The importance of nasoendoscopic findings & Muller's maneuver in predicting severity of obstructive sleep apnoea

Objectives: To determine the association between deviated nasal septum (DNS), inferior turbinate hypertrophy (ITH) and upper airway obstruction during Muller’s maneuver (MM) with severity of obstructive sleep apnoea (OSA). Methods: A cross sectional study involving patients with OSA. All consented...

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Main Author:	Mohamed, Ahmad Khairi
Format:	Thesis
Language:	English
Published:	2020
Subjects:	R Medicine RC705-779 Diseases of the respiratory system
Online Access:	http://eprints.usm.my/57237/1/DR%20AHMAD%20KHAIRI%20BIN%20MOHAMED-24%20pages.pdf
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spelling	my-usm-ep.572372023-03-09T06:48:25Z The importance of nasoendoscopic findings & Muller's maneuver in predicting severity of obstructive sleep apnoea 2020 Mohamed, Ahmad Khairi R Medicine RC705-779 Diseases of the respiratory system Objectives: To determine the association between deviated nasal septum (DNS), inferior turbinate hypertrophy (ITH) and upper airway obstruction during Muller’s maneuver (MM) with severity of obstructive sleep apnoea (OSA). Methods: A cross sectional study involving patients with OSA. All consented patients who fulfilled the criteria underwent upper airway examination using rigid 0-degree endoscope and flexible nasopharyngolaryngoscope (FNPLS) for MM, focusing on the anatomy of inferior turbinate and nasal septum as well as the airway obstruction at retropalatal and retroglossal levels. Mladina classification of DNS was used. Sociodemographic data and clinical characteristic for inferior turbinate, nasal septum and upper airway obstruction were recorded and analyzed using Statistical Package for Social Sciences (SPSS). Results: A total of 64 OSA patients aged between 23 to 60 years (31 male and 33 female) involved. The average age was 40.8 ± 8.8 years and the mean BMI was 29.7 ± sd 2.9. The association between DNS and severity of OSA, also between MM findings with severity of OSA were highly significant with p-value <0.001. However, ITH did not show a significant association with severity of OSA (p- value >0.05). Conclusion: Overall, DNS based on Mladina classification and upper airway obstruction during MM are significant in predicting severity of OSA. 2020 Thesis http://eprints.usm.my/57237/ http://eprints.usm.my/57237/1/DR%20AHMAD%20KHAIRI%20BIN%20MOHAMED-24%20pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	R Medicine RC705-779 Diseases of the respiratory system
spellingShingle	R Medicine RC705-779 Diseases of the respiratory system Mohamed, Ahmad Khairi The importance of nasoendoscopic findings & Muller's maneuver in predicting severity of obstructive sleep apnoea
description	Objectives: To determine the association between deviated nasal septum (DNS), inferior turbinate hypertrophy (ITH) and upper airway obstruction during Muller’s maneuver (MM) with severity of obstructive sleep apnoea (OSA). Methods: A cross sectional study involving patients with OSA. All consented patients who fulfilled the criteria underwent upper airway examination using rigid 0-degree endoscope and flexible nasopharyngolaryngoscope (FNPLS) for MM, focusing on the anatomy of inferior turbinate and nasal septum as well as the airway obstruction at retropalatal and retroglossal levels. Mladina classification of DNS was used. Sociodemographic data and clinical characteristic for inferior turbinate, nasal septum and upper airway obstruction were recorded and analyzed using Statistical Package for Social Sciences (SPSS). Results: A total of 64 OSA patients aged between 23 to 60 years (31 male and 33 female) involved. The average age was 40.8 ± 8.8 years and the mean BMI was 29.7 ± sd 2.9. The association between DNS and severity of OSA, also between MM findings with severity of OSA were highly significant with p-value <0.001. However, ITH did not show a significant association with severity of OSA (p- value >0.05). Conclusion: Overall, DNS based on Mladina classification and upper airway obstruction during MM are significant in predicting severity of OSA.
format	Thesis
qualification_level	Master's degree
author	Mohamed, Ahmad Khairi
author_facet	Mohamed, Ahmad Khairi
author_sort	Mohamed, Ahmad Khairi
title	The importance of nasoendoscopic findings & Muller's maneuver in predicting severity of obstructive sleep apnoea
title_short	The importance of nasoendoscopic findings & Muller's maneuver in predicting severity of obstructive sleep apnoea
title_full	The importance of nasoendoscopic findings & Muller's maneuver in predicting severity of obstructive sleep apnoea
title_fullStr	The importance of nasoendoscopic findings & Muller's maneuver in predicting severity of obstructive sleep apnoea
title_full_unstemmed	The importance of nasoendoscopic findings & Muller's maneuver in predicting severity of obstructive sleep apnoea
title_sort	importance of nasoendoscopic findings & muller's maneuver in predicting severity of obstructive sleep apnoea
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2020
url	http://eprints.usm.my/57237/1/DR%20AHMAD%20KHAIRI%20BIN%20MOHAMED-24%20pages.pdf
_version_	1776101193754345472

The importance of nasoendoscopic findings & Muller's maneuver in predicting severity of obstructive sleep apnoea

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