การตรวจอัลตราซาวน์ลิ้นสำหรับการวินิจฉัยโรคหยุดหายใจขณะหลับชนิดอุดกั้น : การศึกษาแบบในโรงพยาบาลบางพลี

Tanawat Dtengsirikomol

Authors

Tanawat Dtengsirikomol Bangphli Hospital

Keywords:

Obstructive sleep apnea, Tongue ultrasound

Abstract

Abstract
Background : Obstructive sleep apnea (OSA) is a common disease associated with an increased risk of cardiovascular disease. However, polysomnography, the gold standard diagnostic tool, is usually limited in availability. Submental ultrasonography is an alternative tool for diagnosing OSA.
Objectives : This study aims to determine the diagnostic utility of submental ultrasonography for the diagnosis and severity assessment of obstructive sleep apnea.
Methods : This study design was based on a prospective cohort study. Patients undergoing type 1 polysomnography were prospectively recruited for tongue ultrasound. The study population was divided into mild OSA and moderate-to-severe OSA groups. Ultrasonic parameters were analyzed to differentiate the two patient groups.
Results : A total of 49 participants, ten with mild OSA and 39 with moderate-to-severe OSA, constitute the study population. We found that the retropalatal distance of greater than 40.3 millimeters distinguishes these two groups of OSA (sensitivity 90.0% and specificity 79.5%).
Conclusion : Evaluation of OSA severity can be performed by tongue ultrasound; a retropalatal distance greater than 40.3 millimeters is the best parameter to predict moderate-to-severe OSA.
Keywords : Obstructive sleep apnea; Tongue ultrasound

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