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Title
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Floppy epiglottis during drug-induced sleep endoscopy: an almost complete resolution by adopting the lateral posture
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Author
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Abstract
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| Purpose To analyze the presence of a floppy epiglottis (FE) during drug-induced sleep endoscopy in non-apneic snoring patients, non-positional obstructive sleep apnea (OSA) patients (NPP), and position-dependent OSA patients (PP) and to evaluate the impact of maneuvers and body position during drug-induced sleep endoscopy, including jaw thrust and supine and lateral head (and trunk) position. Methods Retrospective cohort study. Results In total, 324 patients were included. In 60 patients (18.5%), a FE was found in supine position: seven non-apneic snoring patients and 53 OSA patients. When performing lateral head rotation only, a FE was present in four patients (NPP, N = 0; PP, N = 4). When patients were tilted to both lateral head and trunk position, a FE was found in only one subject. After applying jaw thrust, a FE was still present in 10 patients. The prevalence of a FE did not differ between NPP and PP. When comparing baseline characteristics between patients with and without a FE in supine position, no significant differences were found. Conclusion A FE appears almost exclusively in supine position. In patients with a FE, positional therapy can be a promising alternative as a standalone treatment, but also as part of combination therapy with for example mandibular advancement devices or less invasive forms of upper airway surgery. |
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Language
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English
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Source (journal)
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Sleep and breathing. - Berlin, 1998, currens
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Publication
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Berlin
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2020
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ISSN
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1520-9512
[print]
1522-1709
[online]
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DOI
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10.1007/S11325-019-01847-X
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Volume/pages
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24
:1
(2020)
, p. 103-109
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ISI
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000523299600013
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Pubmed ID
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31020483
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Full text (Publisher's DOI)
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Full text (publisher's version - intranet only)
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