Obstructive Sleep Apnea, Reflux, Laryngopharyngeal
Conditions
Brief summary
The aim of the study is to find, using validated and efficient tools, a laryngopharyngeal reflux in patients receiving polysomnography for suspected obstructive sleep apnea syndrome. It is proposed to carry out simultaneously, at the Sleep Center of the Polyclinique of Poitiers (CSPP), a polysomnography, a 24-hour Restech pharyngeal pH-metry (day and night), a Peptest (in the evening and in the morning of the polysomnography), with the RSS-12 questionnaire and the RSA score.
Interventions
A polysmnography is planned for every patients in order to evaluate the Apnea-Hypopnea Index (AHI).
Pharyngeal ph-metry Restech over 24 hours (night and day)
Saliva sample to look for an association between pharyngolaryngeal reflux and obstructive sleep apnea syndrome
Questionnaire with 12 items about quality of life. Score between 0 and 5.
RSA score about anatomy and morphology of the mouth
Sponsors
Study design
Eligibility
Inclusion criteria
* Adults (\> 18 ans) * Polysomnography planned for OSA assessment * RPL known or not, suspected or not * Affiliation to a social security scheme or beneficiary of such a scheme * Patient having signed the free and informed consent
Exclusion criteria
* Minors * Smoking, alcoholism, chronic or serious disabling pathology * Medical history of upper aerodigestive tract cancer, radiotherapy * Recent infection of upper aerodigestive tract, chronic rhinosinusitis * Permanent nasal obstruction * Active allergy * Non-obstructive SAS (central) * Patient under anti-secretory treatment (IPP) during the 8 days preceding the Restech associated with the PSG * Refusal to participate in the study * Protected patients: Adults under guardianship, guardianship or other legal protection, deprived of liberty by judicial or administrative decision * Pregnant, breastfeeding or parturient * Hospitalized without consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of patients with Obstructive Sleep Apnea Syndrome diagnosed with pharyngolaryngeal reflux. | 3 months | the diagnosis of OSA is posed by the PSG as soon as the AHI is ≥ 15 / h |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| RSS-12 score | 3 months | Positive (\>11) |
| RSA score | 3 months | Positive if \> 14 |
| Peptest | 3 months | Positive if \> 75 ng / mL |
Countries
France