Apnea–hypopnea index decreased significantly after nasal surgery for obstructive sleep apnea: A meta-analysis
Open accessAbstract
BACKGROUND: Nasal surgeries have been applied to obstructive sleep apnea (OSA) patients with nasal obstruction for decades. However, the efficiency of nasal surgery in improving OSA remains controversial.The aim of this study was to identify whether isolated nasal surgery can improve apnea-hypopnea index (AHI). METHODS: Computerized searches were performed in MEDLINE, Web of Science, Cochrane Library, and Scopus from January 1, 2000 to April 30, 2016. A total of 18 articles and 587 participants were included. There were 1 randomized controlled trials, 2 nonrandomized trials, 11 prospective studies, and 4 retrospective studies. Data regarding study design (prospective/retrospective clinical trial, randomized, and controlled), population size, participant characteristics (age, gender, and body mass index), surgical intervention, and outcomes (AHI, Epworth sleep scale [ESS]) was collected. RESULTS: Statistically significant improvement in AHI (subgroup 1: weighted mean difference [WMD] [95%confidence interval (CI)], -4.17 [-7.62, -0.73]; subgroup 2: WMD [95%CI], -4.19 [-7.51, -0.88]; overall: WMD [95%CI], -4.15 [-6.48, -1.82]) and ESS (subgroup 1: WMD [95%CI], -2.14 [-3.08, -1.19]; subgroup 2: WMD [95%CI], -4.70 [-5.95, -3.44]; overall: WMD [95%CI], -4.08 [-5.27, -2.88]) was revealed. CONCLUSION: Both AHI and ESS improved significantly after isolated nasal surgery, but the improvement of AHI is slightly significant. Future randomized controlled trials are needed to confirm the long-term benefits of nasal surgery on OSA.
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To date, three systematic reviews have described the effect of nasal surgery on the AHI.
“To date, three systematic reviews have described the effect of nasal surgery on the AHI.”
From The Role of Isolated Nasal Surgery in Obstructive Sleep Apnea Therapy—A Systematic Review (2022) · cites this paper as [7]
The most recent meta-analysis by Wu et al. (2017) described a significant reduction in the AHI after isolated nasal surgery.
“The most recent meta-analysis by Wu et al. (2017) described a significant reduction in the AHI after isolated nasal surgery [7].”
From The Role of Isolated Nasal Surgery in Obstructive Sleep Apnea Therapy—A Systematic Review (2022) · cites this paper as [7]
Controversy remains about the ability of isolated nasal surgery to improve OSA.
“However, controversy remains about the ability of isolated nasal surgery to improve OSA.”
From The Role of Isolated Nasal Surgery in Obstructive Sleep Apnea Therapy—A Systematic Review (2022) · cites this paper as [7]
This review found similar results to the most recent published meta-analysis.
“This review found similar results to the most recent published meta-analysis.”
From The Role of Isolated Nasal Surgery in Obstructive Sleep Apnea Therapy—A Systematic Review (2022) · cites this paper as [7]
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Cites
Cardiovascular, inflammatory, and metabolic consequences of sleep deprivation
Mullington, J. M., Haack, M., Toth, M., Serrador, J. M., & Meier-Ewert, H. K. (2009) · Progress in Cardiovascular Diseases · doi:10.1016/j.pcad.2008.10.003 · Cited by 783 · see citing works
Nasal obstruction as a risk factor for sleep-disordered breathing
Young, T., Finn, L., & Kim, H. (1997) · Journal of Allergy and Clinical Immunology · doi:10.1016/s0091-6749(97)70124-6 · Cited by 505 · see citing works
