<abstract xmlns="http://www.w3.org/1999/xhtml">Usually, patients with sleep disorders may complain of tiredness, fatigue, daytime sleepiness, difficulty in concentrating, and can reach up to falling asleep in inappropriate situations – condition known as the Pickwick syndrome. To avoid these unpleasant symptoms, a series of surgical procedures regarding the anatomical structures involved in sleep apnea were developed.The article is a general review regarding the sleep disorders and the influence of upper airways permeability on the quality of sleep and the sleep staging distribution. Also, we present some preliminary data obtained in a clinical study underwent in CESITO Centre “Sfanta Maria” Hospital, Bucharest, involving patients with sleep pathology that had polysomnographic evaluations before and after various surgical procedures of nasal and pharyngeal permeabilization.<bold>AIMS.</bold> To determine that permeabilization surgery of the upper airway tract may be used successfully in order to decrease the sleep fragmentation and increase the time of slow-wave sleep.<bold>CONCLUSION.</bold> 6 months after the permeabilization surgery of the upper airway tract, the polysomnography reveals that the arousals index decreased and the sleep architecture undergoes changes that consist in decreasing the Stage 1 and Stage 2 sleep, therefore REM sleep reaches a better score.</abstract>

Usually, patients with sleep disorders may complain of tiredness, fatigue, daytime sleepiness, difficulty in concentrating, and can reach up to falling asleep in inappropriate situations – condition known as the Pickwick syndrome. To avoid these unpleasant symptoms, a series of surgical procedures regarding the anatomical structures involved in sleep apnea were developed.The article is a general review regarding the sleep disorders and the influence of upper airways permeability on the quality of sleep and the sleep staging distribution. Also, we present some preliminary data obtained in a clinical study underwent in CESITO Centre “Sfanta Maria” Hospital, Bucharest, involving patients with sleep pathology that had polysomnographic evaluations before and after various surgical procedures of nasal and pharyngeal permeabilization.AIMS. To determine that permeabilization surgery of the upper airway tract may be used successfully in order to decrease the sleep fragmentation and increase the time of slow-wave sleep.CONCLUSION. 6 months after the permeabilization surgery of the upper airway tract, the polysomnography reveals that the arousals index decreased and the sleep architecture undergoes changes that consist in decreasing the Stage 1 and Stage 2 sleep, therefore REM sleep reaches a better score.

Permeabilization surgery of the upper respiratory tract and its effects on sleep fragmentation and REM sleep

ENT&HNS Department, “Sfanta Maria” Hospital, Bucharest,

CESITO Centre, “Sfanta Maria” Hospital, Bucharest,

“Carol Davila” University of Medicine and Pharmacy, Bucharest,

Romanian Journal of Rhinology

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Usually, patients with sleep disorders may complain of tiredness, fatigue, daytime sleepiness, difficulty in concentrating, and can reach up to falling asleep...

Permeabilization surgery of the upper respiratory tract and its effects on sleep fragmentation and REM sleep

Published Online: Mar 01, 2017

Page range: 47 - 56

DOI: https://doi.org/10.1515/rjr-2017-0006

Keywords
sleep apnea, polysomnography, REM sleep, sleep fragmentation

© 2017 Ionut Tanase et al., published by De Gruyter Open

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Permeabilization surgery of the upper respiratory tract and its effects on sleep fragmentation and REM sleep

Published Online: Mar 01, 2017

Page range: 47 - 56

DOI: https://doi.org/10.1515/rjr-2017-0006

Keywordssleep apnea, polysomnography, REM sleep, sleep fragmentation

© 2017 Ionut Tanase et al., published by De Gruyter Open

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
sleep apnea, polysomnography, REM sleep, sleep fragmentation