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    dc.contributor.authorCacua Suarez, Belkin Nayely.-
    dc.date.accessioned2022-12-01T00:56:33Z-
    dc.date.available2021-10-06-
    dc.date.available2022-12-01T00:56:33Z-
    dc.date.issued2022-
    dc.identifier.citationCacua Suarez, B.N. (2021). Relación entre movilidad velar e índice de ronquido en maniobra de fonema abierto. [Trabajo de Grado Pregrado, Universidad de Pamplona]. Repositorio Hulago Universidad de Pamplona. http://repositoriodspace.unipamplona.edu.co/jspui/handle/20.500.12744/4944es_CO
    dc.identifier.urihttp://repositoriodspace.unipamplona.edu.co/jspui/handle/20.500.12744/4944-
    dc.descriptionINTRODUCCIÓN: Se buscó identificar cuál es la relación entre la respuesta de la movilidad velar en las maniobras de bostezo y maniobra de producción de fonema vocal abierto con el ronquido. MÉTODOS: Se incluyeron 160 pacientes adultos ingresados al programa de SAHOS, en una clínica de Neumología y Sueño de la ciudad de Medellín-Colombia, 87 pacientes fueron valorados mediante el examen de poligrafía y 73 mediante el examen de polisomnografía, con posterior valoración del estado Miofuncional Orofacial (TMO). El análisis estadístico para las variables cualitativas se usó frecuencia absoluta y porcentual y para las cuantitativas se usaron medias y desviaciones estándar. Adicionalmente se generó la distribución de la presencia de obesidad, movilidad velar y uvular por cada uno de los dos exámenes (PSG y PLG) y se realizó una de descripción del índice de ronquido (IR) por cada una de las variables de interés a través de medianas y rangos intercuartílicos; Para todas las estimaciones se usaron intervalos de confianza del 95%. RESULTADOS: La mediana del IR para el grupo de PSG es 86,5 , y para la PLG de 41,7. En el grupo de PSG aquellos sujetos con ascenso velar normal y sin obesidad mostraron los IR más altos (370,4 y 140,3, respectivamente), en grupo de PLG los masculinos y los pacientes con obesidad mostraron los IR más altos (47,4 y 41,7, respectivamente) El modelo de regresión cuantílica mostró resultados de los sujetos valorados mediante examen de PSG y aquellos con ascenso velar reducido así: (-317.7 IC95% -490,3 a -145,0, no asciende el velo (- 288,9 IC95% -481,6 a -96,1) y a quienes no se les visualiza por dorso lingual alto (-282,7 IC95% -537,6 a -27,7) tenían asociación con el IR, en el grupo de PLG y en el total de la muestra no se reportaron asociaciones. ANÁLISIS Y DISCUSIÓN : Se presento una asociación entre IR y ascenso velar reducido así (-317.7 IC95% -490,3 a -145,0): menos ascenso velar, menos índice de ronquido en PSG; asociación entre Ascenso velar reducido no asciende el velo (-288,9 IC95% -481,6 a -96,1) menos ascenso velar, menos índice de ronquido en PSG; asociación entre IR y quienes no se les visualiza por dorso lingual alto (-282,7 IC95% -537,6 a -27,7); A menor posibilidad de visualizar el velo del paladar por dorso lingual alto menor índice de ronquido en PSG; relación entre pacientes valorados mediante con PSG con ascenso velar normal y sin obesidad que mostraron los IR más altos; relación entre resultados de pacientes valorados por PLG masculinos con obesidad, con IR más altos CONCLUSIONES: para dar respuesta a los eventos presentados se realizó una búsqueda de la literatura, pero esta es escasa en relación a la fisiopatología del ronquido como evento aislado.es_CO
    dc.description.abstractINTRODUCTION: We sought to identify the relationship between the response of velar mobility in the yawning maneuvers and the open vowel phoneme production maneuver with snoring. METHODS: 160 adult patients admitted to the OSAHS program were included in a Pneumology and Sleep clinic in the city of Medellín-Colombia, 87 patients were assessed by polygraph examination and 73 by polysomnography examination, with subsequent assessment of the Orofacial Myofunctional status (TMO). The statistical analysis for the qualitative variables was used absolute and percentage frequency and for the quantitative, means and standard deviations were used. Additionally, the distribution of the presence of obesity, velar and uvular mobility was generated for each of the two examinations (PSG and PLG) and a description of the snoring index (IR) was made for each of the variables of interest through medians and interquartile ranges; 95% confidence intervals were used for all estimates. RESULTS: The median IR for the PSG group is 86.5, and 41.7 for the PLG. In the PSG group, those subjects with normal velar ascent and without obesity showed the highest IRs (370.4 and 140.3, respectively), in the PLG group the males and obese patients showed the highest IRs (47, 4 and 41.7, respectively) The quantile regression model showed results of the subjects evaluated by PSG examination and those with reduced velar ascent as follows: (-317.7 95% CI -490.3 to -145.0, the veil does not ascend (-288.9 95% CI -481.6 to -96.1) and those who were not visualized by high lingual dorsum (-282.7 95% CI -537.6 to -27.7) had an association with IR, in the PLG group and in the total sample, no associations were reported. ANALYSIS AND DISCUSSION: There was an association between IR and reduced velar ascent as follows (-317.7 95% CI -490.3 to -145.0): less velar ascent, less snoring index in PSG; association between reduced velar ascent, the veil does not ascend (-288.9 95% CI -481.6 to -96.1) less velar ascent, less snoring index in PSG; association between IR and those who are not visualized due to high lingual dorsum (-282.7 95% CI -537.6 to -27.7); The less possibility of visualizing the soft palate from the upper lingual dorsum, the lower the snoring index in PSG; relationship between patients assessed by PSG with normal velar ascent and without obesity who showed the highest IR; relationship between results of obese male PLG-assessed patients with higher IR CONCLUSIONS: In order to respond to the events presented, a literature search was carried out, but this is scarce in relation to the pathophysiology of snoring as an isolated event.es_CO
    dc.format.mimetypeapplication/pdfes_CO
    dc.language.isoeses_CO
    dc.publisherUniversidad de Pamplona – Facultad de Salud.es_CO
    dc.subjectRonquido.es_CO
    dc.subjectRonquido primario.es_CO
    dc.subjectVelo del paladar.es_CO
    dc.subjectFunción velar.es_CO
    dc.subjectFisiopatología.es_CO
    dc.subjectPosición lingual.es_CO
    dc.subjectEsfínter velofaríngeo.es_CO
    dc.titleRelación entre movilidad velar e índice de ronquido en maniobra de fonema abierto.es_CO
    dc.typehttp://purl.org/coar/resource_type/c_7a1fes_CO
    dc.date.accepted2021-07-06-
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