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The value of posterior rhinomanometry in evaluating patients with snoring and obstructive sleep apnea syndrome

References 1. Georgalas C. - The role of the nose in snoring and obstructive sleep apnoea: an update. Eur Arch Otorhinolaryngol., 2011;268(9):1365-1373. doi: 10.1007/s00405-010-1469-7. Epub 2011 Feb 22. 2. Virkkula P., Bachour A., Hytonen M., Mamlberg H., Salmi T., Maasilta P. - Patient and bed partner-reported symptoms, smoking, and nasal resistance in sleep-disordered breathing. Chest., 2005;128(4):2176-2182. 3. Settipane R.A., Charnock D.R. - Epidemiology of rhinitis allergic and nonallergic. Clin Allerrgy

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The Recent View on the Obstructive Sleep Apnoea Syndrome in Children – Short Résumé

Otorhinolaryngol. 2006; 70: 1675-1682. 15. Kryger MH, Roth T, Dement WC. Principles and Practice of SLEEP MEDICINE. St.Luis, Missouri: Elsevier Saunders; 2011. 16. Ravesloot MJL, Maanen JP, Dun L, Vries N. The undervalued potential of positional therapy in positiondependent snoring and obstructive sleep apnea-a review of the literature. Sleep Breath. 2012; 10: 2129-2136. 17. Xu Z, Cheuk DK, Lee SL. Clinical evaluation in predicting childhood obstructive sleep apnea. Chest. 2006; 6: 1765-1771. 18. Hoban TF

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Obstructive sleep apnea: from the beginnings, to the risk factors and to occupational medicine assessment

performance in the general population and among heavy snorers and patients with obstructive sleep apnea. Chest 1996;110:659–63. 5.Teran-Santos J, Jimenez-Gomez A, Cordero-Guevara J. The association between sleep apnea and the risk of traffic accidents. Cooperative Group Burgos-Santander.N Engl J Med 1999; 340:847–51. 6.Ellen RL, Marshall SC, Palayew M. Systematic review of motor vehicle crash risk in persons with sleep apnea. J Clin Sleep Med 2006;2:193–200. 7.Kryger MH. Fat, sleep, and Charles Dickens: literary and medical contributions to the

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Do the turbinates play an important role in obstructive sleep apnea syndrome? – Our experience

;52:228-230. 13. Virkkula P., Maasilta P., Hytonen M., Salmi T., Malmberg H. - Nasal obstruction and sleep-disordered breathing: the effects of supine body position on nasal measurements in snorers. Acta Otolaryngol (Stockh), 2003;123:648-654. 14. Metes A., Cole P., Hoffstein V., Miljeteig H. - Nasal airway dilation and obstructed breathing in sleep. Laryngoscope, 1992;102:1053-1055. 15. Young T., Finn L., Kim H. - Chronic nasal congestion at night is a risk factor for snoring: in population – based cohort study. Arch Intern Med., 2001;161:1514-1519. 16

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The Therapeutic Means of Obstructive Sleep Apnea Syndrome (OSAS)

Imaging. 2007 Jan; 27(1):47-53. 47. Ash SP, Smith AM. “Chrome cobalt mandibular advancement appliances for managing snoring and obstructive sleep apnea.” J Orthod. 2004 Dec;31(4):295-9. 48. Chan AS, et al. “The effect of mandibular advancement on upper airway structure in obstructive sleep apnoea.” Thorax. 2010;65:726–32. 49. Magliocca KR, Helman JI. “Obstructive sleep apnea: diagnosis, medical management and dental implications.” J AmDent Assoc. 2005 Aug; 136(8):1121-9. 50. Raghavendra Jayesh S., Wasim Manzoor Bhat. “Mandibular advancement

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Drug-induced sleep endoscopy – decisional factor in obstructive sleep apnea treatment

with hypersomnia obstructive sleep-apnea syndrome. Laryngoscope. 1978;88(8 Pt 1):1310–3. 8. Croft CB, Pringle M. Sleep nasendoscopy: a technique of assessment in snoring and obstructive sleep apnoea. Clin Otolaryngol Allied Sci. 1991;16(5):504–9. 9. Hessel NS, de Vries N. Diagnostic work-up of socially unacceptable snoring. II. Sleep endoscopy. Eur Arch Otorhinolaryngol. 2002;259(3):158–61. 10. den Herder C, van Tinteren H, de Vries N. Sleep endoscopy versus modified Mallampati score in sleep apnea and snoring. Laryngoscope. 2005

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Misdiagnosis of laryngeal sarcomatoid squamous cell carcinoma – case report

Abstract

BACKGROUND. Even if it is a rare variant growth pattern of squamous cell carcinoma, sarcomatoid carcinoma seems to have almost the same clinical manifestations and risk factors as conventional squamous cell carcinoma.

