Document Detail

Polysomnographic effects of nasal surgery for snoring and obstructive sleep apnea.
MedLine Citation:
PMID:  15141758     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: It has been hypothesized that nasal obstruction causes an increase in negative pressure in the upper airway and induces an inspiratory collapse at the pharyngeal level. We used portable polysomnography (PSG) to assess the efficacy of nasal surgery for snoring and obstructive sleep apnea (OSA). MATERIAL AND METHODS: We reviewed 21 patients who presented with nasal obstruction and snoring. Septal surgery with or without inferior turbinectomy was performed. Each patient was assessed pre- and postoperatively using PSG. We measured the respiratory distress index (RDI), apnea index (AI), oxygen saturation index (OSI) and the duration of snoring. Selection criteria were an RDI of > 15 as determined by PSG and clinical nasal obstruction and a deviated nasal septum as determined by physical examination. RESULTS: Nasal surgery had the following effects: RDI decreased from 39 to 29 (p = 0.0001), AI decreased from 19 to 16 (p = 0.0209), OSI decreased from 48 to 32 (p = 0.0001) and the duration of snoring decreased from 44% to 39% (p = 0.1595). Snoring and OSA were completely relieved in 4 patients (19%) who did not require any additional surgical therapy. CONCLUSION: Snoring and OSA may be corrected merely by septal surgery in some patients, and secondary surgery (uvulopalatoplasty) may be considered after a thorough evaluation by means of postoperative PSG.
Sun Tae Kim; Jin Ho Choi; Heung Gyu Jeon; Heung Eog Cha; Dong Young Kim; Yoo-Sam Chung
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta oto-laryngologica     Volume:  124     ISSN:  0001-6489     ISO Abbreviation:  Acta Otolaryngol.     Publication Date:  2004 Apr 
Date Detail:
Created Date:  2004-05-14     Completed Date:  2005-01-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370354     Medline TA:  Acta Otolaryngol     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  297-300     Citation Subset:  IM    
Department of Otolaryngology-Head & Neck Surgery, Gil Medical Center, Gachon Medical School, Incheon, South Korea.
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MeSH Terms
Middle Aged
Nasal Obstruction / complications*,  physiopathology,  surgery
Nasal Septum / pathology,  surgery*
Polysomnography / methods
Sleep Apnea, Obstructive / etiology,  physiopathology,  surgery*
Snoring / etiology,  physiopathology,  surgery*
Treatment Outcome
Turbinates / pathology,  surgery*

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