caa a22 4500 606186603 CHVBK 20210128100837.0 cr unu---uuuuu 210128e20150501xx s 000 0 eng 10.1007/s00405-015-3520-1 doi (NATIONALLICENCE)springer-10.1007/s00405-015-3520-1 Diagnosis of glossopharyngeal obstruction using nasopharyngeal tube versus CT scan in obstructive sleep apnea-hypopnea syndrome [Elektronische Daten] [Min Song, Jimin Bao, Xiaoyan Wang, Shuhua Li] The polysomnography after nasopharyngeal tube insertion (NPT-PSG) was used to assess glossopharyngeal airway obstruction in patients with moderate-to-severe obstructive sleep apnea-hypopnea syndrome (OSAHS), and was compared with that obtained using spiral computed tomography (CT). A total of 125 patients diagnosed with moderate-to-severe OSAHS using PSG were subjected to PSG after NPT insertion, and spiral CT was used for continuous scan of the upper respiratory tract. The NPT-PSG and CT scan results were subjected to correlation analysis. In addition, the two sets of data were used separately to determine whether there was glossopharyngeal airway stenosis or obstruction, and the results were compared. Neither apnea hypopnea index (AHI) nor lowest oxygen saturation (LSaO2) obtained from the first PSG was significantly correlated with the cross-sectional area or the inner diameter of the glossopharyngeal airway. NPT-PSG AHI was significantly correlated with the cross-sectional area and anteroposterior diameter of the glossopharyngeal airway, with correlation coefficients of 0.264 and 0.185, and P values of 0.003 and 0.039, respectively. NPT-PSG AHI was not significantly correlated with the left-right diameter of the airway, and NPT-PSG LSaO2 was not significantly correlated with the cross-sectional area or the inner diameter of the glossopharyngeal airway. With NPT-PSG, 52 patients showed obvious glossopharyngeal airway stenosis while 73 patients did not, and with CT scan 41 patients showed obvious glossopharyngeal airway stenosis while 84 patients did not. The two methods reached the same diagnosis in 86 cases, with a consistency rate of 68.8%. Spiral CT and NPT-PSG show certain degrees of consistency by assessing the presence of glossopharyngeal airway stenosis or obstruction, and there are also notable differences. Clinical assessment on glossopharyngeal airway obstruction should be based on a combination of multiple methods. Springer-Verlag Berlin Heidelberg, 2015 Obstructive sleep apnea-hypopnea syndrome (OSAHS) nationallicence Polysomnography (PSG) nationallicence Nasopharyngeal tube (NPT) nationallicence Airway obstruction nationallicence Glossopharyngeal area nationallicence X-ray nationallicence Computed tomography (CT) nationallicence Song Min Department of Otolaryngology-Head and Neck Surgery, General Hospital of Shenyang Military Area Command, No.83, Wenhua Road, Shenhe District, 110840, Shenyang, China aut Bao Jimin Department of Otolaryngology-Head and Neck Surgery, Liaoning Jinqiu Hospital, Shenyang, China aut Wang Xiaoyan Department of Otolaryngology-Head and Neck Surgery, General Hospital of Shenyang Military Area Command, No.83, Wenhua Road, Shenhe District, 110840, Shenyang, China aut Li Shuhua Department of Otolaryngology-Head and Neck Surgery, General Hospital of Shenyang Military Area Command, No.83, Wenhua Road, Shenhe District, 110840, Shenyang, China aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/5(2015-05-01), 1175-1180 0937-4477 272:5<1175 2015 272 405 https://doi.org/10.1007/s00405-015-3520-1 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/s00405-015-3520-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Song Min Department of Otolaryngology-Head and Neck Surgery, General Hospital of Shenyang Military Area Command, No.83, Wenhua Road, Shenhe District, 110840, Shenyang, China aut NATIONALLICENCE 700 1- Bao Jimin Department of Otolaryngology-Head and Neck Surgery, Liaoning Jinqiu Hospital, Shenyang, China aut NATIONALLICENCE 700 1- Wang Xiaoyan Department of Otolaryngology-Head and Neck Surgery, General Hospital of Shenyang Military Area Command, No.83, Wenhua Road, Shenhe District, 110840, Shenyang, China aut NATIONALLICENCE 700 1- Li Shuhua Department of Otolaryngology-Head and Neck Surgery, General Hospital of Shenyang Military Area Command, No.83, Wenhua Road, Shenhe District, 110840, Shenyang, China aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/5(2015-05-01), 1175-1180 0937-4477 272:5<1175 2015 272 405