Recognition of Obstructive Sleep Apnea
Strohl, K., & Redline, S. S. (1996) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.154.2.8756795 · Cited by 487 · see citing works
Partitioning of respiratory flow resistance in man
Ferris, B. G., Mead, J., & Opie, L. H. (1964) · Journal of Applied Physiology · doi:10.1152/jappl.1964.19.4.653 · Cited by 448 · see citing works
Neurocognitive Impairment in Obstructive Sleep Apnea
Lal, C., Strange, C., & Bachman, D. (2012) · Chest · doi:10.1378/chest.11-2214 · Cited by 406 · see citing works
Predictive value of clinical features for the obstructive sleep apnoea syndrome
Deegan, P., & McNicholas, W. T. (1996) · European Respiratory Journal · doi:10.1183/09031936.96.09010117 · Cited by 287 · see citing works
Effect of improved nasal breathing on obstructive sleep apnea
Friedman, M., Tanyeri, H., Lim, J. W., Landsberg, R., Vaidyanathan, K., & Caldarelli, D. (2000) · Otolaryngology–Head and Neck Surgery · doi:10.1016/s0194-5998(00)70147-1 · Cited by 267 · see citing works
Sleep and Breathing Disturbance Secondary to Nasal Obstruction
Olsen, K. D., Kern, E. B., & Westbrook, P. R. (1981) · Otolaryngology–Head and Neck Surgery · doi:10.1177/019459988108900522 · Cited by 251 · see citing works
The Upper Airway Resistance Syndrome
Exar, E. N., & Collop, N. A. (1999) · CHEST Journal · doi:10.1378/chest.115.4.1127 · Cited by 211 · see citing works
Jenkinson, C., Stradling, J. R., & Petersen, S. (1997) · Journal of Sleep Research · doi:10.1046/j.1365-2869.1997.00043.x · Cited by 197 · see citing works
Effect of Nasal Surgery on Sleep‐Related Breathing Disorders
Verse, T., Maurer, J. T., & Pirsig, W. (2002) · The Laryngoscope · doi:10.1097/00005537-200201000-00012 · Cited by 173 · see citing works
Camacho, M., Riaz, M., Capasso, R., Ruoff, C. M., Guilleminault, C., Kushida, C. A., & Certal, V. (2015) · Sleep · doi:10.5665/sleep.4414 · Cited by 164 · see citing works
Critical Appraisal and Meta-Analysis of Nasal Surgery for Obstructive Sleep Apnea
Li, H.-Y., Wang, P.-C., Chen, Y.-P., Lee, L.-A., Fang, T.-J., & Lin, H.-C. (2011) · American Journal of Rhinology & Allergy · doi:10.2500/ajra.2011.25.3558 · Cited by 134 · cited 3× · see citing works
“However, apnea–hypopnea index (AHI), which is regarded as a key factor evaluating OSA severity and treatment effect, did not reduce significantly.([17,18]) Nevertheless, some newly published articles on this topic showed nasal surgery can decrease AHI in recent 3 years.”
BackgroundResultRandomised trial of nasal surgery for fixed nasal obstruction in obstructive sleep apnoea
Koutsourelakis, I., Georgoulopoulos, G., Perraki, E., Vagiakis, E., Roussos, C., & Zakynthinos, S. G. (2008) · European Respiratory Journal · doi:10.1183/09031936.00087607 · Cited by 131 · see citing works
Li, H.-Y., Lin, Y., Chen, N.-H., Lee, L.-A., Fang, T.-J., & Wang, P.-C. (2008) · Archives of Otolaryngology–Head & Neck Surgery · doi:10.1001/archotol.134.4.429 · Cited by 127 · see citing works
Does Nasal Surgery Improve OSA in Patients with Nasal Obstruction and OSA? A Meta‐analysis
Ishii, L., Roxbury, C., Godoy, A., Ishman, S., & Ishii, M. (2015) · Otolaryngology–Head and Neck Surgery · doi:10.1177/0194599815594374 · Cited by 127 · cited 3× · see citing works
“However, apnea–hypopnea index (AHI), which is regarded as a key factor evaluating OSA severity and treatment effect, did not reduce significantly.([17,18]) Nevertheless, some newly published articles on this topic showed nasal surgery can decrease AHI in recent 3 years.”
