Myoelectric characteristics of tensor palatini and collapsibility of upper airway in OSA patients with different phenotypes under DISE
Objective This study aims to evaluate the combination of myoelectric characteristics of tensor palatini muscle (TP) and collapsibility of upper airway in obstructive sleep apnea (OSA) patients with different external phenotypes of collapse pattern at velum level under drug-induced sleep endoscopy (D...
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| Veröffentlicht in: | European archives of oto-rhino-laryngology 2022, Vol.279 (1), p.425-432 |
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| creator | Zhu, Mei Gong, Shusheng Ye, Jingying Wang, Yuyu Peng, Kevin |
| description | Objective
This study aims to evaluate the combination of myoelectric characteristics of tensor palatini muscle (TP) and collapsibility of upper airway in obstructive sleep apnea (OSA) patients with different external phenotypes of collapse pattern at velum level under drug-induced sleep endoscopy (DISE).
Study design
Case series with planned data collection.
Setting
Operation room.
Subjects and methods
36 mainly collapse pattern at velum level OSA subjects underwent DISE with synchronous tensor palatini electromyograms (TP EMG), and polysomnography (ALICE 6). According to the phenotype of collapse pattern at velum level in DISE, the subjects were divided into group 1 (concentric collapse), group 2 (anteroposterior collapse), and group 3 (lateral collapse). Each group consisted of 13, 14, and 9 subjects, respectively, and was observed the electromyographic indexes at awake, sleep onset, during apnea and the third respiratory cycle after apnea. The active and passive upper airway critical closing pressure (Pcrit) of each group were measured at the same time, and the difference of neuromuscular response between different groups was evaluated.
Results
In tonic TPEMG, group 1 showed the highest value during awake and sleep onset, while group 2 was the highest during apnea and after apnea. In peak TPEMG, group 1 showed the highest value during awake. Group 2 showed the highest value during other states. In passive Pcrit and
D
value (difference between passive Pcrit and active Pcrit), group 2 was the highest, while group 1 was the highest in active Pcrit. Difference was statistically significant.
Conclusions
Under different states of awake, sleep onset, apnea and after apnea, the response force of tensor palatini muscle of OSA subjects with different phenotypes under DISE was different. Group 1 showed the highest EMG values only when awake and sleep onset, and it was most prone to collapse. Group 2 had the highest anatomical load (passive Pcrit) and the highest neuromuscular compensatory effect (
D
value). |
| doi_str_mv | 10.1007/s00405-021-06795-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2535111395</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2535111395</sourcerecordid><originalsourceid>FETCH-LOGICAL-c298t-59f7e6c0e2ddd7e1489df7179eee4b417bde32dea116ef83df4333a99a0701853</originalsourceid><addsrcrecordid>eNp9kM1O3DAURq2qqEyhL8ACedlNWjt24niJ-CsSFQtgbXnsa8YoYwfbEcoL9LnxdCjLrq6u7jmfdD-ETij5QQkRPzMhnHQNaWlDeiG7pvuEVpQz3nDR9p_RikgmGs6FOERfc34mhHRcsi_okFWvHXq-Qn9-LxFGMCV5g81GJ20KJJ-LNxlHhwuEHBOe9KiLDx7rYLGJ46in7Nd-9GXZUfM0QcLap1e9YB_w3f1ZVYqHUDJ-9WWDrXcOUt3xtIEQyzJBxnOwVbu4ub88RgdOjxm-vc8j9Hh1-XD-q7m9u745P7ttTCuH0nTSCegNgdZaK4DyQVonqJAAwNecirUF1lrQlPbgBmYdZ4xpKTURhA4dO0Lf97lTii8z5KK2Phuo_wSIc1ZtxzpKKZM7tN2jJsWcEzg1Jb_VaVGUqF3_at-_qv2rv_2rnXT6nj-vt2A_lH-FV4DtgVxP4QmSeo5zCvXn_8W-AYD_k5Y</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2535111395</pqid></control><display><type>article</type><title>Myoelectric characteristics of tensor palatini and collapsibility of upper airway in OSA patients with different phenotypes under DISE</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Zhu, Mei ; Gong, Shusheng ; Ye, Jingying ; Wang, Yuyu ; Peng, Kevin</creator><creatorcontrib>Zhu, Mei ; Gong, Shusheng ; Ye, Jingying ; Wang, Yuyu ; Peng, Kevin</creatorcontrib><description>Objective
This study aims to evaluate the combination of myoelectric characteristics of tensor palatini muscle (TP) and collapsibility of upper airway in obstructive sleep apnea (OSA) patients with different external phenotypes of collapse pattern at velum level under drug-induced sleep endoscopy (DISE).
