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№3(6) 2023

Укр

DOI 10.37219/2528-8253-2023-3-80

Dieieva JuV, Shevchuk YuV

MANAGEMENT OF PATIENTS WITH OBSTRUCTIVE SLEEP APNOEA SYNDROME AND TONSILLAR HYPERTROPHY

 

Dieieva Julia V
Bogomolets National Medical University; Kyiv, Ukraine
Head of the department of Otorhinolaryngology
MD, PhD, professor
E-mail: deyeva@bigmir.net
ORCID ID: 0000-0003-0552-1254
https://www.scopus.com/authid/detail.uri?authorId=55359076200
Shevchuk Yuriy V
Bogomolets National Medical University; Kyiv, Ukraine
Department of otorhinolaryngology
Associate Professor of the Department, Candidate of Medical Sciences
Email: yuralor@ukr.net
ORCID ID: https://orcid.org/0009-0002-5128-5125

Abstract

Today, more and more patients seek help with complaints of breathing stops during sleep, this condition is defined as obstructive sleep apnoea syndrome (OSAS). The consequences of this condition can be: a significantly shortened deep phase of sleep, daytime sleepiness, deterioration of blood oxygenation, increased blood pressure, a higher risk of stroke and heart attack, frequent urges to urinate, decreased erectile function, obesity, disorders of the endocrine system (metabolic syndrome). There are several levels of obstruction of the upper respiratory tract where OSA occurs – soft palate, palatine tonsils, root of tongue, level of epiglottis. There are cases when there are several levels of obstruction, which requires a complex approach to treatment. We examined patients with mild to moderate OSA with hypertrophy of the palatine tonsils in isolation and in combination with ptosis of the soft palate.

Key words: obstructive sleep apnoea, chronic tonsillitis, tonsillectomy, tonsil hypertrophy, uvulopalatopharyngoplasty.

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