Laryngopharyngeal Reflux in Sleep-Disordered Breathing Patients

Introduction:Our study aims to evaluate the distribution of laryngopharyngeal reflux (LPR) in patients with sleep-disordered breathing (SDB) via the Reflux Symptom Index (RSI) and to describe the sleep architecture in SDB patients with and without LPR.Materials and Methods:A cross-sectional, descriptive study was conducted. Patients with SDB were identified via the Epworth Sleepiness Scale (ESS) and STOP-BANG questionnaire; they were then screened with the RSI and physical examination for LPR. PSG was performed to evaluate obstructive sleep apnea (OSA).Results:Of ۴۵ patients, ۱۵ were scored as having LPR via the RSI. Utilizing the Respiratory Disturbance Index (RDI), patients were further classified into four groups: ۹ non-LPR with non-OSA SDB, ۲۱ non-LPR with OSA, ۴ LPR with non-OSA SDB, and ۱۱ LPR with OSA. The prevalence of LPR was ۳۰.۸% in the non-OSA SDB group and ۳۴.۴% in the OSA group. All SDB parameters in both groups were similar. SDB patients with high body mass index tended to have LPR and/or OSA. Average ESS scores in the four groups suggested excessive daytime sleepiness, and patients with LPR had higher ESS scores. Regardless of LPR status, SDB patients had a lower percentage of REM sleep and a higher percentage of light sleep.Conclusions:The incidence of LPR in OSA patients was similar in non-OSA SDB patients. REM sleep percentage decreased in the four groups, with the non-OSA SDB group having the lowest percentage of REM sleep; light sleep percentage increased in the four groups, with the OSA group having the highest percentage of light sleep.

کلیدواژه ها:

Apnea-Hypopnea Index ، Laryngopharyngeal Reflux ، Nasolaryngopharyngeal Endoscopy ، Obstructive Sleep Apnea ، Reflux Symptom Index