000130101 001__ 130101
000130101 005__ 20240122171020.0
000130101 0247_ $$2doi$$a10.1007/s11325-019-01952-x
000130101 0248_ $$2sideral$$a136487
000130101 037__ $$aART-2019-136487
000130101 041__ $$aeng
000130101 100__ $$aO’Connor-Reina, Carlos
000130101 245__ $$aTongue peak pressure: a tool to aid in the identification of obstruction sites in patients with obstructive sleep apnea/hypopnea syndrome
000130101 260__ $$c2019
000130101 5060_ $$aAccess copy available to the general public$$fUnrestricted
000130101 5203_ $$aPurpose of this study was to evaluate whether tongue peak pressure measured using the Iowa Oral Performance Instrument is correlated with the topographic site of obstruction in patients with obstructive sleep apnea/hypopnea syndrome observed
during drug-induced sleep endoscopy. Thirty-five consecutive adult patients (29 men, 6 women) were prospectively enrolled after having been diagnosed with severe obstructive sleep apnea/hypopnea syndrome by polysomnography. An apnea–hypopnea
index > 30 was confirmed, and age, gender, and body mass index were recorded by Epworth Sleepiness Scale questionnaire, and a thorough evaluation of the upper airway by video-flexible endoscopy. Twenty healthy controls according to age and ex were chosen for IOPI measurements. After drug-induced sleep endoscopy, a topographic diagnosis was done using the VOTE classification. Tongue and lip peak pressures were both measured using the Iowa Oral Performance Instrument in all patients and in 20 healthy controls. Main outcomes and measures: the correlations between office findings, Iowa Oral Performance Instrument measures, and the VOTE tongue classification during drug-induced sleep endoscopy (T0, T1, T2) were then investigated. Results The average Iowa Oral Performance Instrument tongue and lip pressure were 44.02 ± 12.29 and 15.03 ± 3.71 kPa, respectively.
The Iowa Oral Performance Instrument scores were both significantly lower than values in healthy controls (P < 0.001). The VOTE classification referring to the tongue position was T0 in 13 cases (37.1%), T1 in 12 cases (34.3%), and T2 in 10
cases (28.6%). A significant correlation was found between the Iowa Oral Performance Instrument tongue pressure and the T size during drug-induced sleep endoscopy (Kruskal–Wallis χ2 25.82; P ≤ 0.001).
Conclusions In our experience, the Iowa Oral Performance Instrument is a useful tool for evaluating tongue collapse for the topographic diagnosis of patients with obstructive sleep apnea/hypopnea syndrome.
000130101 540__ $$9info:eu-repo/semantics/openAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/
000130101 590__ $$a2.162$$b2019
000130101 591__ $$aRESPIRATORY SYSTEM$$b44 / 64 = 0.688$$c2019$$dQ3$$eT3
000130101 591__ $$aCLINICAL NEUROLOGY$$b131 / 204 = 0.642$$c2019$$dQ3$$eT2
000130101 592__ $$a0.709$$b2019
000130101 593__ $$aOtorhinolaryngology$$c2019$$dQ2
000130101 593__ $$aNeurology (clinical)$$c2019$$dQ2
000130101 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/acceptedVersion
000130101 700__ $$aPlaza, Guillermo
000130101 700__ $$aGarcia-Iriarte, Maria Teresa
000130101 700__ $$aIgnacio-Garcia, Jose Maria
000130101 700__ $$aBaptista, Peter
000130101 700__ $$aCasado-Morente, Juan Carlos
000130101 700__ $$0(orcid)0000-0001-6724-5158$$aDe Vicente, Eugenio$$uUniversidad de Zaragoza
000130101 7102_ $$11004$$2653$$aUniversidad de Zaragoza$$bDpto. Cirugía,Ginecol.Obstetr.$$cÁrea Otorrinolaringología
000130101 773__ $$g24, 1 (2019), 281-286$$pSleep and Breathing$$tSleep and Breathing$$x1520-9512
000130101 8564_ $$s397388$$uhttps://zaguan.unizar.es/record/130101/files/texto_completo.pdf$$yPostprint
000130101 8564_ $$s1922399$$uhttps://zaguan.unizar.es/record/130101/files/texto_completo.jpg?subformat=icon$$xicon$$yPostprint
000130101 909CO $$ooai:zaguan.unizar.es:130101$$particulos$$pdriver
000130101 951__ $$a2024-01-22-15:27:10
000130101 980__ $$aARTICLE