Study design
Case series with planned data collection.
Setting
Operation room.
Subjects and methods
36 mainly collapse pattern at velum level OSA subjects underwent DISE with synchronous tensor palatini electromyograms (TP EMG), and polysomnography (ALICE 6). According to the phenotype of collapse pattern at velum level in DISE, the subjects were divided into group 1 (concentric collapse), group 2 (anteroposterior collapse), and group 3 (lateral collapse). Each group consisted of 13, 14, and 9 subjects, respectively, and was observed the electromyographic indexes at awake, sleep onset, during apnea and the third respiratory cycle after apnea. The active and passive upper airway critical closing pressure (Pcrit) of each group were measured at the same time, and the difference of neuromuscular response between different groups was evaluated.
Results
In tonic TPEMG, group 1 showed the highest value during awake and sleep onset, while group 2 was the highest during apnea and after apnea. In peak TPEMG, group 1 showed the highest value during awake. Group 2 showed the highest value during other states. In passive Pcrit and
D
value (difference between passive Pcrit and active Pcrit), group 2 was the highest, while group 1 was the highest in active Pcrit. Difference was statistically significant.
Conclusions
Under different states of awake, sleep onset, apnea and after apnea, the response force of tensor palatini muscle of OSA subjects with different phenotypes under DISE was different. Group 1 showed the highest EMG values only when awake and sleep onset, and it was most prone to collapse. Group 2 had the highest anatomical load (passive Pcrit) and the highest neuromuscular compensatory effect (
D
value).</description><identifier>ISSN: 0937-4477</identifier><identifier>EISSN: 1434-4726</identifier><identifier>DOI: 10.1007/s00405-021-06795-5</identifier><identifier>PMID: 34052864</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Endoscopy ; Head and Neck ; Head and Neck Surgery ; Humans ; Medicine ; Medicine & Public Health ; Neurosurgery ; Otorhinolaryngology ; Phenotype ; Polysomnography ; Sleep ; Sleep Apnea Syndrome: From the pathogenesis to the last therapies ; Sleep Apnea, Obstructive - diagnosis ; Wakefulness</subject><ispartof>European archives of oto-rhino-laryngology, 2022, Vol.279 (1), p.425-432</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c298t-59f7e6c0e2ddd7e1489df7179eee4b417bde32dea116ef83df4333a99a0701853</cites><orcidid>0000-0002-3519-3450</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00405-021-06795-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00405-021-06795-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34052864$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhu, Mei</creatorcontrib><creatorcontrib>Gong, Shusheng</creatorcontrib><creatorcontrib>Ye, Jingying</creatorcontrib><creatorcontrib>Wang, Yuyu</creatorcontrib><creatorcontrib>Peng, Kevin</creatorcontrib><title>Myoelectric characteristics of tensor palatini and collapsibility of upper airway in OSA patients with different phenotypes under DISE</title><title>European archives of oto-rhino-laryngology</title><addtitle>Eur Arch Otorhinolaryngol</addtitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><description>Objective
This study aims to evaluate the combination of myoelectric characteristics of tensor palatini muscle (TP) and collapsibility of upper airway in obstructive sleep apnea (OSA) patients with different external phenotypes of collapse pattern at velum level under drug-induced sleep endoscopy (DISE).
