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Cited by 12Obstructive Sleep Apnea ResearchNasal Surgery and Airway StudiesSinusitis and nasal conditions

Evaluation of the clinical efficacy of nasal surgery in the treatment of obstructive sleep apnoea

Wu, Jun, He, Shuai, Li, Yunchuan, Wang, Tong, Zhao, Guoqiang, Pan, Yangwang, Zang, Hongrui, Han, Demin·2022·American Journal of Otolaryngology
DOI 10.1016/j.amjoto.2021.103158
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Abstract

Study objectives The aim of the study was to evaluate the clinical efficacy of nasal surgery in the treatment of obstructive sleep apnoea (OSA) by comparing the improvement of subjective symptoms and objective metrics before surgery and after 6 months of surgery.Methods Patients with the main complaint of nasal congestion combined with habitual snoring who were hospitalized and treated were selected. Patients underwent subjective symptom tests and objective indicator monitoring both before surgery and 6 months after surgery. Comparisons between groups were performed using the independent samples t-test.Results Subjective scale evaluations demonstrated that nasal congestion, daytime sleepiness, snoring, nose-related symptoms, and sleep symptoms in patients with simple snoring or with OSA were improved after nasal surgery. Additionally, vitality was improved in all groups except for the patients with simple snoring and emotional consequence was improved in patients with simple snoring and mild OSA. Objective evaluations indicated the apnoea-hypopnoea index (AHI), the thickness of the soft palate, and the maximum cross-sectional area of the sagittal plane of the soft palate decreased after surgery in patients with mild OSA. The lowest blood oxygen concentration (LSaO 2) and anteroposterior diameter of the soft palate increased after surgery in patients with mild OSA. The arousal index also significantly decreased in patients with mild and moderate OSA. The nasal cavity volumes (NCVs) and the nasal minimal cross-sectional areas (NMCAs) of all groups showed significant differences after surgery.Conclusions Nasal surgery can effectively improve nose and sleep symptoms in patients with simple snoring or with OSA. It can significantly reduce the nasal resistance and increase the ventilation volume.Statement of significance Obstructive sleep apnoea (OSA) is becoming a global health problem. OSA is associated with several coexisting conditions, reduced health-related quality of life, and impaired work productivity. This study performed nasal surgery on OSA patients with the main complaint of nasal congestion combined with snoring and patients with simple snoring to compare the improvement of subjective symptoms and objective metrics before and after surgery. We found that: (1) symptoms such as nasal congestion, daytime sleepiness or snoring were improved after nasal surgery; (2) the apnoea-hypopnoea index (AHI) and arousal index decreased after surgery in patients with OSA; (3) the nasal and oropharyngeal cavity volumes increased after surgery. These findings suggest that patients with OSA or with simple snoring could benefit from nasal surgery.

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Authors
Wu, J., He, S., Li, Y., Wang, T., Zhao, G., Pan, Y., Zang, H., & Han, D.
Affiliations
Beijing Tongren Hospital (CN)
Corresponding author
  • Zang, Hongrui
  • Han, Demin
ORCID
Venue
American Journal of Otolaryngology
Publisher
Elsevier BV
Published
2022-01
Volume
43
Issue
1
Pages
103158
ISSN
0196-0709 (ISSN-L)
DOI
10.1016/j.amjoto.2021.103158
OpenAlex
W3191636466
Cited by
12
References
44
Citations by year
2026: 4 · 2025: 2 · 2024: 1 · 2023: 2 · 2022: 3
FWCI
0.94
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • American Journal of Otolaryngology (publishedVersion)
  • PubMed (publishedVersion)
Funders
Capital Medical University
Topics
  • Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
  • Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
  • Health Sciences › Medicine › Otorhinolaryngology › Sinusitis and nasal conditions
Keywords
obstructive sleep apnea, nasal surgery, nasal obstruction, snoring, nasal congestion, apnea-hypopnea index, arousal index, nasal cavity volume, nasal cross-sectional area, daytime sleepiness, nasal resistance, oropharyngeal airway
MeSH terms
Adult, Arousal, Female, Follow-Up Studies, Humans, Male, Middle Aged, Nasal Cavity, Oropharynx, Palate, Soft, Snoring, Time Factors, Treatment Outcome, Sleep Apnea, Obstructive, Young Adult, Nasal Surgical Procedures

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