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코골이 및 폐쇄성 수면무호흡증에서 비중격 수술 전후의 수면다원화검사 결과분석
정유삼,황수훈,김선태,박정수,차흥억,김동영 대한이비인후과학회 2002 대한이비인후과학회지 두경부외과학 Vol.45 No.11
Background and Objectives:Nasal obstruction is comon in patients with snoring and obstructive sleep apnea (OSA). A y colapse at the pharyngeal level. We tried to assess the efficacy of the septal surgery on snoring and OSA by using portable polysomnography (PSG). Materials and Method:We reviewed 21 patients who had nasal obstruction and snoring. Septal surgery was performed. Each patient was assesed by pre and postoperative PSG. We measured respiratory distres index (RDI), apnea index (AI), oxygen saturation index (OSI)PSG, clinical nasal obstruction and deviated nasal septum by examination. Results:After septal surgery, RDI decreased from 39 to 29 (p=0.0001). AI decreased from 19 to 16 (p=0.0209). OSI decreased from 48 to 32 (p=0.0001). The duration of the snoring decreased from 44% to 39% (p=0.1595). Snoring and OSA were completely relieved in 4 patients (19% ) who didnt Conclusion: Snoring and OSA can be corrected merely by the septal correction in some patient. And secondary surgery (uvulopalatoplasty) should be considered after thorough evaluation of postoperative PSG. (Korean J Otolaryngol 2002 ;45 :1081-5)