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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2007-10-10
pubmed:abstractText
In mucopolysaccharidoses, upper airway obstruction has multiple causative factors and progressive respiratory disease may severely affect morbidity and mortality. In a cross-sectional study over 2 years we evaluated upper airway obstructive disease through overnight polysomnography, upper airway computed tomography and nasal endoscopy in 5 children and 6 adults with mucopolysaccharidoses of various types. Measurements of apnoea and apnoea-hypopnoea index, arousal index, and sleep efficiency were obtained through polysomnography. Retropalatal and retroglossal spaces were calculated through computed tomography, and the degree of adenoid hypertrophy was assessed through endoscopy. Apnoea index and apnoea-hypopnoea index were significantly higher in children than in adults with mucopolysaccharidoses (p = 0.03 and p = 0.03, respectively). Compared to healthy controls, retropalatal and retroglossal spaces were significantly smaller in children (p = 0.03 and p = 0.004, respectively) or adults with mucopolysaccharidoses (p = 0.004 and p = 0.004, respectively). All subjects had adenoid hypertrophy causing first-degree (36%) or second-degree (64%) obstruction at endoscopy. Overnight polysomnography, upper airway computed tomography and nasal endoscopy are useful tools for diagnosing obstructive sleep apnoea syndrome in mucopolysaccharidoses, and identifying the site and severity of airway obstruction.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
1573-2665
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
30
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
743-9
pubmed:dateRevised
2008-11-21
pubmed:meshHeading
pubmed-meshheading:17570075-Adenoids, pubmed-meshheading:17570075-Adolescent, pubmed-meshheading:17570075-Adult, pubmed-meshheading:17570075-Case-Control Studies, pubmed-meshheading:17570075-Child, pubmed-meshheading:17570075-Child, Preschool, pubmed-meshheading:17570075-Cross-Sectional Studies, pubmed-meshheading:17570075-Endoscopy, pubmed-meshheading:17570075-Female, pubmed-meshheading:17570075-Fiber Optic Technology, pubmed-meshheading:17570075-Humans, pubmed-meshheading:17570075-Hypertrophy, pubmed-meshheading:17570075-Lung Diseases, Obstructive, pubmed-meshheading:17570075-Male, pubmed-meshheading:17570075-Mucopolysaccharidoses, pubmed-meshheading:17570075-Nose, pubmed-meshheading:17570075-Patient Care Team, pubmed-meshheading:17570075-Polysomnography, pubmed-meshheading:17570075-Predictive Value of Tests, pubmed-meshheading:17570075-Severity of Illness Index, pubmed-meshheading:17570075-Sleep, pubmed-meshheading:17570075-Sleep Apnea, Obstructive, pubmed-meshheading:17570075-Tomography, X-Ray Computed, pubmed-meshheading:17570075-Wakefulness
pubmed:year
2007
pubmed:articleTitle
Upper airway obstructive disease in mucopolysaccharidoses: polysomnography, computed tomography and nasal endoscopy findings.
pubmed:affiliation
Department of Pediatrics, Federico II University, Via Pansini 5, 80131, Naples, Italy.
pubmed:publicationType
Journal Article, Evaluation Studies