Article Sidebar

PDF (Tiếng Việt)
Published: 2025-05-26
Abstract Views: 67
Views PDF (Tiếng Việt): 16
DOI: https://doi.org/10.52163/yhc.v66i3.2536
Issue
Vol. 66 No. 3
Section
Articles
How to Cite
Anh, P. T. ., Hiếu, N. T., Thi, Đào Đình, Sơn, N. T., Xương, N. T., & Khoa, N. X. (2025). 46. CLINICAL AND PARACLINICAL SYMPTOMS OF SNORING PATIENTS UNDERGOING SURGERY AT THE NATIONAL OTORHINOLARYNGOLOGY HOSPITAL. Vietnam Journal of Community Medicine, 66(3). https://doi.org/10.52163/yhc.v66i3.2536

46. CLINICAL AND PARACLINICAL SYMPTOMS OF SNORING PATIENTS UNDERGOING SURGERY AT THE NATIONAL OTORHINOLARYNGOLOGY HOSPITAL

Pham Tran Anh1,2, Nguyen Trung Hieu1, Dao Dinh Thi2, Nguyen Tuan Son3, Nguyen Tuyet Xuong3, Ngo Xuan Khoa1
1 Hanoi Medical University
2 National Otorhinolaryngology Hospital
3 University of Medicine and Pharmacy, Vietnam National University, Hanoi

Main Article Content

Abstract

Objective: Describe the clinical and paraclinical symptoms of snoring patients who underwent surgery at the National Otorhinolaryngology Hospital.


Subjects and methods: The research involved 34 patients who sought surgical intervention for snoring at the National Otorhinolaryngology Hospital from January 2024 to September 2024.


Results: Among the patient characteristics, the majority are men of working age (38.65 ± 11.44), have few comorbidities (diabetes 2.9%, hypertension 11.7%), and have a very low percentage of obese patients (2.9%). However, the AHI index is severe for the majority (80%). Sleepiness (61.7%) and diminished concentration (41.2%) are the primary symptoms during the day. The most common nighttime symptoms are apnea (82.3%) and loud snoring (100%). When the patient is awake, endoscopic examination rarely reveals the disease’s distinctive symptoms. Turbinate hypertrophy was seen in only 20.6% of cases, 13.5% had hypertrophied uvulae, 14.7% had septal deviation, and 17.6% had large and wide uvulae 13.5% had hypertrophied tonsils at the base of the tongue, and 1 patient (2.9%) had signs of grade 4 tonsil hypertrophy and Mallampati.


Conclusions: The study provides a basis for diagnosing snoring/sleep apnea syndrome and planning appropriate treatment, contributing to improving the quality of treatment.

Article Details

Keywords

Obstructive sleep apnea syndrome, snoring.

References

[1] Benjafield A.V et al. Estimation of the global prevalence and burden of obstructive sleep apnoea: a literature-based analysis. Lancet Respir Med, 2019, 7 (8), p. 687-698.
[2] Camey P.R, Berry R.D, Geyer J.D. Clinical Sleep Disorders, 1st ed, Lippincott Williams & Wilkins, 2005.
[3] Gabryelska A, Białasiewicz P. Association between excessive daytime sleepiness, REM phenotype and severity of obstructive sleep apnea. Scientific Reports, 2020, 10 (1), p. 34.
[4] Amirzargar B, Sadeghi M, Saedi B. Muller’s Maneuver in Patients with Obstructive Sleep Apnea. Journal of Sleep Sciences, 2016, 1.
[5] Sharifian M.R et al. Drug Induced Sleep Endoscopy in Obstructive Sleep Apnea. Tanaffos, 2018, 17 (2), p. 122-126.
[6] Trần Thị Hoa và cộng sự. Đặc điểm nội soi đường hô hấp trên trong giấc ngủ tạo ra bằng thuốc trong hội chứng ngừng thở tắc nghẽn khi ngủ. Tạp chí Y học Việt Nam, 2021, 506 (1), tr. 80-85.
[7] Amali A et al. Polysomnographic Findings Versus Degree of Obstruction During Drug-Induced Sleep Endoscopy and Muller’s Maneuver. Indian J Otolaryngol Head Neck Surg, 2023, 75 (4), p. 2769-2776.
[8] Young T et al. The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med, 1993, 328 (17), p. 1230-5.
[9] Meslier N et al. Impaired glucose-insulin metabolism in males with obstructive sleep apnoea syndrome. Eur Respir J, 2003, 22 (1), p. 156-160.
[10] Lavie P et al. Obstructive sleep apnea and hypertension: from correlative to causative relationship. J Clin Hypertens (Greenwich), 2001, 3 (5), p. 296-301.
[11] Kent B.D et al. Diabetes mellitus prevalence and control in sleep-disordered breathing: the European Sleep Apnea Cohort (ESADA) study. Chest, 2014, 146 (4), p. 982-990.
[12] Jung A.R et al. Comparison of level and degree of upper airway obstruction by Muller’s maneuver and drug-induced sleep endoscopy in obstructive sleep apnea patients. Auris Nasus Larynx, 2017, 44 (5), p. 571-575.
[13] Kandasamy G, Almeleebia T. A Prospective Study on Obstructive Sleep Apnea, Clinical Profile and Polysomnographic Variables. J Pers Med, 2023, 13 (6).
[14] Cho Y.W et al. Comorbid Insomnia With Obstructive Sleep Apnea: Clinical Characteristics and Risk Factors. J Clin Sleep Med, 2018, 14 (3), p. 409-417.
[15] Whyte K.F et al. Clinical features of the sleep apnoea/hypopnoea syndrome. Q J Med, 1989, 72 (267), p. 659-66.
[16] Lavie P et al. The effects of partial and complete mechanical occlusion of the nasal passages on sleep structure and breathing in sleep. Acta Otolaryngol, 1983, 95 (1-2), p. 161-6.
[17] Shah J.A, et al. Obstructive Sleep Apnea: Role of an Otorhinolaryngologist. Indian J Otolaryngol Head Neck Surg, 2016, 68 (1), p. 71-4.
[18] Chang E.T et al. The relationship of the uvula with snoring and obstructive sleep apnea: a systematic review. Sleep Breath, 2018, 22 (4), p. 955-961.
[19] Cahali M.B et al. Tonsil volume, tonsil grade and obstructive sleep apnea: is there any meaningful correlation? Clinics (Sao Paulo), 2011, 66 (8), p. 1347-52
[20] Smith M.M, Peterson E, Yaremchuk K.L., The Role of Tonsillectomy in Adults with Tonsillar Hypertrophy and Obstructive Sleep Apnea. Otolaryngol Head Neck Surg, 2017, 157 (2), p. 331-335.