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Published in: Sleep and Biological Rhythms 4/2017

01-10-2017 | Original Article

Correlation between nasopharyngoscopy and magnetic resonance imaging (MRI) in locating the upper airway obstruction plane in male obstructive sleep apnea hypopnea syndrome (OSAHS) patients

Authors: Hanqing Wang, Pan Zhuge, Yuying Jiang, Kefeng Shao, Lingling Hu, Guofei Feng

Published in: Sleep and Biological Rhythms | Issue 4/2017

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Abstract

The objective of the study was to investigate the correlation and consistency between nasopharyngoscopy (NP) and magnetic resonance imaging (MRI) in locating the obstruction planes in obstructive sleep apnea hypopnea syndrome (OSAHS) patients with different pathogenetic conditions. Anatomical examination of the upper airway was performed in OSAHS patients [including 32 mild cases (MI), 31 moderate cases (MO), and 30 severe cases (SE)] by NP and MRI. The differences between the three groups were analyzed to compare the correlation and consistency between the two examination methods. There were statistically significant differences in the collapse degree, cross-sectional area, left–right diameter, and anteroposterior diameter of the soft palate region, retroglossal region, and post-epiglottic region, as well as in the total thickness of the posterior epiglottic lateral wall. There was a positive correlation between the collapse degree and the cross-sectional area in Group MI, while a negative correlation was found in Group MO. There was a statistically significant difference in the kappa value of the posterior epiglottic obstruction plane of Group SE between the examination methods (kappa = 0.39, p = 0.007). Nasopharyngoscopy and MRI can depict soft tissue compliance and anatomical features of the upper airway in OSAHS patients, though they lack good correlation and consistency in locating the obstruction plane.
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Metadata
Title
Correlation between nasopharyngoscopy and magnetic resonance imaging (MRI) in locating the upper airway obstruction plane in male obstructive sleep apnea hypopnea syndrome (OSAHS) patients
Authors
Hanqing Wang
Pan Zhuge
Yuying Jiang
Kefeng Shao
Lingling Hu
Guofei Feng
Publication date
01-10-2017
Publisher
Springer Japan
Published in
Sleep and Biological Rhythms / Issue 4/2017
Print ISSN: 1446-9235
Electronic ISSN: 1479-8425
DOI
https://doi.org/10.1007/s41105-017-0117-7

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