SAOS posicional e não-posicional: diferenças na classificação VOTE
DOI:
https://doi.org/10.34631/sporl.3091Palavras-chave:
síndrome de apneia obstrutiva do sono, posicional, DISE, VOTEResumo
Objetivo: Avaliar as alterações da via aérea superior em doentes com Apneia Obstrutiva do Sono Posicional (SAOS-P) e Apneia Obstrutiva do Sono Não-Posicional (SAOS-NP).
Desenho do Estudo: Estudo retrospetivo.
Material e Métodos: Avaliação de doentes seguidos em consulta de Roncopatia submetidos a DISE entre 2022 e 2024, utilizando a classificação VOTE. SAOS-P foi definido como redução ≥ 50% do índice de apneia-hipopneia (IAH) ao mudar de decúbito dorsal para lateral.
Resultados: Foram incluídos 48 doentes, dos quais 37,5% tinham SAOS-P. Os doentes com SAOS-P eram tendencialmente mais jovens (p=0,188,), com IAH mais baixo (p=0,028) e passavam menos tempo em decúbito dorsal (p<0,001). A melhoria do colapso das paredes laterais da orofaringe foi mais acentuada em doentes com SAOS-P ao mudar para decúbito lateral (p=0,189).
Conclusões: Doentes com SAOS-P são mais jovens e com SAOS mais ligeiro. A parede lateral da orofaringe tem um papel importante na dependência posicional.
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Direitos de Autor (c) 2025 João Barbosa, Bárbara Roque, João Fernandes, Constança Oom, Inês Delgado, Daniela Serras, Alberto Santos, Carlos Macor
Este trabalho encontra-se publicado com a Licença Internacional Creative Commons Atribuição-CompartilhaIgual 4.0.
