The role of ENT surgeons in snoring assessment: some prospective preliminary evidence

S. Robertson, D. Young, G.W. McGarry, K. MacKenzie

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)
153 Downloads (Pure)

Abstract

Objectives: To determine (i) the prevalence of unsuspected upper aerodigestive tract disease in snorers, (ii) the diagnostic yield of routine flexible endoscopy and (iii) the relationship between symptoms of upper aerodigestive tract disease and examination findings in snorers.
Design: Prospective analytical cohort study. Setting: Snoring clinic in Secondary Care Otolaryngologycentre. Participants: Ninety-three patients referred with disruptive snoring.Main outcome measures: A structured history ofupper aerodigestive tract symptoms was obtained byclinic interview. All patients underwent detailed ENTexamination. Univariate analysis was undertaken on data collected.
Results: The prevalence of oropharyngeal and laryngealpathology in the cohort was 3%. No unsuspected upper aerodigestive tract pathology was found on routineflexible endoscopy. A history of Hard Nasal Symptoms was an accurate predictor of underlying nasal pathology.
Conclusion: The authors propose that the detailed examination of snorers by ENT specialists is unnecessary in the absence of Hard Nasal Symptoms, hoarseness orpain. We propose that a system of triage based on patient history could help identify the minority of snorers who require specialist assessment.
Original languageEnglish
Pages (from-to)458-461
Number of pages4
JournalClinical Otolaryngology
Volume33
Issue number5
DOIs
Publication statusPublished - 13 Oct 2008

Keywords

  • ENT surgeons
  • snoring
  • upper aerodigestive tract disease
  • endoscopy

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