Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
HNO Nachrichten
Erschienen in: HNO Nachrichten 2/2017

11.04.2017 | Schlafapnoe | Zertifizierte Fortbildung

Rhonchopathie

Therapieoptionen beim primären Schnarchen

verfasst von: Dr. med. Richard de la Chaux

Erschienen in: HNO Nachrichten | Ausgabe 2/2017

Einloggen, um Zugang zu erhalten

Zusammenfassung

Schnarchen kann eines der Symptome bei obstruktiver Schlafapnoe darstellen mit den daraus resultierenden möglichen kardiovaskulären Folgeerkrankungen. Es kann aber auch einfach nur ein lästiges und belastendes Atemgeräusch für den Bettpartner oder die Umgebung sein. Im letzteren Fall spricht man von primärem Schnarchen. Die dafür zur Verfügung stehenden Therapiemöglichkeiten sollen im Folgenden beschrieben werden.
Literatur
1.
Lugaresi E, Cirignotta F, Coccagna G, Piana C. Some epidemiological data on snoring and cardiocirculatory disturbances. Sleep 1980; 3(3-4): 221–4PubMed
2.
Patient- and bed partner-reported symptoms, smoking, and nasal resistance in sleep-disordered breathing. Virkkula P, Bachour A, Hytönen M, Malmberg H, Salmi T, Maasilta P. Chest 2005 Oct; 128(4): 2176–82
3.
Adverse health effects among women living with heavy snorers. Ulfberg J, Carter N, Talbäck M, Edling C. Health Care Women Int. 2000 Mar; 21(2): 81–90.
4.
Calculating annoyance: an option to proof efficacy in ENT treatment of snoring? Fischer R, Kuehnel TS, Merz AK, Ettl T, Herzog M, Rohrmeier C. Eur Arch Otorhinolaryngol. 2016 Dec; 273(12):4607–4613.
5.
Sk2 guidelines „diagnosis and therapy of snoring in adults“: compiled by the sleep medicine working group of the German Society of Otorhinolaryngology, Head and Neck Surgery. Stuck BA, Dreher A, Heiser C, Herzog M, Kühnel T, Maurer JT, Pistner H, Sitter H, Steffen A, Verse T. HNO 2013 Nov; 61(11): 944–57.
6.
Successful weight loss maintenance. Wing RR, Hill JO. Annu Rev Nutr. 2001; 21:323–41.
7.
Didgeridoo playing as alternative treatment for obstructive sleep apnoea syndrome: randomised controlled trial. Puhan MA, Suarez A, Lo Cascio C, Zahn A, Heitz M, Braendli O. BMJ 2006 Feb 4; 332(7536): 266–70.
8.
Do wind and brass players snore less? A cross- sectional study of snoring and daytime fatigue in professional orchestral musicians. Wardrop PJ, Ravichandran S, Hair M, Robertson SM, Sword D Clin Otolaryngol 2011 Apr; 36(2): 134–8.
9.
Can singing exercises reduce snorin? A pilot study. Ojay A, Ernst E. Complement Ther Med. 2000 Sep; 8(3): 151–6.
10.
The effect of singing on snoring and daytime somnolence. Pai I, Lo S, Wolf D, Kajieker A. Sleep Breathing 2008 Aug; 12(3): 265–8.
11.
Myofunctional therapy to treat obstructive sleep apnea: a systematic review and meta-analysis. Camacho M, Certal V, Abdullatif J, Zaghi S, Ruoff CM, Capasso R, Kushida CA. Sleep 2015 May 1; 38(5): 669–75.
12.
To treat snoring with nasal steroids - effects on more than one level? Hultcrantz E, Harder L, Harder H, Zetterlund EL, Roberg K. Acta Otolaryngol 2010; 130(1): 124–31.
13.
