Can Functional Septorhinoplasty Independently Treat Obstructive Sleep Apnea?

Shuaib, Stefan W.; Undavia, Satyen; Lin, Juan; Johnson, Calvin M.; Stupak, Howard D.

doi:10.1097/prs.0000000000001285

Cited by 43 publications

(23 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[ 22 ] The most commonly used subjective assessment is ESS, which is performed in 16 studies. [ 20 – 22 , 24 – 30 , 32 – 37 ]…”

Section: Resultsmentioning

confidence: 99%

“…Five studies were not included in the ESS score analysis since they did not obtain detailed post- or preoperative mean ± SD of ESS scores. [ 20 , 21 , 28 , 33 , 35 ] Thus, ESS scores were only analyzed in the other 11 studies. [ 22 , 24 – 27 , 29 , 30 , 32 , 34 , 36 , 37 ]…”

Section: Resultsmentioning

confidence: 99%

“…[ 18 ] A more recent systematic review and meta-analysis in 2015 by Ishii et al, [ 17 ] in defect of endoscopic sinus surgery, revealed a similar result that ESS improved significantly, but AHI did not. However, Park et al and some other researchers [ 19 , 20 , 22 ] reported AHI improvement in selected patients recently.…”

Section: Discussionmentioning

confidence: 98%

See 2 more Smart Citations

Apnea–hypopnea index decreased significantly after nasal surgery for obstructive sleep apnea

Zhao

et al. 2017

Medicine

View full text Add to dashboard Cite

Background:Nasal surgeries have been applied to obstructive sleep apnea (OSA) patients with nasal obstruction for decades. However, the efficiency of nasal surgery in improving OSA remains controversial.The aim of this study was to identify whether isolated nasal surgery can improve apnea–hypopnea index (AHI).Methods:Computerized searches were performed in MEDLINE, Web of Science, Cochrane Library, and Scopus from January 1, 2000 to April 30, 2016. A total of 18 articles and 587 participants were included. There were 1 randomized controlled trials, 2 nonrandomized trials, 11 prospective studies, and 4 retrospective studies. Data regarding study design (prospective/retrospective clinical trial, randomized, and controlled), population size, participant characteristics (age, gender, and body mass index), surgical intervention, and outcomes (AHI, Epworth sleep scale [ESS]) was collected.Results:Statistically significant improvement in AHI (subgroup 1: weighted mean difference [WMD] [95%confidence interval (CI)], −4.17 [−7.62, −0.73]; subgroup 2: WMD [95%CI], −4.19 [−7.51, −0.88]; overall: WMD [95%CI], −4.15 [−6.48, −1.82]) and ESS (subgroup 1: WMD [95%CI], −2.14 [−3.08, −1.19]; subgroup 2: WMD [95%CI], −4.70 [−5.95, −3.44]; overall: WMD [95%CI], −4.08 [−5.27, −2.88]) was revealed.Conclusion:Both AHI and ESS improved significantly after isolated nasal surgery, but the improvement of AHI is slightly significant. Future randomized controlled trials are needed to confirm the long-term benefits of nasal surgery on OSA.

show abstract

“…[ 22 ] The most commonly used subjective assessment is ESS, which is performed in 16 studies. [ 20 – 22 , 24 – 30 , 32 – 37 ]…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Apnea–hypopnea index decreased significantly after nasal surgery for obstructive sleep apnea

Zhao

et al. 2017

Medicine

View full text Add to dashboard Cite

show abstract

“…Artmış nazal rezistans, ağız solunumuyla dilin geri kaçarak retroglossal hava sutununun daraltmasına neden olur ve buna bağlı olarak hava sutununa aşırı doku yığıl-masıyla uyku apnesi oluştuğu savunulmaktadır (6,16) . Bir diğer tanımlanan patogenetik mekanizma ise nazal tıkanıklıkla tetiklenen ağız solunumunun normal solunum hareketinde kolaylaştırıcı etkisi olan, nazoalveoler refleks arkının başlangıcı olan nazal mukozanın devre dışı bırakılmasına neden olarak, apneye neden olmasıdır (17) .…”

