The role of nasal treatments in snoring and obstructive sleep apnoea

Bury, Sean; Singh, Ameet

doi:10.1097/moo.0000000000000129

Cited by 8 publications

(8 citation statements)

References 51 publications

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“…Although conflicting outcomes of PSG have been reported in studies demonstrating the effect of nasal surgeries on OSAS, many studies are in agreement for its positive effects on ESS, snoring and quality of life (15)(16)(17). ESS is the most frequently used subjective survey in patients with OSAS.…”

Section: Resultsmentioning

confidence: 99%

Effect of Septoplasty on Objective and Subjective Parameters of Osas Treatment

Yasak¹

2021

tr-ent

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The aim of this study was to investigate the effect of isolated septoplasty on polysomnography (PSG) data and subjective findings in patients with OSAS. Materials and Methods: A total of 25 patients with symptoms of nasal obstruction, septum deviation and who had been diagnosed with OSAS, were included in the study. All patients underwent isolated septoplasty. The PSG prior to and 6 months after the operation, were recorded. The Epworth sleepiness scale (ESS), the Pittsburgh Sleep Quality Index (PSQI) and Snore Outcomes Survey were performed prior to and 6 months after the operation. Results: The postoperative apnea-hypopnea index (AHI) score, minimum oxygen saturation (MOS) and the snoring time were statistically significantly decreased compared to the preoperative measurements (p=0,000, p=0,01 and p=0,000, respectively). The rate of patients with a decrease in the AHI index of more than 50%, was 56%. A significant decrease was observed in the ESS and snore outcome survey measurements compared to the preoperative measurements. In PSQI, all sub-factor scores except postoperative medication were determined to be significantly decreased compared to the preoperative period (p<0.05). No correlation was observed between AHI and ESS, snore outcome survey and the PSQI reduction (p>0.05). Conclusion: Isolated septoplasty leads to an improvement in the subjective and objective parameters of the patients with OSAS and symptoms of nasal obstruction, although not to a complete recovery.

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Section: Resultsmentioning

confidence: 99%

Effect of Septoplasty on Objective and Subjective Parameters of Osas Treatment

Yasak¹

2021

tr-ent

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“…Kilo ve boyun kalınlığı hava yolu kollapsında kritik öneme sahip olmasına rağ-men, burun, damak, tonsil ve faringeal morfolojiyi içeren multifaktöriyel bir etiyoloji söz konusudur (1) . Toplam hava yolu direncinin %50'den fazlasını oluş-turan burun, solunan havanın filtrasyonu, ısıtılması ve nemlendirilmesi gibi fizyolojik fonksiyonlarda da görev almaktadır.…”

Section: Discussionunclassified

“…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) . Son olarak ta Starling rezistor model olarak ta bilinen, artan nazal rezistansın neden olduğu hava yolu darlığı, ilerleyen havanın hızlanmasına ve buna bağlı olarak ta hava yolunda negatif basınca neden olarak kollapsa neden olması-dır (1) . Diğer patolojik üst solunum yolu bulgularına bakıldığında ise hipertrofik palatin ve dil kökü tonsilleri, dil kökü hipertrofisi, yumuşak damak hipertrofileri gibi diğer üst solunum yolu tıkayıcı patolojileri de hava yolu direncinde rol aldığı bilinmektedir (12) .…”

Section: Discussionunclassified

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The Effect of Nasal Findings on Obstructive Sleep Apnea

Derin¹,

Köseoğlu²,

Şahan³

et al. 2016

Terh

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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...

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“…Bury and Singh (2015) highlighted that nasal surgery for obstructive sleep apnea patients increase the quality of life and treatment compliance in some affected patients [57].…”

Section: Nasal Treatmentmentioning

confidence: 99%

Obstructive Sleep Apnea, Prevalence, Etiology & Role of Dentist & Oral Appliances in Treatment: Review Article

Jaradat¹,

Rahhal²

2015

OJST

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Objective: The aim of this article is to provide a detailed description for obstructive sleep apnea regarding its signs and symptoms, the way it is diagnosed, the risk factors, management, the role of dentists and oral appliances in treatment and consequences of untreated condition. Material and Method: Electronic searching was done in PubMed, Medline, EMBASE and CENTRAL databases. Inclusion criteria were: dental, oral and maxillofacial oriented articles. Exclusion criteria: cardiac, obesity and non dental oriented articles were excluded. Result: 59 articles meet the criteria. Conclusion: Obstructive sleep apnea (OSA) is a potentially life threatening disorder characterized by repeated collapse of the upper airway during sleep, with periodic cessation of breathing for more than ten seconds. The frequency of obstructive sleep apnea has been found to increase with age; ranging from two percent among children to two and half percent-six percent among adolescents. Overnight polysomnographic test at specialized sleep clinics remains the gold standard for diagnosing obstructive sleep apnea disorder. Management of this condition can be performed via surgical and non surgical methods. Continuous positive airway pressure represents the first line of treatment for most patients with obstructive sleep apnea.

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The role of nasal treatments in snoring and obstructive sleep apnoea

Cited by 8 publications

References 51 publications

Effect of Septoplasty on Objective and Subjective Parameters of Osas Treatment

Effect of Septoplasty on Objective and Subjective Parameters of Osas Treatment

The Effect of Nasal Findings on Obstructive Sleep Apnea

Obstructive Sleep Apnea, Prevalence, Etiology & Role of Dentist & Oral Appliances in Treatment: Review Article

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The role of nasal treatments in snoring and obstructive sleep apnoea

Cited by 8 publications

References 51 publications

Effect of Septoplasty on Objective and Subjective Parameters of Osas Treatment

Effect of Septoplasty on Objective and Subjective Parameters of Osas Treatment

The Effect of Nasal Findings on Obstructive Sleep Apnea

Obstructive Sleep Apnea, Prevalence, Etiology &amp; Role of Dentist &amp; Oral Appliances in Treatment: Review Article

Contact Info

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Obstructive Sleep Apnea, Prevalence, Etiology & Role of Dentist & Oral Appliances in Treatment: Review Article