This study aimed to evaluate the alteration of PAP compliance after nasal surgery and to determine the optical indications of nasal surgery in OSA subjects. Among OSA subjects using PAP devices, 29 subjects who underwent septoturbinoplasty due to nasal obstruction were included and their pre- and postoperative medical and PAP records were reviewed retrospectively. The data showed that 55.56% (10/18 patients) of subjects in the good compliance group complained of nasal obstruction as the only barrier to using a PAP device and about 88.89% (16/18 patients) reported experiencing the efficacy of PAP usage. Both the mean and peak average PAP pressures were significantly reduced in the good compliance group following nasal surgery. The bad compliance group had multiple subjective problems that interfered with wearing a PAP device and reported a lack of experiencing the efficacy of PAP usage. Preoperative nasal cavity volume values were smaller and absolute blood eosinophil counts were significantly lower in the good compliance group. The current data demonstrate that nasal surgery might increase the compliance of PAP device wear in OSA subjects who complained of only nasal obstruction as a barrier to wearing PAP and who had small nasal cavity volumes combined with allergic inflammation.

Objectives: This study evaluated the surgical outcomes of patients with Beckwith-Wiedemann syndrome who underwent tongue-reduction surgery, and aimed to analyze whether malocclusion and mandibular prognathism caused by macroglossia could be improved.Methods: A retrospective medical record review was performed for 11 patients with Beckwith-Wiedemann syndrome whose macroglossia was surgically treated. Demographic data, symptoms and signs, and intra- and postoperative surgical outcomes were evaluated. Surgery was performed by a single surgeon using a keyhole technique known as midline elliptical excision and anterior wedge resection. Preoperative and postoperative plain skull lateral X-rays were evaluated for prognathism improvement.Results: Median age at the time of surgery was 35.1 months, and the ratio of males to females was 4:7. Median surgical time was 98