caa a22 4500 606183825 CHVBK 20210128100823.0 cr unu---uuuuu 210128e20150701xx s 000 0 eng 10.1007/s00405-014-3473-9 doi (NATIONALLICENCE)springer-10.1007/s00405-014-3473-9 Nasal and oral snoring endoscopy: novel and promising diagnostic tools in OSAS patients [Elektronische Daten] [Andrea Lovato, Bhik Kotecha, Andrea Vianello, Luciano Giacomelli, Alberto Staffieri, Rosario Marchese-Ragona] The aim of the present study was to investigate if any of the three awake procedures [fiberoptic nasopharyngoscopy with modified Müller Maneuver (FNMM), nasal snoring endoscopy (NSE), or oral snoring endoscopy (OSE)] could efficiently predict the grade or pattern of upper airway (UA) collapse found with drug-induced sleep endoscopy (DISE), which is considered by many authors as the current gold standard in optimizing obstructive sleep apnea syndrome (OSAS) patient selection for UA surgery. Twenty consecutive patients (simple snorers and OSAS patients) were studied with FNMM, NSE, OSE, and DISE. The inter-test agreement was evaluated with Cohen's kappa coefficient (κ). In the current series, we found that NSE and OSE were better than FNMM in predicting the pattern of collapse found with DISE. A significant pattern agreement between NSE and DISE was present in all sub-sites, and the agreement was measured with a scale proposed by Landis and Koch as: moderate in velo- and oropharynx (κ=0.52, p=0.001, and κ=0.47, p=0.003, respectively), and substantial in hypopharynx (κ=0.63, p<0.00001). Comparing OSE with DISE, the pattern agreement was almost perfect at oropharyngeal level (κ=0.82, p<0.00001), and moderate at hypopharyngeal level (κ=0.55, p=0.0002); while a trend towards significance was found at velopharyngeal level (κ=0.20, p=0.07). FNMM showed a fair pattern agreement with DISE only at oropharyngeal level (κ=0.31, p=0.009); while in the other sub-sites, no significant agreement was found. NSE and OSE are new promising diagnostic tools in OSAS patients. Further investigations are needed to see if they could predict the effectiveness of UA surgery. Springer-Verlag Berlin Heidelberg, 2015 OSAS nationallicence Simulated snoring nationallicence Snoring endoscopy nationallicence DISE nationallicence Müller Maneuver nationallicence Lovato Andrea Otolaryngology Section, Department of Neurosciences, University of Padova, Via Giustiniani 2, 35128, Padua, Italy aut Kotecha Bhik Royal National Throat, Nose and Ear Hospital, London, UK aut Vianello Andrea Respiratory Physio-pathology Unit, Padova Civil Hospital, Padua, Italy aut Giacomelli Luciano Department of Medicine DIMED, University of Padova, Padua, Italy aut Staffieri Alberto Otolaryngology Section, Department of Neurosciences, University of Padova, Via Giustiniani 2, 35128, Padua, Italy aut Marchese-Ragona Rosario Otolaryngology Section, Department of Neurosciences, University of Padova, Via Giustiniani 2, 35128, Padua, Italy aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/7(2015-07-01), 1793-1799 0937-4477 272:7<1793 2015 272 405 https://doi.org/10.1007/s00405-014-3473-9 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-3473-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lovato Andrea Otolaryngology Section, Department of Neurosciences, University of Padova, Via Giustiniani 2, 35128, Padua, Italy aut NATIONALLICENCE 700 1- Kotecha Bhik Royal National Throat, Nose and Ear Hospital, London, UK aut NATIONALLICENCE 700 1- Vianello Andrea Respiratory Physio-pathology Unit, Padova Civil Hospital, Padua, Italy aut NATIONALLICENCE 700 1- Giacomelli Luciano Department of Medicine DIMED, University of Padova, Padua, Italy aut NATIONALLICENCE 700 1- Staffieri Alberto Otolaryngology Section, Department of Neurosciences, University of Padova, Via Giustiniani 2, 35128, Padua, Italy aut NATIONALLICENCE 700 1- Marchese-Ragona Rosario Otolaryngology Section, Department of Neurosciences, University of Padova, Via Giustiniani 2, 35128, Padua, Italy aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/7(2015-07-01), 1793-1799 0937-4477 272:7<1793 2015 272 405