Improvement in Quality of Life After Nasal Surgery Alone for Patients With Obstructive Sleep Apnea and Nasal Obstruction

Li, Hsueh‐Yu; Lin, Ying; Chen, Ning‐Hung; Lee, Li‐Ang; Fang, Tuan‐Jen; Wang, Pa‐Chun

doi:10.1001/archotol.134.4.429

Cited by 113 publications

(112 citation statements)

References 22 publications

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“…In most of these trials, no significant improvement was observed in the objective measures of PSG. Discrepant results in AHI and oxygen saturation level were revealed in previous studies (Table 4) [9,[17][18][19][20][21][22]. Our study showed no significant [16,17,23].…”

Section: Discussioncontrasting

confidence: 56%

“…Similarly, Nakata et al [18] reported a significant decrease in the ESS score after surgery. In the study of Li et al [22] which assessed the improvement in the quality of life of OSAS patients after nasal surgery, a significant improvement in the snoring outcome survey, bed partner survey, and ESS were found. The analysis of our subjective findings correlated with the previous studies.…”

Section: Discussionmentioning

confidence: 99%

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The efficacy of nasal surgery in obstructive sleep apnea syndrome: a prospective clinical study

Sufioğlu

Ozmen

Kasapoğlu

et al. 2011

Eur Arch Otorhinolaryngol

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The aim of this study was to investigate the effects of surgical intervention for nasal pathologies on obstructive sleep apnea syndrome (OSAS) and continuous positive airway pressure (CPAP) titrations in patients with OSAS. The study was designed as a prospective case control study. Between December 2007 and June 2010, 31 patients (26 men and 5 women) who were diagnosed with OSAS with polysomnography and confirmed to have obstructive nasal pathology were enrolled in the study. The average age of the patients was 53 ± 9.6 (range 33-68 years) and the body mass index ranged from 22 to 40.6 kg/m(2) with an average of 30.3 ± 4.1. The patients were evaluated with Epworth Sleepiness Scale, OSAS Complaints Questionnaire, visual analog scale, and CPAP titration before and 3 months after nasal surgery. As three patients did not attend the control polysomnography, data analysis was performed on 28 patients. Although there was a significant improvement in the nasal passage and subjective complaints, namely, snoring frequency, apnea and daytime sleepiness, the difference between preoperative and postoperative AHI values was not statistically significant. Postoperative CPAP titration results indicated a decrease both in pressures and in AHI in comparison to preoperative values. These reductions were not statistically significant, although the decrease in CPAP pressures was close to significance (p = 0.062). Nasal pathologies should be treated in all patients with OSAS, particularly those undergoing CPAP treatment. However, patients should be counseled that favorable results might not be achieved after nasal surgery.

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Section: Discussioncontrasting

confidence: 56%

Section: Discussionmentioning

confidence: 99%

The efficacy of nasal surgery in obstructive sleep apnea syndrome: a prospective clinical study

Sufioğlu

Ozmen

Kasapoğlu

et al. 2011

Eur Arch Otorhinolaryngol

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“…5 The authors undertook a prospective study of 51 patients with OSA and nasal obstruction due to nasal septal deviation. Patients completed the Snore Outcomes Survey (SOS), the Spouse/Bed Partners Survey (SBPS), the ESS, and Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) before and after septoplasty with partial inferior turbinate resection.…”

Section: Literature Reviewmentioning

confidence: 99%

Is nasal surgery an effective treatment for obstructive sleep apnea?

Rosow

Stewart

2010

The Laryngoscope

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“…The exact role of nasal obstruction in obstructive sleep apnea is unclear. One explanation can be represented by the reduced nasal cross sectional area which causes an increased nasal resistance and favours the inspiratory collapse of the oropharynx, hypopharynx, or both 19,20 .…”

Section: Upper Airway Permeabilization Surgery -Brief Literature Reviewmentioning

confidence: 99%

Permeabilization surgery of the upper respiratory tract and its effects on sleep fragmentation and REM sleep

Tanase

Manea

Sarafoleanu

2017

Romanian Journal of Rhinology

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Usually, patients with sleep disorders may complain of tiredness, fatigue, daytime sleepiness, difficulty in concentrating, and can reach up to falling asleep in inappropriate situations – condition known as the Pickwick syndrome. To avoid these unpleasant symptoms, a series of surgical procedures regarding the anatomical structures involved in sleep apnea were developed.The article is a general review regarding the sleep disorders and the influence of upper airways permeability on the quality of sleep and the sleep staging distribution. Also, we present some preliminary data obtained in a clinical study underwent in CESITO Centre “Sfanta Maria” Hospital, Bucharest, involving patients with sleep pathology that had polysomnographic evaluations before and after various surgical procedures of nasal and pharyngeal permeabilization.AIMS.To determine that permeabilization surgery of the upper airway tract may be used successfully in order to decrease the sleep fragmentation and increase the time of slow-wave sleep.CONCLUSION.6 months after the permeabilization surgery of the upper airway tract, the polysomnography reveals that the arousals index decreased and the sleep architecture undergoes changes that consist in decreasing the Stage 1 and Stage 2 sleep, therefore REM sleep reaches a better score.

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Improvement in Quality of Life After Nasal Surgery Alone for Patients With Obstructive Sleep Apnea and Nasal Obstruction

Abstract: To evaluate the impact of nasal surgery alone on quality of life (QOL) in patients with obstructive sleep apnea and nasal obstruction using generic and diseasespecific QOL questionnaires.

Cited by 113 publications

References 22 publications

The efficacy of nasal surgery in obstructive sleep apnea syndrome: a prospective clinical study

The efficacy of nasal surgery in obstructive sleep apnea syndrome: a prospective clinical study

Is nasal surgery an effective treatment for obstructive sleep apnea?

Permeabilization surgery of the upper respiratory tract and its effects on sleep fragmentation and REM sleep

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