Study design
Case series with planned data collection.
Setting
Operation room.
Subjects and methods
36 mainly collapse pattern at velum level OSA subjects underwent DISE with synchronous tensor palatini electromyograms (TP EMG), and polysomnography (ALICE 6). According to the phenotype of collapse pattern at velum level in DISE, the subjects were divided into group 1 (concentric collapse), group 2 (anteroposterior collapse), and group 3 (lateral collapse). Each group consisted of 13, 14, and 9 subjects, respectively, and was observed the electromyographic indexes at awake, sleep onset, during apnea and the third respiratory cycle after apnea. The active and passive upper airway critical closing pressure (Pcrit) of each group were measured at the same time, and the difference of neuromuscular response between different groups was evaluated.
Results
In tonic TPEMG, group 1 showed the highest value during awake and sleep onset, while group 2 was the highest during apnea and after apnea. In peak TPEMG, group 1 showed the highest value during awake. Group 2 showed the highest value during other states. In passive Pcrit and
D
value (difference between passive Pcrit and active Pcrit), group 2 was the highest, while group 1 was the highest in active Pcrit. Difference was statistically significant.
Conclusions
Under different states of awake, sleep onset, apnea and after apnea, the response force of tensor palatini muscle of OSA subjects with different phenotypes under DISE was different. Group 1 showed the highest EMG values only when awake and sleep onset, and it was most prone to collapse. Group 2 had the highest anatomical load (passive Pcrit) and the highest neuromuscular compensatory effect (
D
value).</description><subject>Endoscopy</subject><subject>Head and Neck</subject><subject>Head and Neck Surgery</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neurosurgery</subject><subject>Otorhinolaryngology</subject><subject>Phenotype</subject><subject>Polysomnography</subject><subject>Sleep</subject><subject>Sleep Apnea Syndrome: From the pathogenesis to the last therapies</subject><subject>Sleep Apnea, Obstructive - diagnosis</subject><subject>Wakefulness</subject><issn>0937-4477</issn><issn>1434-4726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM1O3DAURq2qqEyhL8ACedlNWjt24niJ-CsSFQtgbXnsa8YoYwfbEcoL9LnxdCjLrq6u7jmfdD-ETij5QQkRPzMhnHQNaWlDeiG7pvuEVpQz3nDR9p_RikgmGs6FOERfc34mhHRcsi_okFWvHXq-Qn9-LxFGMCV5g81GJ20KJJ-LNxlHhwuEHBOe9KiLDx7rYLGJ46in7Nd-9GXZUfM0QcLap1e9YB_w3f1ZVYqHUDJ-9WWDrXcOUt3xtIEQyzJBxnOwVbu4ub88RgdOjxm-vc8j9Hh1-XD-q7m9u745P7ttTCuH0nTSCegNgdZaK4DyQVonqJAAwNecirUF1lrQlPbgBmYdZ4xpKTURhA4dO0Lf97lTii8z5KK2Phuo_wSIc1ZtxzpKKZM7tN2jJsWcEzg1Jb_VaVGUqF3_at-_qv2rv_2rnXT6nj-vt2A_lH-FV4DtgVxP4QmSeo5zCvXn_8W-AYD_k5Y</recordid><startdate>2022</startdate><enddate>2022</enddate><creator>Zhu, Mei</creator><creator>Gong, Shusheng</creator><creator>Ye, Jingying</creator><creator>Wang, Yuyu</creator><creator>Peng, Kevin</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3519-3450</orcidid></search><sort><creationdate>2022</creationdate><title>Myoelectric characteristics of tensor palatini and collapsibility of upper airway in OSA patients with different phenotypes under DISE</title><author>Zhu, Mei ; Gong, Shusheng ; Ye, Jingying ; Wang, Yuyu ; Peng, Kevin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c298t-59f7e6c0e2ddd7e1489df7179eee4b417bde32dea116ef83df4333a99a0701853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Endoscopy</topic><topic>Head and Neck</topic><topic>Head and Neck Surgery</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neurosurgery</topic><topic>Otorhinolaryngology</topic><topic>Phenotype</topic><topic>Polysomnography</topic><topic>Sleep</topic><topic>Sleep Apnea Syndrome: From the pathogenesis to the last therapies</topic><topic>Sleep Apnea, Obstructive - diagnosis</topic><topic>Wakefulness</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhu, Mei</creatorcontrib><creatorcontrib>Gong, Shusheng</creatorcontrib><creatorcontrib>Ye, Jingying</creatorcontrib><creatorcontrib>Wang, Yuyu</creatorcontrib><creatorcontrib>Peng, Kevin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European archives of oto-rhino-laryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhu, Mei</au><au>Gong, Shusheng</au><au>Ye, Jingying</au><au>Wang, Yuyu</au><au>Peng, Kevin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Myoelectric characteristics of tensor palatini and collapsibility of upper airway in OSA patients with different phenotypes under DISE</atitle><jtitle>European archives of oto-rhino-laryngology</jtitle><stitle>Eur Arch Otorhinolaryngol</stitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><date>2022</date><risdate>2022</risdate><volume>279</volume><issue>1</issue><spage>425</spage><epage>432</epage><pages>425-432</pages><issn>0937-4477</issn><eissn>1434-4726</eissn><abstract>Objective
This study aims to evaluate the combination of myoelectric characteristics of tensor palatini muscle (TP) and collapsibility of upper airway in obstructive sleep apnea (OSA) patients with different external phenotypes of collapse pattern at velum level under drug-induced sleep endoscopy (DISE).
Study design
Case series with planned data collection.
Setting
Operation room.
Subjects and methods
36 mainly collapse pattern at velum level OSA subjects underwent DISE with synchronous tensor palatini electromyograms (TP EMG), and polysomnography (ALICE 6). According to the phenotype of collapse pattern at velum level in DISE, the subjects were divided into group 1 (concentric collapse), group 2 (anteroposterior collapse), and group 3 (lateral collapse). Each group consisted of 13, 14, and 9 subjects, respectively, and was observed the electromyographic indexes at awake, sleep onset, during apnea and the third respiratory cycle after apnea. The active and passive upper airway critical closing pressure (Pcrit) of each group were measured at the same time, and the difference of neuromuscular response between different groups was evaluated.
Results
In tonic TPEMG, group 1 showed the highest value during awake and sleep onset, while group 2 was the highest during apnea and after apnea. In peak TPEMG, group 1 showed the highest value during awake. Group 2 showed the highest value during other states. In passive Pcrit and
D
value (difference between passive Pcrit and active Pcrit), group 2 was the highest, while group 1 was the highest in active Pcrit. Difference was statistically significant.
Conclusions
Under different states of awake, sleep onset, apnea and after apnea, the response force of tensor palatini muscle of OSA subjects with different phenotypes under DISE was different. Group 1 showed the highest EMG values only when awake and sleep onset, and it was most prone to collapse. Group 2 had the highest anatomical load (passive Pcrit) and the highest neuromuscular compensatory effect (
D
value).</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>34052864</pmid><doi>10.1007/s00405-021-06795-5</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-3519-3450</orcidid></addata></record> |
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| ispartof | European archives of oto-rhino-laryngology, 2022, Vol.279 (1), p.425-432 |
| issn | 0937-4477 1434-4726 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Endoscopy Head and Neck Head and Neck Surgery Humans Medicine Medicine & Public Health Neurosurgery Otorhinolaryngology Phenotype Polysomnography Sleep Sleep Apnea Syndrome: From the pathogenesis to the last therapies Sleep Apnea, Obstructive - diagnosis Wakefulness |
| title | Myoelectric characteristics of tensor palatini and collapsibility of upper airway in OSA patients with different phenotypes under DISE |
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