CASE REPORT. This paper presents a complex case of a 59-year-old female patient known with laryngeal papillomatosis, who presented in our Department for moderate to severe inspiratory dyspnea associated with dysphonia and difficulty in swallowing. We mention that the patient had been previously evaluated by a pneumologist for apnea, snoring and daytime sleepiness and diagnosed and treated for sleep apnea syndrome. Clinical, laboratory, imaging and pathologic examinations revealed the association of upper airway obstruction with laryngeal cancer. Surgical intervention consisted in total laryngectomy and selective neck dissection associated with permanent tracheotomy. The microscopic appearance was that of a bilateral transglottic sarcomatoid squamous cell carcinoma without metastasis in the right lymph node.

CONCLUSION. It is important to evaluate the clinical and imagistic status of patients with laryngeal tumors in order to make a correct decision concerning their treatment policy. We emphasize that cooperation between multiple departments is absolutely necessary in order to adequately resolve, explore, diagnose and treat patients with laryngeal pathology.

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Characteristics of sleep disorders in Romanian adults infected with human immunodeficiency virus

Abstract

Sleep disorders commonly occur in chronic diseases and are a great impairment on the quality of life. The current study aims to characterize the sleep problems of a group of Romanian HIV positive patients. A cross sectional study assessed sleep disorders by a series of self-report questionnaires: STOP-BANG, Epworth Sleep Questionnaire and Pittsburgh Sleep Quality Index. Demographic data, antiretroviral therapy, Lymphocytes CD4 levels were collected from medical records. Exclusion criteria were illiteracy, severe neurocognitive dysfunction and depression. We included 102 patients infected with human immunodeficiency virus, age between 22 and 50, sex ratio M/F=1.17. Reported conditions related to sleep disorders were: smoking (50%), hypertension (18%), obesity (6%) and snoring (7%). The STOP-BANG scale indicated 19% intermediate risk and 2% high risk of sleep apnea. According to Epworth score, daytime sleepiness was found in 18% of patients, 2% of them were dangerously sleepy. The average global score of Pittsburg Sleep Questionnaire is indicative of poor sleep quality in 42% cases. No correlation of sleep scores with antiretroviral regimens was found. Sleep problems with negative impact on daily functioning are frequent under age 50, in patients with human immunodeficiency virus. The management of chronic co-morbidities and psychological support should improve sleep disorders related to human immunodeficiency virus.

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Polysomnography outcomes on patients with obstructive sleep apnea after upper airways repermeabilization surgery

fat tissue distribution in subjects with obstructive sleep apnea and its effect on retropalatal mechanical loads. Respir Care. 2012;57(7):1098–105. DOI: 10.4187/respcare.00920. Epub 2012 Jan 23. 19. Ryan CF. Laser assisted uvulopalatoplasty in sleep disordered breathing. Thorax. 1997;52(1):5–8. 20. Lauretano AM, Khosla RK, Richardson CT, Matheson J, Weiss JW, Graham C, et al. Efficacy of laser-assisted uvulopalatoplasty. Lasers Surg Med. 1997;21(2):109–16. 21. Kamami YV. Laser CO2 for snoring. Preliminary results. Acta Otorhinolaryngol Belg. 1990

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BMI in patients with obstructive sleep apnea

., 509, 3, 1990. 4. Kuźmińska M., Marcinkowska-Suchowierska E.: Otyłość a obturacyjny bezdech senny. Post. Nauk Med., 9, 26, 2013. 5. Mayer P., Pepin G., Bettega D., et al.: Relationship between body mass index, age and upper airway measurements in snorers and sleep apnoea patients. Eur. Respire J., 1801, 9, 1996. 6. Ono T., Lowe A.A., Ferguson K.A., et al.: Associations between upper airway structure, body position and obesity in skeletal Class I male patients with obstructive sleep apnea. Am. J. Orthod. Dentofac. Orthop

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