Nasal steroids in snorers can decrease snoring frequency: a randomized placebo-controlled crossover trial. Koutsourelakis I, Keliris A, Minaritzoglou A, Zakynthinos S. J Sleep Res. 2015 Apr; 24(2): 160–6.
14.
Effect of high-dose sublingual immunotherapy on respiratory infections in children allergic to house dust mite. Barberi S, Ciprandi G, Verduci E, D'Auria E, Poli P, Pietra B, Incorvaia C, Buttafava S, Frati F, Riva E. Asia Pac Allergy 2015 Jul; 5(3): 163–9.
15.
Treatment of severe snoring with a combination of pseudoephedrine sulfate and domperidone. Larrain A, Hudson M, Dominitz JA, Pope CE 2nd. J Clin Sleep Med. 2006 Jan 15;2(1): 21–5.
16.
Effects of protriptyline on snoring characteristics. Séries F, Marc I. Chest 1993 Jul; 104(1): 14–8.
17.
Effectiveness of mandibular advancement appliances in treating obstructive sleep apnea syndrome: a systematic review. Serra-Torres S, Bellot-Arcis C, Montiel-Company JM, Marco-Algarra J, Almerich-Silla JM. Laryngoscope 2016 Feb; 126(2): 507–14.
18.
Clinical Practice Guideline for the Treatment of Obstructive Sleep Apnea and Snoring with Oral Appliance Therapy: An Update for 2015. Ramar K, Dort LC, Katz SG, Lettieri CJ, Harrod CG, Thomas SM, Chervin RD. J Clin Sleep Med. 2015 Jul 15; 11(7): 773–827.
19.
Sleep endoscopy with simulation bite for prediction of oral appliance treatment outcome. Vroegop AV, Vanderveken OM, Dieltjens M, Wouters K, Saldien V, Braem MJ, Van de Heyning PH. J Sleep Res. 2013 Jun; 22(3): 348–55.
20.
Compliance and efficacy of titratable thermoplastic versus custom mandibular advancement devices. Friedman M, Hamilton C, Samuelson CG, Kelley K, Pearson-Chauhan K, Taylor D, Taylor R, Maley A, Hirsch MA. Otolaryngol Head Neck Surg 2012 Aug; 147(2): 379–86.
21.
The undervalued potential of positional therapy in position-dependent snoring and obstructive sleep apnea- a review of the literature. Ravesloot MJ, van Maanen JP, Dun L, de Vries N. Sleep Breath. 2013 Mar; 17(1): 39–49.
22.
Nasal dilators (Breathe Right Strips and NoZovent) for snoring and OSA: a systematic review and meta-analysis. Camacho M, Malu OO, Kram YA, Nigam G, Riaz M, Song SA, Tolisano AM, Kushida CA. Pulm Med 2016; 2016: 4841310.
23.
Effect of addition of chin strap on PAP compliance, nightly duration of use, and other factors. Knowles SR, O'Brien DT, Zhang S, Devara A, Rowley JA. J Clin Sleep Med 2014 Apr 15; 10(4): 377–83.
24.
Improving CPAP use by patients with the sleep apnoea/hypopnoea syndrome (SAHS). Engleman HM, Wild MR. Sleep Med Rev 2003 Feb; 7(1): 81–99.
25.
Positive nasal airway pressure eliminates snoring as well as obstructive sleep apnea. Berry RB, Block AJ. Chest 1984 Jan; 85(1): 15–20.
26.
Snoring is not relieved by nasal surgery despite improvement in nasal resistance. Virkkula P, Bachour A, "Hytönen M, Salmi T, Malmberg H, Hurmerinta K, Maasilta P. Chest 2006 Jan; 129(1): 81–7.
27.
Effectiveness of nasal surgery alone on sleep quality, architecture, position, and sleep-disordered breathing in obstructive sleep apnea syndrome with nasal obstruction. Choi JH, Kim EJ, Kim YS, Kim TH, Choi J, Kwon SY, Lee Hm, Lee SH, Lee SH. Am J Rhinol Allergy 2011 Sep-Oct; 25(5): 338–41.
28.
