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30.06.2021 | Hypoxia • Original Article

Sleep-related breathing disorders in diaphragmatic pathologies

verfasst von: Sema Sarac, Cuneyt Salturk, Ozlem Oruc, Serda Kanbur Metin, Serkan Bayram, Zuhal Karakurt, Irfan Yalcınkaya

Erschienen in: Sleep and Breathing | Ausgabe 2/2022

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Abstract

Objective

The diaphragm is the most significant muscle involved in breathing. There are very few studies and cases evaluating sleep-related breathing disorders in diaphragmatic pathologies. This study compares preoperative and postoperative polysomnography (PSG) and pulmonary function test (PFT) results in diaphragmatic pathologies.

Material and methods

The study included 28 patients who underwent video-assisted mini-thoracotomy (VATS) due to diaphragm eventration and paralysis between January 2014 and October 2019. Pulmonary function tests (PFT) and polysomnography (PSG) were performed preoperatively in all patients, and PSG and PFT were repeated 2 months after the surgery.

Results

Twenty-five of the 28 patients were found to have apnea–hypopnea index (AHI) ≥ 5 (89%). A significant decrease in the preoperative TST, stage 3, and REM periods was observed. Nineteen of these patients (76%) were supine isolated or supine dominant. There was a marked improvement in AHI and PFT values after the surgery. Only five patients required a PAP device.

Conclusion

Doctors should perform PSG in patients with diaphragm pathologies, and these patients should be operated on after considering the comorbidities when OSA is detected.

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Titel: Sleep-related breathing disorders in diaphragmatic pathologies
verfasst von: Sema Sarac
Cuneyt Salturk
Ozlem Oruc
Serda Kanbur Metin
Serkan Bayram
Zuhal Karakurt
Irfan Yalcınkaya
Publikationsdatum: 30.06.2021
Verlag: Springer International Publishing
Erschienen in: Sleep and Breathing / Ausgabe 2/2022
Print ISSN: 1520-9512
Elektronische ISSN: 1522-1709
DOI: https://doi.org/10.1007/s11325-021-02422-z

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Abstract

Objective

Material and methods

Results

Conclusion

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