수면정신생리

수면정신생리 (11권1호 5-9)

Upper Airway Studies in Patients with Obstructive Sleep Apnea Syndrome

폐쇄성 수면 무호흡증 환자의 상기도 검사법

Kim, Jung-Soo;Lee, Kyu-Yup;

Department of Otorhinolaryngology, College of Medicine, Kyungpook National University;Department of Otorhinolaryngology, College of Medicine, Kyungpook National University;

Abstract

Obstructive sleep apnea (OSA) is a common disorder characterized by recurrent cessation of breathing due to complete or partial upper airway occlusion during sleep. The incompetent tone of palatal, pharngeal, and glossal muscles which fail to maintain airway patency during sleep causes narrowing of the airway dimension and increased resistance of breathing. The identification of the sites of upper airway obstruction in patients with OSA is important in understanding the pathogenesis and deciding the treatment modality of snoring and/or OSA. Various upper airway imaging modalities have been used to assess upper airway size and precise localization of the sites of upper airway obstruction during sleep. Dynamic imaging modalities enabled assessment of dimensional changes in the upper airway during respiration and sleep. This article focused on reviews of various upper airway imaging modalities, especially dynamic upper airway imaging studies providing important information on the pathogenesis of OSA.

Keywords

Obstructive sleep apnea;Diagnostic imaging;