Marco De Vincentiis, Giuseppe Meccariello, Giovanni D’agostino, Giovanni Cammaroto, Francesco Stomeo, Giuseppe Magliulo

Published in: European Archives of Oto-Rhino-Laryngology | Issue 12/2018

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Abstract

Purpose

To evaluate, using drug-induced sleep endoscopy (DISE), sites of upper airway obstruction and pattern of collapse in patients over 65 years old affected by obstructive sleep apnea. To compare sites and pattern of collapse of elderly patients with a group of patients younger than 65 years.

Methods

A group of 55 patients aged over 65 years were enrolled in this prospective study. Fifty patients under 65 years old were collected in the control group. Polysomnographic data and clinical parameters such as the daytime sleepiness, and body mass index were evaluated for both groups of patients. All patients underwent DISE examination with VOTE classification.

Results

The AHI value increased with aging whereas elderly patients presented a reduction in daytime sleepiness. Elderly patients showed a higher incidence of total collapse in the velum region compared to younger patients (90.9% vs 70%;); the older patients showed a lower degree of total oropharyngeal lateral wall collapse with respect to younger patients, (20% vs 50%). No difference in tongue base collapse emerged between the two subgroups of patients.

Conclusion

Elderly patients showed a higher incidence of total collapse in the velum and a lower incidence in the oropharyngeal lateral wall compared to younger patients.
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Metadata
Title
The aging effect on upper airways collapse of patients with obstructive sleep apnea syndrome
Authors
Claudio Vicini
Andrea De Vito
Giannicola Iannella
Riccardo Gobbi
Ruggero Massimo Corso
Filippo Montevecchi
Antonella Polimeni
Marco De Vincentiis
Giuseppe Meccariello
Giovanni D’agostino
Giovanni Cammaroto
Francesco Stomeo
Giuseppe Magliulo
Publication date
01-12-2018
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Oto-Rhino-Laryngology / Issue 12/2018
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-018-5163-5

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