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International Bulletin of Otorhinolaryngology

The Impact of Laryngeal pathology on sleep disorders patients

Raluca Grigore, Mihnea Condeescu, Аntonie-Simion Catrinel, Paula Bejenaru, Gloria Munteanu, Anca Cirstea, Amer Othman, Simona Rujan, Bianca Taher, Liliana Nitu, Alexandru Nicolaescu, Serban Bertesteanu

Abstract

Sleep disorders are a common disorder the most frequent being obstructive sleep apnea characterized by repetitive episodes of upper airway collapse and respiratory pause. It is associated with a significant cardiovascular morbidity and mortality and severely alters the quality of life .In many cases it can remain undiagnosed because of its symptoms that can be underestimated by both the patient and the doctor. Tobacco, alcohol abuse and obesity are amongst the most common risk factors but the most important ones are related to different anatomical structures that can stop the airflow.Treating this disorder sometime requires multilevel surgery depending on the structures
involved the most common of them being palatal, oropharyngeal and tongue base. The development and increased usage of sleep endoscopy has somewhat changed the treatment options due to the fact that laryngeal collapse is almost always seen only on sleep endoscopy. The role of laryngeal pathology has to be taken into account especially in cases where CPAP and surgery have failed .

Keywords

obstructive sleep apnoea; sleep endoscopy, larynx

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DOI: http://dx.doi.org/10.14748/orl.v16i2.6739

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