The effect of continuous positive airway pressure therapy on nasal patency

Pitts, Kristen D.; Arteaga, Alberto A.; Hardy, Elliot T.; Stevens, Ben P.; Spankovich, Christopher; Lewis, Andrea F.

doi:10.1002/alr.22157

Cited by 4 publications

(2 citation statements)

References 18 publications

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“…34 Conversely, it has been shown that continuous positive airway pressure (CPAP) therapy improves the NOSE scores of patients with OSA with >70% compliance. 35 Furthermore, isolated nasal surgery reduces CPAP and increases CPAP usage postoperatively. 36 Therefore, data were collected for patients with OSA requiring CPAP.…”

Section: Discussionmentioning

confidence: 99%

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Outcomes of Cadaveric Allograft versus Autologous Cartilage Graft in Functional Septorhinoplasty

Saadi

Loloi

Schaefer

et al. 2019

Otolaryngol.--head neck surg.

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Objective Our goal was to elucidate the efficacy and outcome profile of cadaveric allografts (homograft costal cartilage) in functional septorhinoplasty as compared with autografts (quadrangular cartilage, conchal cartilage, and autologous costal cartilage). Study Design Retrospective chart review. Setting Otolaryngology division of the Penn State Health Milton S. Hershey Medical Center. Subjects and Methods A chart review of a single surgeon’s practice was conducted with Current Procedural Terminology codes for septorhinoplasty (30410, 30420, 30430, 30435, 30450, 30465) from August 1, 2014, to August 1, 2017. All patients underwent functional septorhinoplasty for a chief complaint of nasal obstruction. Outcomes were collected up to 12 months following the operation and included the validated Nasal Obstruction Symptom Evaluation (NOSE), infection rate, malposition/warping of the graft, need for revision surgery, and graft loss. Results A total of 171 cases were included in our data analysis. On multivariate analysis, there were no significant differences between patients who had autografts and those who had allografts in 3-, 6-, or 12-month postoperative NOSE score. Preoperative NOSE score was the only covariate to demonstrate a significant positive relationship to postoperative NOSE score. Regarding outcomes between autograft and allograft, no significant differences were found in rate of graft resorption (3.4% vs 5.6%, P = .680), graft warping (3.4% vs 0%, P = .309), infection (0% vs 1.9%, P = .316), or need for revision surgery (4.3% vs 5.6%, P = .709). Conclusion Autologous grafting is often the first choice in septorhinoplasty because of its presumed resistance to infection and resorption. Similar to autologous grafts, allografts are resistant to infection and resorption and demonstrate prolonged efficacy following functional septorhinoplasty.

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Section: Discussionmentioning

confidence: 99%

“…A lack of correlation has been demonstrated between NOSE score and OSA risk 34 . Conversely, it has been shown that continuous positive airway pressure (CPAP) therapy improves the NOSE scores of patients with OSA with >70% compliance 35 . Furthermore, isolated nasal surgery reduces CPAP and increases CPAP usage postoperatively 36 .…”

Section: Discussionmentioning

confidence: 99%