BackgroundResultNakata, S., Noda, A., Yagi, H., Yanagi, E., Mimura, T., Okada, T., Misawa, H., & Nakashima, T. (2005) · PubMed · Cited by 110 · see citing works
Effects of nasal surgery on sleep quality in obstructive sleep apnea syndrome with nasal obstruction
Nakata, S., Noda, A., Yasuma, F., Morinaga, M., Sugiura, M., Katayama, N., Sawaki, M., Teranishi, M., & Nakashima, T. (2008) · American Journal of Rhinology · doi:10.2500/ajr.2008.22.3120 · Cited by 104 · see citing works
Polysomnographic effects of nasal surgery for snoring and obstructive sleep apnea
Kim, S. T., Choi, J. H., Jeon, H. G., Cha, H. E., Kim, D. Y., & Chung, Y.-S. (2004) · Acta Oto-Laryngologica · doi:10.1080/00016480410016252 · Cited by 94 · see citing works
Snoring Is Not Relieved by Nasal Surgery Despite Improvement in Nasal Resistance
Virkkula, P., Bachour, A., Hytönen, M. L., Salmi, T. K., Malmberg, H., Hurmerinta, K. A., & Maasilta, P. K. (2006) · CHEST Journal · doi:10.1378/chest.129.1.81 · Cited by 86 · see citing works
The role of the nose in the pathogenesis of obstructive sleep apnoea and snoring
Kohler, M., Bloch, K. E., & Stradling, J. R. (2007) · European Respiratory Journal · doi:10.1183/09031936.00032007 · Cited by 83 · see citing works
PATHOPHYSIOLOGY OF UPPER AIRWAY OBSTRUCTION DURING SLEEP
Badr, M. S. (1998) · Clinics in Chest Medicine · doi:10.1016/s0272-5231(05)70429-9 · Cited by 69 · see citing works
Site of upper airway obstruction in obstructive apnoea and influence of sleep stage
Boudewyns, A. N., de Heyning, P. V., & Backer, W. A. D. (1997) · European Respiratory Journal · doi:10.1183/09031936.97.10112566 · Cited by 68 · see citing works
Park, C. Y., Hong, J. H., Lee, J. H., Lee, K. E., Cho, H. S., Lim, S. J., Kwak, J. W., Kim, K. S., & Kim, H. J. (2014) · PLoS ONE · doi:10.1371/journal.pone.0098765 · Cited by 67 · see citing works
Effect of nasal surgery on snoring
FAIRBANKS, D. N. F. (1985) · Southern Medical Journal · doi:10.1097/00007611-198503000-00009 · Cited by 64 · see citing works
Tosun, F., Kemikli, K., Yetki̇n, S., Özgen, F., Durmaz, A., & Gerek, M. (2009) · Journal of Craniofacial Surgery · doi:10.1097/scs.0b013e31819b97ef · Cited by 63 · see citing works
Impact of Nasal Obstruction on Obstructive Sleep Apnea
Friedman, M., Maley, A., Kelley, K., Leesman, C., Patel, A., Pulver, T., Joseph, N., & Catli, T. (2011) · Otolaryngology–Head and Neck Surgery · doi:10.1177/0194599811400977 · Cited by 60 · see citing works
Can Nasal Surgery Improve Obstructive Sleep Apnea: Subjective or Objective?
Li, H.-Y., Lee, L.-A., Wang, P.-C., Fang, T.-J., & Chen, N.-H. (2009) · American Journal of Rhinology & Allergy · doi:10.2500/ajra.2009.23.3358 · Cited by 59 · see citing works
Choi, J. H., Kim, E. J., Kim, Y. S., Kim, T. H., Choi, J., Kwon, S. Y., Lee, H. M., Lee, S. H., & Lee, S. H. (2011) · American Journal of Rhinology & Allergy · doi:10.2500/ajra.2011.25.3654 · Cited by 54 · see citing works
The efficacy of nasal surgery in obstructive sleep apnea syndrome: A prospective clinical study
Sufioğlu, M., Ozmen, O. A., Kasapoglu, F., Demir, U. L., Ursavas, A., Erişen, L., & Onart, S. (2012) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/s00405-011-1682-z · Cited by 52 · see citing works
What is the efficacy of nasal surgery in patients with obstructive sleep apnea syndrome?
Bican, A., Kahraman, A., Bora, İ., Kahveci, R., & Hakyemez, B. (2010) · Journal of Craniofacial Surgery · doi:10.1097/scs.0b013e3181f40551 · Cited by 48 · see citing works
Can functional septorhinoplasty independently treat obstructive sleep apnea?
Shuaib, S. W., Undavia, S., Lin, J., Johnson, C. M., & Stupak, H. D. (2015) · Plastic and Reconstructive Surgery · doi:10.1097/prs.0000000000001285 · Cited by 46 · see citing works
Moxness, M. H. S., & Nordgård, S. (2014) · BMC Ear, Nose and Throat Disorders · doi:10.1186/1472-6815-14-11 · Cited by 44 · see citing works
Relationship between oral breathing and nasal obstruction in patients with obstructive sleep apnea.
