{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T13:51:32Z","timestamp":1762955492028,"version":"3.40.4"},"reference-count":23,"publisher":"S. Karger AG","issue":"6","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ORL"],"published-print":{"date-parts":[[2015]]},"abstract":"<b><i>Objective:<\/i><\/b> To investigate the source of snoring sound in patients with simple snoring (SS) and different degrees of obstructive sleep apnea syndrome (OSAS) in order to provide a basis for the surgical treatment of snoring. <b><i>Methods:<\/i><\/b> Fifty-two patients with either SS or OSAS (with an apnea-hypopnea index \u226440) underwent drug-induced sleep nasendoscopy (DISN). Vibration sites in the pharyngeal cavity were observed. <b><i>Results:<\/i><\/b> Vibration of the soft palate, pharyngeal lateral wall, epiglottis, and tongue base appeared in 100, 53.8, 42.3, and 26.9% of the patients, respectively. The source of snoring sound was divided into two types: palatal fluttering only (type I) and multisite vibration (type II). The latter was divided into 3 subtypes: palatal fluttering with epiglottis vibration (type II<sub>a<\/sub>), palatal fluttering with lateral wall vibration (type II<sub>b<\/sub>), and palatal fluttering with vibration of the lateral wall, epiglottis, and tongue base together (type II<sub>c<\/sub>). The distribution of type I snoring was the highest in SS patients. Type II<sub>b<\/sub> was more common in patients with medium and severe OSAS. Type II<sub>c<\/sub> was most common in patients with severe OSAS. <b><i>Conclusion:<\/i><\/b> The source of snoring sound is diverse, with SS and OSAS patients showing different features. DISN is a very effective method of identifying the snoring source.<\/jats:p>","DOI":"10.1159\/000439597","type":"journal-article","created":{"date-parts":[[2015,10,14]],"date-time":"2015-10-14T00:44:49Z","timestamp":1444783489000},"page":"359-365","source":"Crossref","is-referenced-by-count":11,"title":["Investigation of the Source of Snoring Sound by Drug-Induced Sleep Nasendoscopy"],"prefix":"10.1159","volume":"77","author":[{"given":"Hui-Jie","family":"Xu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rui-Fang","family":"Jia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hui","family":"Yu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhan","family":"Gao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei-Ning","family":"Huang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hao","family":"Peng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lei","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2015,10,14]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2009.06.002"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.96.09010146"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-4486.2006.01136.x"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-010-1376-y"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-011-1633-8"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1995.tb00061.x"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.3109\/00016489.2012.660733"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.3109\/00016481003694774"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-007-0366-1"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1080\/00016480050218753"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1002\/lary.22369"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1159\/000358012"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1258\/0022215001906697"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199409000-00017"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200311000-00020"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2007.03.014"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2004.02.051"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2002.0079"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-012-0647-9"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2009.02.016"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.2165\/11209820-000000000-00000"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-013-2795-3"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2273.2002.00554.x"}],"container-title":["ORL"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/439597","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/439597","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/439597","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T17:51:24Z","timestamp":1745430684000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000439597"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015]]},"references-count":23,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2015,11,1]]},"published-print":{"date-parts":[[2015,11,24]]}},"URL":"https:\/\/doi.org\/10.1159\/000439597","archive":["Portico"],"relation":{},"ISSN":["0301-1569","1423-0275"],"issn-type":[{"type":"print","value":"0301-1569"},{"type":"electronic","value":"1423-0275"}],"subject":[],"published":{"date-parts":[[2015]]}}}