Clinical Survey of Care for Sleep disordered Breathing in the Field of Otorhinolaryngology

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  • Hyo Yukiyoshi
    Department of Otolaryngology-Head ＆ Neck Surgery Kawasaki Medical School Hyo Clinic
  • Miyake Hironori
    Department of Otolaryngology-Head ＆ Neck Surgery Kawasaki Medical School
  • Hamamoto Masakazu
    Department of Otolaryngology-Head ＆ Neck Surgery Kawasaki Medical School
  • Yamada Takechiyo
    Department of Otorhinolaryngology and Head and Neck Surgery, Akita University, Graduate School of Medicine
  • Ohki Motofumi
    Department of Otolaryngology, Kitasato University Medical center
  • Fujieda Shigeharu
    Division of Otorhinolaryngology-Head ＆ Neck Surgery, Department of Sensory and Locomotor Medicine, Faculty of Medical Science, University of Fukui
  • Matsuoka Toru
    Aichi Otorhinolaryngologists Association
  • Aruga Hideharu
    THE OSAKA ENT ASSOCIATION
  • Ando Mizuo
    Otolaryngology-Head and Neck Surgery Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Okayama University
  • Hato Naohito
    Department of Otolaryngology-Head and Neck Surgery Ehime University, Graduate School of Medicine
  • Muratsuka Yukio
    THE Fukuoka ENT ASSOCIATION
  • Hara Hirotaka
    Department of Otolaryngology-Head ＆ Neck Surgery Kawasaki Medical School

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Other Title
  • 耳鼻咽喉科における睡眠呼吸障害診療の実態調査
  • ジビ インコウカ ニ オケル スイミン コキュウ ショウガイ シンリョウ ノ ジッタイ チョウサ

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Abstract

<p>　　Patients with sleep disordered breathing are seen in various medical departments. Obstructive sleep apnea (OSA), which accounts for a high percentage of cases with sleep disordered breathing, is a disease of the upper respiratory tract. Therefore, it would be natural to consider otolaryngologists as being involved in its treatment, but the actual situation is unclear. In order to grasp the actual situation, with the cooperation of eight prefectural regional subcommittees and medical associations, we conducted a fact-finding survey on sleep medicine in otolaryngological care.</p><p>　　We sent a web-based questionnaire to facilities affiliated to the Japan ENT Head and Neck Surgery District and Medical Association in Akita, Saitama, Fukui, Aichi, Osaka, Okayama, Ehime, and Fukuoka Prefectures, and received response to a total of 466 facilities (322 clinics and 144 hospitals). To the question of “How many patients come to see you for the first time in one month with snoring symptoms?”, 79% of the respondents said that they saw five or fewer patients. 63.3% of respondents were on CPAP treatment.</p><p>　　Otolaryngologists, who specialize in disorders of the upper respiratory tract, should ideally play a major role in the diagnosis and treatment of sleep disordered breathing, which is a commonly encountered clinical condition. The results of our survey suggest that it is necessary for otorhinolaryngologists to make more efforts to diagnose and treat sleep disordered breathing, including by raising patient awareness.</p>

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