Impact of endoscopic sinus surgery on sleep quality in patients with chronic nasal obstruction due to nasal polyps. Tosun F, Kemikli K, Yetkin S, Ozgen F, Durmaz A, Gerek M. J Craniofac Surg. 2009 Mar; 20(2): 446–9.
29.
Critical appraisal and meta-analysis of nasal surgery for obstructive sleep apnea. Li HY, Wang PC, Chen YP, Lee LA, Fang TJ, Lin HC. Am J Rhinol Allergy. 2011 Jan-Feb; 25(1): 45–9.
30.
The role of nasal treatments in snoring and obstructive sleep apnoea. Bury SB, Singh A. Curr Opin Otolaryngol Head Neck Surg. 2015 Feb; 23(1): 39–46.
31.
Previous tonsillectomy as prognostic indicator for success of uvulopalatopharyngoplasty. McGuirt WF Jr, Johnson JT, Sanders MH. Laryngoscope 1995 Nov; 105(11): 1253–5.
32.
Uvulopalatopharyngoplasty for snoring: long-term results. Levin BC, Becker GD. Laryngoscope 1994 Sep; 104(9):1150–2.
33.
Retrospective survey of long-term results and patient satisfaction with uvulopalatopharyngoplasty for snoring. Hicklin LA, Tostevin P, Dasan S. J Laryngol Otol 2000 Sep; 114(9): 675–81.
34.
Influence of body mass index on treatment of breathing-related sleep disorders. Dzieciolowska-Baran E, Gawlikowska-Sroka A, Poziomkowska-Gesicka I, Teul-Swiniarska I, Sroczynski T. Eur J Med Res. 2010 Nov 4; 15 Suppl 2: 36–40.
35.
Long-term incidence of velopharyngeal insufficiency and other sequelae following uvulopalatopharyngoplasty. Tang JA, Salapatas AM, Bonzelaar LB, Friedman M. Otolaryngol Head Neck Surg. 2017 Jan 1:194599816688646.
36.
Effects of uvulopalatopharyngoplasty with or without radiofrequency tongue base reduction on voice in patients with obstructive sleep apnea. Eun YG, Shin SY, Kim SW. Laryngoscope. 2013 Jul; 123(7): 1806–10.
37.
Treatment of simple snoring using radio waves for ablation of uvula and soft palate: a day-case surgery procedure. Wedman J, Miljeteig H. Laryngoscope 2002 Jul; 112(7 Pt 1): 1256–9.
38.
Outpatient treatment of sleep apnea syndrome with CO 2 laser, LAUP: laser-assisted UPPP results on 46 patients. Kamami YV. J Clin Laser Med Surg. 1994 Aug; 12(4): 215–9.
39.
Postoperative pain and side effects after uvulopalatopharyngoplasty, laser-assisted uvulopalatoplasty, and radiofrequency tissue volume reduction in primary snoring. Rombaux P, Hamoir M, Bertrand B, Aubert G, Liistro G, Rodenstein D. Laryngoscope 2003 Dec; 113(12): 2169–73.
40.
Radiofrequency-assisted Uvulopalatoplasty for snoring: Long-term follow-up. Stuck BA. Laryngoscope 2009 Aug; 119(8): 1617–20.
41.
Long-term effects of radiofrequency ablation of the soft palate on snoring. Hultcrantz E, Harder L, Loord H, Käll LG, Ydreborg K, Wallberg S, Svanborg E. Eur Arch Otorhinolaryngol. 2010 Jan; 267(1): 137–42.
42.
Radiofrequency ablation treatment of soft palate for patients with snoring: a systematic review of effectiveness and adverse effects. Bäck LJ, Hytönen ML, Roine RP, Malmivaara AO. Laryngoscope 2009 Jun; 119(6): 1241–50.
43.
Controlled trial of combined radiofrequency-assisted uvulopalatoplasty in the treatment of snoring and mild to moderate OSAS (pilot study). Balsevicius T, Uloza V, Vaitkus S, Sakalauskas R, Miliauskas S. Sleep Breath. 2013 May; 17(2): 695–703.
