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Comparison of full-night and ambulatory polysomnography with ApneaGraph in the subjects with obstructive sleep apnea syndrome

  • Rhinology
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Abstract

The localization of the obstruction is crucial in determining the appropriate surgical treatment for obstructive sleep apnea syndrome (OSAS); ApneaGraph has been introduced for diagnosis of OSAS and localization of airway obstruction level. This study aims to evaluate the diagnostic value of ApneaGraph for both clinical staging and site of obstruction. Thirty male OSAS patients were prospectively enrolled in this clinical trial. The following parameter were included to the study: Body mass indexes and neck circumferences of the subjects, Epworth sleepiness scale, site of obstruction detected by flexible endoscopy and ApneaGraph, apnea hypopnea index (AHI), apnea index, hypopnea index, maximal oxygen desaturation and average oxygen saturation which were detected by both polysomnography (PSG) and ApneaGraph devices. Our data presented that, although AHI measured by ApneaGraph and PSG were significantly correlated; severity stages of the subjects were different in 44 % of the subjects when based on AHI of ApneaGraph, compared to PSG. Majority of the changes were from severe OSAS to mild or moderate levels. Similar dominant collapse levels were detected in 64 % of the subjects by both devices. It was seen that transpalatal obstruction was better correlated between ApneaGraph and flexible endoscopy. As a conclusion, we might assume that ApneaGraph can be used as a screener for OSAS and it appears to be a more reliable device to confirm dominancy of palatal level obstruction.

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Acknowledgments

We declare that this study was funded by Gazi University Scientific Research Projects Unit, Turkey (Grant number 01/2012-85).

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Author notes

  1. Furkan Karaloğlu

    Present address: Department of Otolaryngology, Ankara Occupational Diseases Hospital, Ankara, Turkey

  2. Bülent Çiftçi

    Present address: Department of Chest, Bozok University, Yozgat, Turkey

Authors and Affiliations

  1. Department of Otolaryngology, Faculty of Medicine, Gazi University, Ankara, Turkey

    Furkan Karaloğlu, Yusuf K. Kemaloğlu & Metin Yilmaz

  2. Department of Chest Diseases Sleep Disorders Center, Faculty of Medicine, Gazi University, Ankara, Turkey

    Tansu Ulukavak Çiftçi

  3. Atatürk Chest Disease and Chest Surgery Education and Training Hospital, Ankara, Turkey

    Bülent Çiftçi

  4. Department of Otolaryngology, Muş State Hospital, Muş, Turkey

    Faruk K. Bakkal

  5. Gazi Üniversitesi Hastanesi, KBB AD, 14. Kat, Konya Yolu Beşevler, Ankara, Turkey

    Yusuf K. Kemaloğlu

Authors
  1. Furkan Karaloğlu
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Corresponding author

Correspondence to Yusuf K. Kemaloğlu.

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Conflict of interest

None of the authors received any research grant, a speaker honorarium from any company. All authors declare that they have no conflict of interest.

Ethical standards

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards (Ethical approval no: 27/06/2012-286).

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This article does not contain any studies with animals performed by any of the authors.

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Informed consent was obtained from all individual participants included in the study.

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Karaloğlu, F., Kemaloğlu, Y.K., Yilmaz, M. et al. Comparison of full-night and ambulatory polysomnography with ApneaGraph in the subjects with obstructive sleep apnea syndrome. Eur Arch Otorhinolaryngol 274, 189–195 (2017). https://doi.org/10.1007/s00405-016-4162-7

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  • DOI: https://doi.org/10.1007/s00405-016-4162-7

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