The purpose of this study was to identify prognostic indicators that would lead stratification patients likely have successful surgery for sleep-disordered breathing (SDB) versus those destined fail.We retrospectively reviewed 134 correlate palate position and tonsil size the success UPPP as based on postoperative polysomnography results. Similar our previously published data Friedman Score a predictor presence severity SDB, determined physical examination oral cavity graded each patient....

OBJECTIVE: Although experts in the treatment of depression have suggested that achieving remission is primary goal treatment, questions remain about how should be defined. In antidepressant efficacy trials, defined according to scores on symptom severity scales. Normalization functioning often mentioned as an important component remission, although it not used identify patients with studies. The authors’ was determine what depressed consider defining from depression. METHOD: A brief...

Abstract Objective Early studies by Friedman et al. have demonstrated the value of staging obstructive sleep apnea/hypopnea syndrome (OSAHS) patients for prediction success uvulopalatopharyngoplasty (UPPP) on basis short‐term follow up. The goal this study is to test system in a prospective study. Study Design This two cohorts patients: one was treated with benefit clinical and other without. Methods Patients symptoms OSAHS were assessed polysomnography staged according previously described...

The goal was to compare the effect of an improved nasal airway on obstructive sleep apnea (OSA) by use subjective and objective measures.A prospective study 50 consecutive patients with obstruction OSA carried out.Subjectively, breathing in 49 (98%) patients, whereas snoring decreased or disappeared 17 (34%); remaining 33 (66%) did not notice any significant change their snoring. Daytime energy levels increased 39 (78%) remained unchanged worsened 11 (22%). In review polysomnographic data,...

Objective In previous reports of transoral robotic surgery (TORS) for the treatment obstructive sleep apnea–hypopnea syndrome (OSAHS), patients underwent routine tracheotomy. We aim to assess feasibility performing robotically assisted partial glossectomy without tracheotomy and efficacy by comparing OSAHS outcomes with those established techniques. Study Design Historical cohort study planned data collection. Setting Tertiary care center. Subjects Methods Forty consecutive TORS between...

To determine the prevalence of normal tension glaucoma (NTG) in patients with obstructive sleep apnea/hypopnea syndrome (OSAHS) and further investigate whether severity OSAHS would increase risk glaucoma.Two hundred fifty-six participants were consecutively admitted for polysomnographic exam to diagnose OSAHS. All participants, then underwent a complete ophthalmologic evaluation, including best-corrected visual acuity, intraocular pressure, slit lamp biomicroscopy, gonioscopy, fundoscopy,...

To evaluate white matter integrity in patients with obstructive sleep apnea (OSA) using diffusion tensor imaging (DTI) and to assess its relationship systemic inflammation.Cross-sectional study.One tertiary medical center research institute.Twenty severe OSA (apnea-hypopnea index [AHI] > 30, 18 men 2 women) 14 healthy volunteers (AHI < 5, 11 3 women).N/A.Patients underwent polysomnography determine the severity of apnea, DTI scanning fiber integrity. Early or late phase changes leukocyte...

Objectives/Hypothesis This feasibility study was designed to show the preliminary safety and efficacy of targeted hypoglossal neurostimulation (THN), identify baseline predictors successful therapy. Study Design Open‐label, prospective, multicenter, single‐arm cohort study, conducted at seven centers in U.S.A. Europe. Methods Forty‐six participants with moderate severe obstructive sleep apnea (OSA), failing or intolerant continuous positive airway pressure, were implanted. Primary...

In the practice of sleep medicine, first step is identification those patients at high risk for apnea. Nearly every physician and hospital has preferred methods screening. Many patient questionnaires or surveys as well some objective physical measurements have been suggested to predict presence Screening established, laboratory home testing are widely available. An early assessment with a examination can help direct treatment planning. The Friedman tongue position, lingual tonsil hypertrophy...

Objectives were as follows: 1) to define the variations of uncinate process' superior attachment, 2) study diameter frontal sinus ostium, 3) prevalence agger nasi cells, and 4) evaluate side-to-side variability these structures.A retrospective clinical at a tertiary care center.One hundred forty-four consecutive computed tomography scans studied with image-guided surgery software (InstaTrak, Visualization Technology, Inc., Wilmington, MA) that provides continuous coronal, sagittal, axial...

Submucous resection of the inferior turbinates is a conventional technique for reducing their size to achieve patent nasal airways in situations where an enlarged turbinate contributes airway obstruction. Many techniques and complications have been described past. We describe new reduction performed with powered instrumentation assess its success complication rates.A prospective study 120 consecutive patients who underwent submucous microdebrider.Patient questionnaires were used subjective...

OBJECTIVE Patients without tonsils and with Friedman tongue position (FTP) III IV are poor candidates for uvulopalatopharyngoplasty (UP3). Even when combined adjunctive hyopharyngeal techniques, results poor. We assessed a modified uvulopalatoplasty based on bilateral Z‐plasty in treating patients who have obstructive sleep apnea/hypopnea syndrome (OS‐AHS). METHODS 25 treated technique were matched previously classic UP3. All both groups also had radiofrequency base reduction. Preoperative...

Computed tomographic (CT) scanning has been used in the preoperative examination of patients with head and neck cancer. Although early reports on use CT for cervical lymphadenopathy were encouraging, accuracy detecting nodal metastases not well established. Fifty consecutive underwent radical dissection scanning. The clinical staging neck, diagnoses, pathologic findings correlated; was then compared accuracy. Our show overall diagnoses to be 90%. Comparison shows scan superior examination,...

We investigate whether underweight, normal-weight, overweight, and obese Americans differ in their evaluations of positive negative aspects interpersonal relationships. Analyses are based on data from the Midlife Development United States (MIDUS) study, a survey more than 3,000 adults ages 25 to 74 1995. find no significant differences across body mass index (BMI) categories quality relationships with friends, coworkers, spouses. Severely persons report significantly higher levels strain...

In treatment studies of depression, remission is typically defined narrowly, based on scores symptom severity scales. Patients treated in clinical practice, however, define the concept more broadly and consider functional status, coping ability, life satisfaction as important indicators status. present report from Rhode Island Methods to Improve Diagnostic Assessment Services project, we examined how many depressed patients ongoing who scored range 17-item Hamilton Depression Rating scale...