Ohki, M., Usui, N., Kanazawa, H., Hara, I., & Kawano, K. (1996) · PubMed · Cited by 41 · see citing works
SOME NERVOUS AND MENTAL MANIFESTATIONS OCCURRING IN CONNECTION WITH NASAL DISEASE
WELIS, W. A. (1898) · The American Journal of the Medical Sciences · doi:10.1097/00000441-189812000-00005 · Cited by 38 · see citing works
Effects of Endoscopic Sinus Surgery and Nasal Surgery in Patients with Obstructive Sleep Apnea
Yalamanchali, S., Cipta, S., Waxman, J., Pott, T., Joseph, N., & Friedman, M. (2014) · Otolaryngology–Head and Neck Surgery · doi:10.1177/0194599814528296 · Cited by 36 · see citing works
Effects of nasal surgery on the upper airway: A drug-induced sleep endoscopy study
Victores, A. J., & Takashima, M. (2012) · The Laryngoscope · doi:10.1002/lary.23584 · Cited by 32 · see citing works
Sleep Disorders in Patients with Severe Nasal Obstruction Due to Septal Deviation
Silvoniemi, P., Suonpää, J., Sipilä, J., Grénman, R., & Erkinjuntti, M. (1997) · Acta Oto-Laryngologica · doi:10.3109/00016489709124121 · Cited by 29 · see citing works
Nasal cavity ventilation expansion techniques
Han, D., & Zhang, L. (2011) · Acta Oto-Laryngologica · doi:10.3109/00016489.2011.615760 · Cited by 24 · see citing works
Self-citationXiao, Y., Han, D., Zang, H., & Wang, D. (2016) · Acta Oto-Laryngologica · doi:10.3109/00016489.2016.1143120 · Cited by 24 · see citing works
Self-citationMENTAL ABERRATION ATTENDING HYPERTROPHIC RHINITIS, WITH SUB-ACUTE OTITIS MEDIA.
CARPENTER, J. G. (1892) · JAMA · doi:10.1001/jama.1892.02420190003001a · Cited by 11 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
International Consensus Statement on Obstructive Sleep Apnea
Chang, J. L., Goldberg, A. N., Alt, J. A., Mohammed, A., Ashbrook, L., Auckley, D., Ayappa, I., Bakhtiar, H., Barrera, J. E., Bartley, B. L., et al. (2023) · International Forum of Allergy & Rhinology · doi:10.1002/alr.23079 · Cited by 350 · see citing works
The Nose and Nasal Breathing in Sleep Apnea
Cai, Y., Goldberg, A. N., & Chang, J. L. (2020) · Otolaryngologic Clinics of North America · doi:10.1016/j.otc.2020.02.002 · Cited by 51 · see citing works
The Role of Isolated Nasal Surgery in Obstructive Sleep Apnea Therapy—A Systematic Review
Schoustra, E., van Maanen, P., den Haan, C., Ravesloot, M. J. L., & de Vries, N. (2022) · Brain Sciences · doi:10.3390/brainsci12111446 · Cited by 39 · see citing works
“concluded that there was a significant improvement in the AHI and ESS after isolated nasal surgery [7].”
BackgroundInfluentialVärendh, M., Andersson, M., Bjørnsdottir, E., Hrubos‐Strøm, H., Johannisson, A., Arnardottir, E. S., Gislason, T., & Juliusson, S. (2018) · Journal of Sleep Research · doi:10.1111/jsr.12631 · Cited by 39 · see citing works
Kang, K., Yeh, T., Ko, J., Lee, C., Lin, M., & Hsu, W. (2022) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2022.101590 · Cited by 27 · see citing works
Bosco, G., Pérez-Martín, N., Morato, M., Racionero, M. A., & Plaza, G. (2020) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000005865 · Cited by 22 · see citing works
Johnsen, S. G. (2024) · Bioengineering · doi:10.3390/bioengineering11030239 · Cited by 20 · see citing works
Pianta, L., Bertazzoni, G., Morello, R., Perotti, P. G., & Nicolai, P. (2017) · Clinical Otolaryngology · doi:10.1111/coa.13008 · Cited by 17 · see citing works
Park, D., Cho, J. H., Jung, Y. G., Choi, J. H., Kim, D., Kim, S., Kim, H. J., Kim, H. Y., Park, S. K., Park, C. S., et al. (2023) · Clinical and Experimental Otorhinolaryngology · doi:10.21053/ceo.2022.01361 · Cited by 17 · see citing works
