Uninterrupted use of continuous positive airway pressure after endoscopic endonasal approach for pituitary tumors

North, Lauren M.; Rohde, Rebecca L.; Cornell, Sarah; Long, Christopher M.; Zwagerman, Nathan T.

doi:10.1002/alr.23252

Int Forum Allergy Rhinol

2023

DOI: 10.1002/alr.23252

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Uninterrupted use of continuous positive airway pressure after endoscopic endonasal approach for pituitary tumors

Lauren M. North

Rebecca L. Rohde

Sarah Cornell

et al.

Abstract: KEY POINTS Resumption of continuous positive airway pressure (CPAP) in the immediate postoperative period after endoscopic endonasal approaches (EEA) for pituitary adenomas can be safe.

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Obstructive sleep apnea for the rhinologist

Nogues,

Jain,

Chou

et al. 2023

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose Obstructive sleep apnea (OSA) is a ubiquitous disease defined by repetitive partial or complete cessation of airflow during sleep caused by upper airway collapse. Otolaryngologists play a crucial role in the management of OSA, which is rapidly evolving with the advent of new surgical techniques and medical devices. Here we review the medical and surgical treatment options for OSA with a focus on unique considerations for patients with OSA who undergo nasal, sinus, and skull base surgery. Recent findings Treatment of OSA includes both nonsurgical and surgical options. Positive airway pressure (PAP) therapy remains the first-line medical treatment for OSA, but alternatives such as oral appliance and positional therapy are viable alternatives. Surgical treatments include pharyngeal and tongue base surgery, hypoglossal nerve stimulation therapy, and skeletal surgery. Nasal surgery has been shown to improve sleep quality and continuous positive airway pressure (CPAP) tolerance and usage. Sinus and skull base patients with comorbid OSA have special perioperative considerations for the rhinologist to consider such as the need for overnight observation and timing of CPAP therapy resumption. Summary OSA patients present with special considerations for the rhinologist. Patients with moderate to severe OSA may benefit from overnight observation after ambulatory surgery, especially those with an elevated BMI, cardiopulmonary comorbidities, and those who are not using CPAP regularly at home. Though CPAP may be safely resumed in the perioperative setting of nasal, sinus, and skull base surgery, the exact timing depends on patient, surgeon, and systemic factors such as severity of OSA, CPAP pressures required, extent of surgery, and the postoperative monitoring setting. Lastly, nasal and sinus surgery can improve sleep quality and CPAP tolerance and compliance in patients with OSA.

show abstract

Obstructive sleep apnea for the rhinologist

Nogues,

Jain,

Chou

et al. 2023

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

View full text Add to dashboard Cite

show abstract

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Uninterrupted use of continuous positive airway pressure after endoscopic endonasal approach for pituitary tumors

Abstract: KEY POINTS Resumption of continuous positive airway pressure (CPAP) in the immediate postoperative period after endoscopic endonasal approaches (EEA) for pituitary adenomas can be safe.

Cited by 1 publication

References 11 publications

Obstructive sleep apnea for the rhinologist

Obstructive sleep apnea for the rhinologist

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