دورية أكاديمية
أعرض في EDS

A Pilot Study on the Efficacy of Continuous Positive Airway Pressure on the Manifestations of Dysphagia in Patients with Obstructive Sleep Apnea.

التفاصيل البيبلوغرافية
العنوان: A Pilot Study on the Efficacy of Continuous Positive Airway Pressure on the Manifestations of Dysphagia in Patients with Obstructive Sleep Apnea.
المؤلفون: Caparroz FA; Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Universidade Federal de São Paulo, São Paulo, Brazil., de Almeida Torres Campanholo M; Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Universidade Federal de São Paulo, São Paulo, Brazil., Sguillar DA; Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Universidade Federal de São Paulo, São Paulo, Brazil. danilo_sguillar@hotmail.com., Haddad L; Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Universidade Federal de São Paulo, São Paulo, Brazil., Park SW; Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Universidade Federal de São Paulo, São Paulo, Brazil., Bittencourt L; Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil., Tufik S; Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil., Haddad FLM; Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Universidade Federal de São Paulo, São Paulo, Brazil.
المصدر: Dysphagia [Dysphagia] 2019 Jun; Vol. 34 (3), pp. 333-340. Date of Electronic Publication: 2018 Sep 24.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer-Verlag Country of Publication: United States NLM ID: 8610856 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-0460 (Electronic) Linking ISSN: 0179051X NLM ISO Abbreviation: Dysphagia Subsets: MEDLINE
أسماء مطبوعة: Original Publication: New York : Springer-Verlag, [c1986-
مواضيع طبية MeSH: Continuous Positive Airway Pressure*, Deglutition Disorders/*therapy , Sleep Apnea, Obstructive/*therapy, Adolescent ; Adult ; Aged ; Deglutition ; Deglutition Disorders/epidemiology ; Deglutition Disorders/etiology ; Female ; Humans ; Male ; Middle Aged ; Pilot Projects ; Quality of Life ; Sleep Apnea, Obstructive/complications ; Sleep Apnea, Obstructive/physiopathology ; Surveys and Questionnaires ; Treatment Outcome ; Young Adult
مستخلص: There is evidence in the literature demonstrating that patients with obstructive sleep apnea (OSA) may present with dysphagia, but few studies have evaluated whether this complaint can be reversed with treatment of OSA. To assess whether findings of dysphagia in patients with OSA can be reversed with the use of continuous positive airway pressure (CPAP) devices. Seventy adult patients (age 18-70 years) with moderate or severe OSA were included in the study. All patients underwent fiberoptic endoscopic evaluation of swallowing (FEES) and completed the SWAL-QOL questionnaire on quality of life in dysphagia. Patients with visible abnormalities on FEES were treated with CPAP and reassessed after 3 months. The prevalence of dysphagia was 27.3% (18 patients). Premature spillage was the main finding. On comparison of groups with and without dysphagia, the SWAL-QOL score was significantly worse in the dysphagia group in domain 2 (eating duration and eating desire, p = 0.015), with no impact on overall score (p = 0.107). Of the 18 patients with dysphagia, 12 were started on CPAP; 11 exhibited satisfactory adherence and remained in the study. Abnormal FEES findings resolved in 81% (n = 9/11) of patients who started CPAP (p = 0.004), and dysphagia-specific quality of life also improved significantly (overall SWAL-QOL score, p = 0.028). In this sample of patients with OSA, the overall prevalence of dysphagia (as demonstrated by premature spillage on FEES) was 27.3%. Treatment of OSA with CPAP was able to reverse the endoscopic findings of swallowing dysfunction and to improve quality of life as measured by the SWAL-QOL.
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فهرسة مساهمة: Keywords: Deglutition; Deglutition disorders; Dysphagia; Obstructive sleep apnea
تواريخ الأحداث: Date Created: 20180926 Date Completed: 20200114 Latest Revision: 20210109
رمز التحديث: 20240628
DOI: 10.1007/s00455-018-9944-1
PMID: 30251146
قاعدة البيانات: MEDLINE
الوصف
تدمد:1432-0460
DOI:10.1007/s00455-018-9944-1