Section: Discussionunclassified

The Effect of Nasal Findings on Obstructive Sleep Apnea

Derin¹,

Köseoğlu²,

Şahan³

et al. 2016

Terh

View full text Add to dashboard Cite

ÖZAmaç: Üst solunum yolu tıkayıcı bulgularının tıkayıcı uyku apne sendromunda (TUAS) etkileri olduğu bilinmektedir. Hava yolu direncinin büyük bir bölümünü oluşturan burnun TUAS üzerindeki etkileri tartışmalıdır. Bu çalışmanın amacı, tıkayıcı nazal muayene bulgularının TUAS üzerinde herhangi etkisi olup olmadığının belirlenmesidir. Yöntemler: Uyku bozukluğu yakınması ile hastanemize Ağustos 2014-Ağustos 2015 tarihleri arasında başvuran 109 hastanın, gece uyku polisomnografisi yapılarak TUAS olduğu saptandı. Hastaların yapılmış olan ayrıntılı KBB muayene bulgularından tıkayıcı alt konka hipertrofisi, tıkayıcı nazal septal deviasyon ve internal nazal valf darlığı olan hastalar belirlendi. Bunlara ek olarak Mallampati skoru, tonsil boyutları (Brodsky skalası), vücut kitle indeksi (VKİ), boyun ve bel çevreleri kayıt edildi. Nazal tıkanıklık bulgusu olan ve olmayan TUAS hastaları karşılaştırıldı. Bulgular: Nazal tıkanıklık bulgusu olan OSAS hastalarıyla (n:61) olmayan OSAS hastaları (n:48) karşılaştırıldığında, apne hipopne indeksi (AHİ), en düşük O 2 saturasyonu, oksijen desaturasyon indeksi (ODİ) ve Epwort uykululuk skalaları açısından anlamlı fark olmadığı görüldü (Mann Whitney U test, P>0,05). Ayrıca tüm hastalar ele alındığında AHİ ile yaş ve mallampati skorları arasında bir korelasyonun olmadığı (p>0,05) ancak Brodski skalası, VKİ, bel ve boyun çevresinin AHİ ile korele olduğu izlendi (p<0,05). Sonuç: Nazal tıkanıklığın TUAS şiddetini üzerinde anlamlı etkiye sahip olmadığı görüldü.Anahtar kelimeler: Tıkayıcı uyku apnesi, nazal tıkanıklık, polisomnografi ABSTRACT Objective: Effects of upper airway obstruction on obstructive sleep apnea syndrome (OSAS) are well known. The nose forms a big part of upper airway resistance and its effects on OSAS are controversial. This study aimed to determine if obstructive nasal examination findings has any effect on OSAS. Methods: One hundred and nine patients presented to our hospital with complaints of sleep disorders, had undergone night polysomnography performed and diagnosed with OSAS between August 2014, and August 2015. Detailed ENT examination of each patient was performed and obstructive inferior turbinate hypertrophy, obstructive nasal septal deviation and internal nasal valve stenosis were identified. In addition, Mallampati score, tonsillar size (Brodsky scale), body mass index (BMI), neck and waist measurements were recorded. OSA patients with and without nasal obstruction were compared. Results: OSAS patients with (n:61), and without (n:48) nasal obstruction were compared. Apnea-hypopnea index (AHI), the lowest O 2 saturation, oxygen desaturation index (ODI) and Epwort sleepiness scales showed no significant difference between these two groups. (Mann-Whitney U test, P>0.05). Furthermore in all patients, there was no correlation between age, Mallampati scores and AHI (p>0.05) but Brodski scale, BMI, waist and neck measurements were found to be correlated with AHI (p<0.05). Conclusion:The presence of nasal obstruction as assessed by objective polysomnographic finding...

show abstract

“…Increased nasal airway resistance creates proportionately increased negative pressure in the pharynx, predisposing to collapsibility of the pharyngeal cavity and likely contributing to the pathogenesis of OSA [13]. In accordance with these physiologic data, a recent study by Shuaib et al investigated the use of functional rhinoplasty to treat OSA in patients with nasal obstruction [19]. In the study, 26 patients who underwent functional rhinoplasty were evaluated with polysomnography and the NOSE scale preoperatively and postoperatively.…”

Section: Patient Evaluation and Managementmentioning

confidence: 99%

Obstructive sleep apnea in children with cleft lip and/or palate: Results of an epidemiologic study

Carlson¹,

Sobol²,

Pien³

et al. 2017

Dent Oral Craniofac Res

View full text Add to dashboard Cite

Introduction: Children with cleft lip and/or palate are at increased risk of obstructive sleep apnea. The prevalence of obstructive sleep apnea in this population is unknown. The purpose of this study was to assess the frequency of obstructive symptoms and obstructive sleep apnea diagnosis in the cleft population. We hypothesized that obstructive symptoms present more frequently in children with orofacial clefts than unaffected children, and that frequency varies by cleft sub-type.

show abstract

Can Functional Septorhinoplasty Independently Treat Obstructive Sleep Apnea?

Abstract: Therapeutic, IV.

Cited by 43 publications

References 25 publications

Apnea–hypopnea index decreased significantly after nasal surgery for obstructive sleep apnea

Apnea–hypopnea index decreased significantly after nasal surgery for obstructive sleep apnea

The Effect of Nasal Findings on Obstructive Sleep Apnea

Obstructive sleep apnea in children with cleft lip and/or palate: Results of an epidemiologic study

Contact Info

Product

Resources

About