Upper airway collapse during nasopharyngoscopy (Muller’s Maneuver) in Egyptian Adult patients with Obstructive Sleep Apnea
Abdellatif, S., Quriba, A., Elshora, A., Hassan, E., Al Nakeb, N. (2024). Upper airway collapse during nasopharyngoscopy (Muller’s Maneuver) in Egyptian Adult patients with Obstructive Sleep Apnea. EKB Journal Management System, 30(9), 4622-4628. doi: 10.21608/zumj.2024.322362.3587
Sohaylla Musad Lotfy Abdellatif; Amal Saeed Quriba; Ashraf Elsayed Elshora; Elham Magdy Hassan; Nasser Labeb Al Nakeb. "Upper airway collapse during nasopharyngoscopy (Muller’s Maneuver) in Egyptian Adult patients with Obstructive Sleep Apnea". EKB Journal Management System, 30, 9, 2024, 4622-4628. doi: 10.21608/zumj.2024.322362.3587
Abdellatif, S., Quriba, A., Elshora, A., Hassan, E., Al Nakeb, N. (2024). 'Upper airway collapse during nasopharyngoscopy (Muller’s Maneuver) in Egyptian Adult patients with Obstructive Sleep Apnea', EKB Journal Management System, 30(9), pp. 4622-4628. doi: 10.21608/zumj.2024.322362.3587
Abdellatif, S., Quriba, A., Elshora, A., Hassan, E., Al Nakeb, N. Upper airway collapse during nasopharyngoscopy (Muller’s Maneuver) in Egyptian Adult patients with Obstructive Sleep Apnea. EKB Journal Management System, 2024; 30(9): 4622-4628. doi: 10.21608/zumj.2024.322362.3587

Upper airway collapse during nasopharyngoscopy (Muller’s Maneuver) in Egyptian Adult patients with Obstructive Sleep Apnea

Zagazig University Medical Journal
Article 33, Volume 30, Issue 9, December 2024, Page 4622-4628  XML PDF (733.1 K)
Document Type: Original Article
DOI: 10.21608/zumj.2024.322362.3587
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Authors
Sohaylla Musad Lotfy Abdellatif email 1; Amal Saeed Quriba2; Ashraf Elsayed Elshora3; Elham Magdy Hassanorcid 4; Nasser Labeb Al Nakeb5
1Resident at phoniatric unit ENT department zagazig university Hospitals
2Professor of phoniatrics, E.N.T. Department - Faculty of Medicine, Zagazig University
3Professor of Chest Diseases, Chest Department - Faculty of Medicine, Zagazig University
4Assistant professor of Phoniatrics, ENT Department- Faculty of Medicine, Zagazig University
5Lecturer of phoniatrics, E.N.T Department- Faculty of Medicine, Zagazig University
Abstract
Background: A large percentage of the population suffers from obstructive sleep apnea (OSA). Obesity, anomalies in the anatomy of the upper airway, and hormonal impacts are all factors that can predict the occurrence of OSA. This work aimed to describe the different levels and patterns of collapse during nasopharyngoscopy (Muller’s Maneuver) among patients who had obstructive sleep apnea.

Methods: This cross-sectional research involved 62 cases diagnosed as obstructive sleep apnea underwent Fibro-optic nasopharyngoscopy in the phoniatric unit, ENT department, faculty of medicine, Zagazig University, from August 2023 until August 2024.

Results: Apnea hypopnea index ranged from 5.3 to 110 with mean 33.75. Minimum oxygen saturation ranged from 40 to 93% with mean 76.31%. The commonest pattern of retropalatal closure was concentric in 59.7%, while 66.1% of patients had lateral obstruction in retro-laryngeal part and 61.3% of -patients had no closures in hypopharyngeal part. Mean grade of closure of retro-palatal and retro-laryngeal part were 76.05% and 67.74% respectively. Median grade of closure of hypopharyngeal part was 0%.

Conclusion: Muller’s Maneuver could be crucial in identifying the level, pattern, and grade of upper airway obstruction which serves in the plan of management and type of surgery.
Keywords
OSA; Muller Maneuver; Nasopharyngoscopy; Upper Airway collapse
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