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Sleep-related breathing disorders in diaphragmatic pathologies

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Abstract

Objective

The diaphragm is the most significant muscle involved in breathing. There are very few studies and cases evaluating sleep-related breathing disorders in diaphragmatic pathologies. This study compares preoperative and postoperative polysomnography (PSG) and pulmonary function test (PFT) results in diaphragmatic pathologies.

Material and methods

The study included 28 patients who underwent video-assisted mini-thoracotomy (VATS) due to diaphragm eventration and paralysis between January 2014 and October 2019. Pulmonary function tests (PFT) and polysomnography (PSG) were performed preoperatively in all patients, and PSG and PFT were repeated 2 months after the surgery.

Results

Twenty-five of the 28 patients were found to have apnea–hypopnea index (AHI) ≥ 5 (89%). A significant decrease in the preoperative TST, stage 3, and REM periods was observed. Nineteen of these patients (76%) were supine isolated or supine dominant. There was a marked improvement in AHI and PFT values after the surgery. Only five patients required a PAP device.

Conclusion

Doctors should perform PSG in patients with diaphragm pathologies, and these patients should be operated on after considering the comorbidities when OSA is detected.

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Authors and Affiliations

  1. Department of Pulmonary Medicine, Istanbul Sureyyapasa Teaching and Training Hospital, University of Health Science, Maltepe, Istanbul, Turkey

    Sema Sarac, Cuneyt Salturk, Ozlem Oruc & Zuhal Karakurt

  2. Department of Chest Surgery, Istanbul Sureyyapasa Teaching and Training Hospital, University of Health Science, Istanbul, Turkey

    Serda Kanbur Metin & Irfan Yalcınkaya

  3. Department of Pulmonary Medicine, Istanbul Sureyyapasa Chest Diseases and Chest Surgery, Hospital Maltepe, Istanbul, Turkey

    Serkan Bayram

Authors
  1. Sema Sarac
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  2. Cuneyt Salturk
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  3. Ozlem Oruc
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  4. Serda Kanbur Metin
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  5. Serkan Bayram
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  6. Zuhal Karakurt
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  7. Irfan Yalcınkaya
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Contributions

Literature research: SS, OO, SKM, CS, SB.

Data collections: SS, IY, SKM, SB, OO.

Study design: SS, IY, ZK.

Analysis of data: SS, CS, ZK.

Manuscript of preparation: SS, ZK, IY, CS, OO.

Review of manuscript: all authors.

Corresponding author

Correspondence to Sema Sarac.

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Ethics approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable.

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Informed consent was obtained from all individual participants included in the study.

Conflict of interest

The authors declare no competing interests.

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Sarac, S., Salturk, C., Oruc, O. et al. Sleep-related breathing disorders in diaphragmatic pathologies. Sleep Breath 26, 959–963 (2022). https://doi.org/10.1007/s11325-021-02422-z

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  • DOI: https://doi.org/10.1007/s11325-021-02422-z

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