Evaluation of acoustic characteristics of snoring sounds obtained during drug-induced sleep endoscopy

Herzog, Michael and Ploessl, Sebastian and Glien, Alexander and Herzog, Beatrice and Rohrmeier, Christian and Kuehnel, Thomas and Plontke, Stefan and Kellner, Patrick (2015) Evaluation of acoustic characteristics of snoring sounds obtained during drug-induced sleep endoscopy. SLEEP AND BREATHING, 19 (3). pp. 1011-1019. ISSN 1520-9512, 1522-1709

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Abstract

Snoring sounds are discussed to contain acoustic information about their geneses. Nocturnal snoring can easily be recorded acoustically but it is difficult to visually verify its genesis. Contrary, snoring patterns induced by drug-induced sleep endoscopy (DISE) can be visually differentiated. The aim of the study was to classify patterns of obstructions and vibration during DISE and to evaluate acoustic characteristics between these different patterns of snoring. DISE was performed in 41 male patients with sleep-disordered breathing. The recorded video sequences (n = 108) were classified visually at a mute mode in different patterns of snoring (velar, velar obstructive, tonsillar, post-apnoeic). The sound tracks of these subgroups were analysed and compared with regard to the parameters sound pressure level, loudness, sharpness, roughness, fluctuations strength and centre frequency. Obstructive snoring patterns revealed a higher loudness than non-obstructive patterns (> 25 sone). Velar snoring showed more roughness (> 150 cAsper) than tonsillar and post-apnoeic snoring and revealed the lowest centre frequency (< 3000 Hz) of all patterns. Tonsillar snoring presented the highest sharpness (> 1.6 acum) whereas post-apnoeic snoring revealed the largest fluctuation strength (> 50 cVacil). Different snoring patterns induced by DISE can be classified visually, and an approach to differentiate them acoustically by means of psychoacoustic analyses is demonstrated. On the basis of these results, nocturnal snoring might also be differentiated by psychoacoustic algorithms which could be implemented in acoustic polygraphic screening devices in the future.

Item Type: Article
Uncontrolled Keywords: BISPECTRAL INDEX; PHYSIOLOGICAL SLEEP; FREQUENCY-ANALYSIS; OBSTRUCTION SITE; APNEA; NASENDOSCOPY; PARAMETERS; SEDATION; DEPTH; Snoring; Drug-induced sleep endoscopy; Frequency analysis; Psychoacoustic; OSAS
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Hals-Nasen-Ohren-Heilkunde
Depositing User: Dr. Gernot Deinzer
Date Deposited: 12 Jun 2019 13:28
Last Modified: 12 Jun 2019 13:28
URI: https://pred.uni-regensburg.de/id/eprint/4922

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