Obstructive sleep apnea (OSA) Nervous System Diseases
Conditions
Interventions
ENT office exam, polysomnography and myofunctional evaluation including breathing type, lip sealing, lingual frenulum and evaluation of muscle strength of the lingual and oral muscles with the IOPI.
Sponsors
Hospital Universitario de Fuenlabrada
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Adult patients scheduled for septoplasty evaluated to screen for OSA at the Otorhinolaryngology Department
Exclusion criteria
Exclusion criteria: 1. Systemic disease with a known inflammatory state 2. Presence of a muscle rehabilitation treatment 3. Previous nasal surgery 4. Previous OSA treatment (CPAP, surgery, or mandibular advancement device)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Polysomnography assessed with the Apnea-Hypopnea Index (AHI), with mild OSA defined as >5 events/h of sleep, moderate OSA as 15–29.9 events/h of sleep, and severe OSA as =30 events/h of sleep at one timepoint | — |
Secondary
| Measure | Time frame |
|---|---|
| The following secondary outcome measures are assessed at one timepoint: 1. Anatomical findings in the upper airway from the nasal valve area to the larynx: 1.1. Friedman tonsil grading, scaled from 1 to 5 1.2. Height of the hard palate, measured in centimeters 1.3. Friedman tongue position (FTP), scaled from 1 to 5 1.4. Mallampati scales, scaled from 1 to 5 1.5. Basilingual hypertrophy assessed with lingual tonsil hypertrophy (LTH) Friedman classification, scaled from 1 to 5 1.6. Awake dynamic exam with Müller maneuver, considered collapsed or not 2. Myofunctional exam: 2.1. Breathing (nasal or oral) 2.2. Lingual sealing (opened or closed) 2.3. Lingual frenulum assessed using the Marchesani protocol (present or not) 2.4. Muscle strength evaluated with the Iowa Oral Performance Instrument (IOPI) in KiloPascals at buccinator and tongue propulsion | — |
Countries
Spain
Contacts
Public ContactGuillermo Plaza
Outcome results
None listed