Analysis of Snore Sound Following Minimal Invasive Surgery in Sleep-Disordered Breathing Patients.

Analysis of snore sound following minimal invasive surgery in sleep-disordered breathing patients. Background：The methods of anti-snore (treatment of snoring ) can be divided into conservative, invasive and minimal invasive treatment. Conservative treatment for snoring including sleep in one ride, body weight reduction and improvement of nasal obstruction may have limited results in some patients. Invasive treatment such as uvulopalatopharyngoplasty can significantly improve snoring with severe post-operative pain or potential major complications. Minimal invasive surgery involving radiofrequency and pillar implant demonstrates significantly improvement of snoring without major complication. Previous studies usually evaluated snoring through subjective measures such as visual analog scale visual analog scale. Rare reports analyzed snore sound instrumentally and no report demonstrates the correlation between subjective perception and objective assessment of snoring before and after surgical intervention. Purposes： 1. Development of snore sound spectrum. 2. Exploration of the correlation between subjective perception and objective assessment of snoring. 3. Comparison of changes in snoring before and after minimal invasive surgery and between two kinds of MIS to have a understanding of surgical impact in subjective and objective measurement. Method ：We plan to enroll 30 subjects diagnosed by polysomnography as simple snoring or mild OSA with major complaint of snoring and favorable anatomic structure for minimal invasive surgery. All eligible subjects will be instructed the purpose, process and all related rightsof this study and sign inform consent in outpatient clinic. Subjects start to complete Snore Outcome Survey (SOS, a validated questionnaire) and visual analog sure of snoring (VAS). Objective overnight snore sound recoding is arranged in sleep center. Subjects then receive minimal invasive surgery：radiofrequency or pillar implant of the soft palate by randomization. Both radiofrequency and pillar implant are common techniques in treating snoring and performed under local anesthesia as an outpatient procedure on sitting position. All subjects received repeated snore sound recording and completion of SOS and VAS three months after MIS. Outcomes (1) Development of snore sound spectrum in sleep-disorder breathing patients. (2) Correlation of parameters between snore sound recording (loudness, frequency, count, regularity, etc ) and clinical parameters. (3) Correlation between objective (snore sound analysis) and subjective (SOS,VAS) assessment of snoring. (4) Comparison of changes in snoring (particular in objective assessment) after radiofrequency or pillar implant. (5) Comparison of changes in snoring between radiofrequency and pillar implant.

Project ID:PC10001-1392
External Project ID:NSC99-2314-B182-046-MY2