Ключевые слова
Аннотация
This study examines the effectiveness of surgical correction of anatomical upper airway obstruction in patients with obstructive sleep apnea. The study focuses on the relationship between upper airway anatomical abnormalities and clinical manifestations of the disease. Clinical symptoms and objective sleep-related parameters were evaluated before and after surgical treatment. The findings demonstrated improvement in snoring, excessive daytime sleepiness, morning fatigue, and witnessed apnea episodes following surgical correction. A reduction in the apnea–hypopnea index and improvement in nocturnal oxygen saturation were also observed. The results indicate that accurate identification of the anatomical site of obstruction and individualized selection of the surgical approach are important factors in achieving favorable treatment outcomes. Objective postoperative assessment and long-term follow-up are recommended to evaluate the stability of treatment effects.
Библиографические ссылки
Benjafield, A. V., Ayas, N. T., Eastwood, P. R., Heinzer, R., Ip, M. S. M., Morrell, M. J., Nunez, C. M., Patel, S. R., Penzel, T., Pépin, J.-L., & Malhotra, A. (2020). Estimation of the global prevalence and burden of obstructive sleep apnoea: A literature-based analysis. The Lancet Respiratory Medicine, 8(7), 687–698.
Patil, S. P., Ayappa, I. A., Caples, S. M., Kimoff, R. J., Patel, S. R., & Harrod, C. G. (2019). Treatment of adult obstructive sleep apnea with positive airway pressure: An American Academy of Sleep Medicine clinical practice guideline. Journal of Clinical Sleep Medicine, 15(2), 335–343.
Kent, D. T., Weiner, J. S., & J. S. (2021). Surgical management of obstructive sleep apnea: Current concepts and evolving approaches. Sleep Medicine Clinics, 16(1), 95–108.
Cao, Y., Li, X., Zhang, M., & Wang, Y. (2021). Upper airway anatomy and its relationship with obstructive sleep apnea. Frontiers in Medicine, 8, 685305.
He, M., Yin, G., Zeng, X., & Wang, Y. (2022). Upper airway anatomical characteristics and surgical treatment outcomes in patients with obstructive sleep apnea. Sleep and Breathing, 26, 1231–1240.
Kent, D. T., Weidenbecher, M., & Shafazand, S. (2022). Surgical treatment of obstructive sleep apnea in adults: Indications and outcomes. Otolaryngologic Clinics of North America, 55(5), 1011–1027.
Weaver, E. M., & Kapur, V. K. (2021). Surgical management of obstructive sleep apnea: Patient selection and treatment outcomes. Chest, 159(4), 1548–1560.