Globus sensation in obstructive sleep apnea patients; A cross-sectional study of 120 patients.

IF 2.1 4区医学 Q3 CLINICAL NEUROLOGY Sleep and Breathing Pub Date : 2024-10-01 Epub Date: 2024-06-17 DOI:10.1007/s11325-024-03087-0

Reza Erfanian, Rozhina Pouremamali, Raha Zamani, Seyedeh Atiyeh Moazeni, Pedram Borghei

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Abstract

Purpose: Globus pharyngeus (GP) is a common complaint in many disciplines, especially otolaryngology. Pharyngeal symptoms and abnormalities, including GP, are frequent in obstructive sleep apnea (OSA) patients. This study aims to investigate globus sensation in non-operated OSA patients.

Methods: After translation and validation, the Laryngopharyngeal Measure of Perceived Sensation (LUMP) was administered to 120 untreated OSA patients. All patients underwent polysomnography and thorough physical examination. The association between LUMP scores and OSA measures was evaluated.

Results: LUMP score had a significant correlation with the Epworth Sleepiness Scale (ESS) (Spearman's ρ = 0.269, p = 0.004), and BMI (Spearman's ρ = 0.249, p = 0.007), the anatomical position of the tongue (ρ = -0.191, p = 0.04) and the Friedman grade of tonsils (ρ = 0.241, p = 0.01). It correlated with SpO2 nadir, though it did not reach statistical significance.

Conclusion: The results of our study depict a relationship between a self-report measure of globus sensation and daytime sleepiness, BMI and tonsil size. In the absence of a direct relationship between OSA severity parameters and GP, we hypothesize a role for shared comorbidities and anatomical phenotypes. The increased frequency of GP in OSA patients should be considered when evaluating the complications of surgical interventions in these patients.

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阻塞性睡眠呼吸暂停患者的眼球感觉；对 120 名患者进行的横断面研究。

目的：咽部不适（GP）是许多学科，尤其是耳鼻喉科的常见病。阻塞性睡眠呼吸暂停（OSA）患者经常出现咽部症状和异常，其中包括咽球感。本研究旨在调查非手术治疗的OSA患者的球状感觉：方法：经过翻译和验证后，对 120 名未经治疗的 OSA 患者进行了喉咽部感觉测量（LUMP）。所有患者均接受了多导睡眠图检查和全面的身体检查。评估了 LUMP 评分与 OSA 测量之间的关联：LUMP评分与埃普沃思嗜睡量表（ESS）（Spearman's ρ = 0.269，p = 0.004）、体重指数（Spearman's ρ = 0.249，p = 0.007）、舌头的解剖位置（ρ = -0.191，p = 0.04）和扁桃体的弗里德曼分级（ρ = 0.241，p = 0.01）有显著相关性。它与 SpO2 nadir 相关，但未达到统计学意义：我们的研究结果表明，自我报告的球状感觉测量值与白天嗜睡、体重指数和扁桃体大小之间存在关系。由于 OSA 严重程度参数与 GP 之间没有直接关系，我们推测共同的合并症和解剖表型也会产生作用。在评估OSA患者手术治疗的并发症时，应考虑到这些患者GP发生率的增加。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sleep and Breathing 医学-呼吸系统

CiteScore

5.20

自引率

4.00%

发文量

222

审稿时长

3-8 weeks

期刊介绍： The journal Sleep and Breathing aims to reflect the state of the art in the international science and practice of sleep medicine. The journal is based on the recognition that management of sleep disorders requires a multi-disciplinary approach and diverse perspectives. The initial focus of Sleep and Breathing is on timely and original studies that collect, intervene, or otherwise inform all clinicians and scientists in medicine, dentistry and oral surgery, otolaryngology, and epidemiology on the management of the upper airway during sleep. Furthermore, Sleep and Breathing endeavors to bring readers cutting edge information about all evolving aspects of common sleep disorders or disruptions, such as insomnia and shift work. The journal includes not only patient studies, but also studies that emphasize the principles of physiology and pathophysiology or illustrate potentially novel approaches to diagnosis and treatment. In addition, the journal features articles that describe patient-oriented and cost-benefit health outcomes research. Thus, with peer review by an international Editorial Board and prompt English-language publication, Sleep and Breathing provides rapid dissemination of clinical and clinically related scientific information. But it also does more: it is dedicated to making the most important developments in sleep disordered breathing easily accessible to clinicians who are treating sleep apnea by presenting well-chosen, well-written, and highly organized information that is useful for patient care.