Sleep quality after endoscopic sinus surgery in patients with sinonasal polyposis

Nourizadeh, Navid; Rasoulian, Bashir; Majidi, Mohammad Reza; Ardanı, Amir Rezaeı; Rezaeitalab, Fariborz; Asadpour, Hadi

doi:10.1016/j.anl.2019.03.002

Cited by 7 publications

(4 citation statements)

References 16 publications

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“…There is limited re-search on the relationship between inverted papilloma and sleep apnea, but several studies have explored the connection between other causes of nasal obstruction and OSA. A clinical trial published in 2019 [ 11 ]. concluded that endoscopic sinus surgery for nasal polyps improves sleep efficiency by dramatically decreasing the arousal index on polysomnography following nasal permeabilization.…”

Section: Discussionmentioning

confidence: 99%

The Role of Inverted Papilloma Surgical Removal for Sleep Apnea Treatment Success—A Case Report

et al. 2023

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In recent years, increased attention has been directed to sleep apnea syndrome due to its high prevalence and preventable severe health consequences. Besides enhancing the risk of cardiovascular, cerebrovascular, and metabolic disorders, it determines increased daytime somnolence, cognitive impairment, and delayed reaction time. These symptoms, determined by sleep fragmentation and chronic hypoxemia, can result in a decrease in professional performance and, moreover, could have tragic implications, especially in patients with high-risk professions. We present the case of a 58-year-old male-truck driver, known to suffer from uncontrolled OSA and chronic obstructive pulmonary disease, who presented to our ENT department for incapacitating daytime somnolence and severe nasal obstruction. These symptoms were caused by a voluminous sinonasal inverted papilloma, occupying the entire left cavity with extension in the nasopharynx. Following nose permeabilization, the patients’ APAP compliance grew substantially, with a dramatic decrease in daytime sleepiness and improvement in polysomnographic parameters. Due to the overlap syndrome of OSA and COPD, an oxygen supplementation was added to PAP therapy by a pulmonologist, improving pulse-oximetry parameters and resulting in the best outcome for the patient. Through this case report, we aim to emphasize the importance of multimodal, personalized treatment of sleep apnea with a focus on nasal surgical permeabilization. At the same time, we sustain a multidisciplinary approach, especially in patients with sleep apnea and associated pathologies, to obtain therapeutic success. We propose increased attention to the early recognition and proper treatment of sleep apnea in patients with high-risk professions as it prevents catastrophes.

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Section: Discussionmentioning

confidence: 99%

The Role of Inverted Papilloma Surgical Removal for Sleep Apnea Treatment Success—A Case Report

et al. 2023

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“…This scale has been applied in most studies to evaluate the subjective quality of life and sleep quality, and the Pittsburgh Sleep Quality Index (PSQI), 36-item Short-form Health Survey, the Symptom Checklist 90, and healthrelated quality of life have also been used. The GDG was able to find 13 clinical studies [38,39,42,43,45,46,48,[52][53][54][55][56][57] and six systemic reviews or meta-analyses [40,[58][59][60][61][62] on the effects of nasal surgery on daytime sleepiness and quality of life in OSA patients. As a result of analyzing the above research, subjective symptoms such as ESS score and quality of life were significantly improved, which were very consistent as results.…”

Section: Supporting Textmentioning

confidence: 99%

“…A total of 18 studies investigated the changes in oxygen status due to nasal surgery [38,42 48,52,56,57,71,72,7476,80,81], including one RCT and 17 observational studies. In addition, the GDG performed a meta-analysis on oxygen status with 14 controlled trials for the effect of nasal surgery on minimum O2 saturation [38,4247,52,56,57,71,74,75,81]. The analysis revealed significantly improved lowest O2 saturation in the nasal surgery group compared to the control group (standard difference in means, 0.261; 95% CI, 0.128-0.393; P<0.001; Fig.…”

Section: Supporting Textmentioning

confidence: 99%

“…As in our metaanalysis and several previous reports, nasal surgery improved minimum O2 saturation significantly. Although mean oxygen saturation and the oxygen desaturation index (ODI) were not included in our metaanalysis, we investigated our recommendation levels based on the results of several previous reports [43,47,48,52,57,72,75,81].…”

Section: S1 and Table S1)mentioning

confidence: 99%

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Clinical Practice Guideline: Clinical Efficacy of Nasal Surgery in the Treatment of Obstructive Sleep Apnea

Park¹,

Cho²,

Gi³

et al. 2023

Clin Exp Otorhinolaryngol

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Obstructive sleep apnea (OSA) is a common disorder characterized by upper airway obstruction during sleep. To reduce the morbidity of OSA, sleep specialists have explored various methods of managing the condition, including manifold positive airway pressure (PAP) techniques and surgical procedures. Nasal obstruction can cause significant discomfort during sleep, and it is likely that improving nasal obstruction would enhance the quality of life and PAP compliance of OSA patients. Many reliable studies offer evidence to support this assumption. However, few comprehensive guidelines for managing OSA OSA through nasal surgery encompass all this evidence. In order to address this gap, the Korean Society of Otorhinolaryngology–Head and Neck Surgery and the Korean Society of Sleep and Breathing designated a guideline development group (GDG) to develop recommendations for nasal surgery in OSA patients. Several databases, including OVID Medline, Embase, the Cochrane Library, and KoreaMed, were searched to identify all relevant papers using a pre

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Does Prior Nasal Airway Surgery Impact Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea?

Ramprasad,

Matzke,

Makey

et al. 2024

OTO Open

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ObjectiveNasal surgery can improve patient‐reported obstructive sleep apnea (OSA) outcomes as well as adherence with medical device treatments. The aim of this study was to examine whether previous nasal surgery was associated with hypoglossal nerve stimulation (HNS) therapy outcomes.Study DesignRetrospective observational cohort study was performed utilizing the multicenter international HNS registry (ADHERE).MethodsPropensity score matching generated a cohort of HNS patients with prior nasal surgery (NS) and a comparable cohort without prior nasal surgery (WNS). Data included demographics and therapy outcome measures including apnea‐hypopnea index (AHI), Epworth Sleepiness Scale (ESS), therapy use, and responder rate. Student's t‐test was used to compare normally‐distributed numeric data, Fisher's exact test to compare categorical data, and 1‐sided t‐tests to determine noninferiority.ResultsFrom the ADHERE dataset, 169 HNS patients were identified and matched from each cohort. AHI reduction was 21.01 ± 17.94 in the WNS cohort and 18.39 ± 16.4 in the NS cohort (P = .162). ESS reduction in the WNS cohort was 4.85 ± 4.98 and 4.48 ± 5.83 in the NS cohort (P = .528). Therapy use was similar, 5.67 ± 1.95 in WNS and 5.97 ± 2.06 in NS (P = .181). Responder rate was also similar in WNS (64.5%) and NS (62.1%) groups (P = .735).ConclusionPrior nasal surgery was not a predictor of HNS therapy response or adherence. Future prospective studies of HNS candidates with nasal airway obstruction may better determine the role of adjunctive nasal surgery in this population.

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Sleep quality after endoscopic sinus surgery in patients with sinonasal polyposis

Cited by 7 publications

References 16 publications

The Role of Inverted Papilloma Surgical Removal for Sleep Apnea Treatment Success—A Case Report

The Role of Inverted Papilloma Surgical Removal for Sleep Apnea Treatment Success—A Case Report

Clinical Practice Guideline: Clinical Efficacy of Nasal Surgery in the Treatment of Obstructive Sleep Apnea

Does Prior Nasal Airway Surgery Impact Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea?

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