44.
Snoring intensity after a first session of soft palate radiofrequency: predictive value of the final result. Blumen MB, Vezina JP, Bequignon E, Chabolle F. Laryngoscope 2013 Jun; 123(6): 1556–9.
45.
Efficacy oft he Pillar Implant in the treatment of snoring and mild-to-moderate obstructive sleep apnea: a meta-analysis. Choi JH, Kim SN, Cho JH. Laryngoscope, 2013 Jan; 123(1): 269–76.
46.
Long-term results of pillar implant procedure. Server EA, Alkan Z, Yigit Ö, Yasak AG. Kulak Burun Bogaz Ihtis Derg. 2016 Sep-Oct;26(5):258–64.
47.
Do palatal implants really reduce snoring in long-term follow-up? Saylam G, Korkmaz H, Firat H, Tatar EC, Ozdek A, Ardic S. Laryngoscope 2009 May; 119(5): 1000–4.
48.
Effectiveness of Pillar palatal implants for snoring management. Gillespie MB, Smith JE, Clarke J, Nguyen SA. Otolaryngol Head Neck Surg. 2009 Mar;140(3):363–8.
49.
Effect of the pillar implant on snoring and mild obstructive sleep apnea: a multicenter study in Korea. Choi JH, Cho JH, Chung YS, Kim JW, Kim SW. Laryngoscope 2015 May; 125(5): 1239–43.
50.
Four-year outcomes of palatal implants for primary snoring treatment: a prospective longitudinal study. Rotenberg BW, Luu K. Laryngoscope 2012 Mar; 122(3): 696–9.
51.
Radiofrequency surgery of the tongue base in the treatment of snoring—a pilot study. Welt S1, Maurer JT, Hörmann K, Stuck BA. Sleep Breath. 2007 Mar;11(1):39–43.
52.
Temperature controlled radiofrequency ablation at different sites for treatment of obstructive sleep apnea syndrome: a systematic review and meta-analysis. Baba RY, Mohan A, Metta VV, Mador MJ. Sleep Breath. 2015 Sep;19(3):891–910.
53.
Complications of temperature-controlled radiofrequency volumetric tissue reduction for sleep-disordered breathing. Stuck BA, Starzak K, Verse T, Hörmann K, Maurer JT. Acta Otolaryngol 2003 May; 123(4): 532–5.
54.
Laser-assisted uvulopalatoplasty for snoring: medium- to long-term subjective and objective analysis. Berger G, Finkelstein Y, Stein G, Ophir D. Arch Otolaryngol Head Neck Surg. 2001 Apr; 127(4): 412–7.
Metadaten
Titel
Rhonchopathie
Therapieoptionen beim primären Schnarchen
verfasst von
Dr. med. Richard de la Chaux
Publikationsdatum
11.04.2017
Verlag
Springer Medizin
Erschienen in
HNO Nachrichten / Ausgabe 2/2017
Print ISSN: 0177-1000
Elektronische ISSN: 2198-6533
DOI
https://doi.org/10.1007/s00060-017-5368-z

Weitere Artikel der Ausgabe 2/2017

HNO Nachrichten 2/2017 Zur Ausgabe

Panorama

Hygiene beim Ultraschall: mangelhaft

Praxis konkret

Das Verbot von Vorher-/Nachher-Bildern im europäischen Kontext

Fortbildung

Zweizeitig zur neuen Ohrmuschel

Fortbildung

Was wächst da im Mundboden?

Im Blickpunkt

„Perfektion ist nicht der Sinn des Lebens.“

Praxis konkret

Praxischefs ziehen Lehren aus Online-Bewertungen

Das könnte Sie auch interessieren

20.01.2017 | Schlafapnoe | Leitthema

Der Sound des Schnarchens
Ergebnisse einer Metaanalyse

Nase frei - Schlafapnoe runter?

20.01.2017 | Schlafapnoe | Originalien

Eine App gegen den Schlaf in Rückenlage
Bildnachweise