Moxness, M. H. S., Wülker, F., Skallerud, B., & Nordgård, S. (2018) · Laryngoscope Investigative Otolaryngology · doi:10.1002/lio2.140 · Cited by 17 · see citing works
Amat, P., & Éric Tran Lu, Y. (2019) · L Orthodontie Française · doi:10.1051/orthodfr/2019035 · Cited by 16 · see citing works
Role of Nasal Surgery in Adult Obstructive Sleep Apnea: A Systematic Review
Correa, E. J., Conti, D. M., Moreno-Luna, R., Sánchez-Gómez, S., & O'Connor Reina, C. (2024) · Sleep Science · doi:10.1055/s-0044-1782527 · Cited by 15 · see citing works
Tsai, M., Chen, H., Liu, S. Y., Lee, L., Lin, C.-Y., Chang, G., Tsai, Y., Lee, Y., Hsu, C., & Li, H. (2022) · Journal of the Chinese Medical Association · doi:10.1097/jcma.0000000000000737 · Cited by 15 · see citing works
Impact of nasal resistance on the distribution of apneas and hypopneas in obstructive sleep apnea
Hoel, H. C., Kvinnesland, K., & Berg, S. (2020) · Sleep Medicine · doi:10.1016/j.sleep.2020.03.024 · Cited by 13 · see citing works
Kang, K., Yeh, T., Hsu, Y., Ko, J., Lee, C., Lin, M., & Hsu, W. (2020) · The Laryngoscope · doi:10.1002/lary.29212 · Cited by 13 · see citing works
Lee, C., Hsu, W., Yeh, T., Ko, J., Lin, M., & Kang, K. (2022) · The Laryngoscope · doi:10.1002/lary.30176 · Cited by 13 · see citing works
Evaluation of the clinical efficacy of nasal surgery in the treatment of obstructive sleep apnoea
Wu, J., He, S., Li, Y., Wang, T., Zhao, G., Pan, Y., Zang, H., & Han, D. (2022) · American Journal of Otolaryngology · doi:10.1016/j.amjoto.2021.103158 · Cited by 12 · see citing works
Self-citationFunctional Nasal Surgery and Use of CPAP in OSAS Patients: Our Experience
Modica, D. M., Marchese, D., Lorusso, F., Speciale, R., Saraniti, C., & Gallina, S. (2018) · Indian Journal of Otolaryngology and Head & Neck Surgery · doi:10.1007/s12070-018-1396-2 · Cited by 12 · see citing works
Neagoş, A., Dumitru, M., Neagoș, C. M., Mitroi, M. R., & Vrînceanu, D. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11185347 · Cited by 12 · see citing works
Establishing a Patent Nasal Passage in Obstructive Sleep Apnea
Chiba, S., & Park, C. (2019) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2018.10.005 · Cited by 12 · see citing works
Fiorita, A., Scarano, E., Mastrapasqua, R. F., Picciotti, P. M., Loperfido, A., Rizzotto, G., & Paludetti, G. (2018) · Acta Otorhinolaryngologica Italica · doi:10.14639/0392-100x-1935 · Cited by 10 · see citing works
Lai, C., Lin, P., Lin, H., Friedman, M., Chang, H., Salapatas, A. M., Lin, M., & Huang, K. (2018) · Annals of Otology Rhinology & Laryngology · doi:10.1177/0003489418800089 · Cited by 10 · see citing works
Evaluation and Management of Snoring
Yap, Y. (2022) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2021.10.010 · Cited by 8 · see citing works
Baddam, P., Thereza-Bussolaro, C., Flores‐Mir, C., & Graf, D. (2021) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2020.05.020 · Cited by 8 · see citing works
Surgical Management of Pediatric Obstructive Sleep Apnea Beyond Adenotonsillectomy
Lenze, N. R., Bharadwaj, S. R., Baldassari, C. M., & Kirkham, E. M. (2024) · Otolaryngologic Clinics of North America · doi:10.1016/j.otc.2024.02.008 · Cited by 7 · see citing works
Kwak, K. H., Lee, Y. J., Lee, J. Y., Cho, J. H., & Choi, J. H. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11216443 · Cited by 7 · see citing works
Moeller, M. R., Weber, S. A. T., Paskay, L. C., Amat, P., Bianchini, E. M. G., Botzer, E., Boyd, K., Bruni, O., de Felício, C. M., Hrubos‐Strøm, H., et al. (2021) · Revue d Orthopédie Dento-Faciale · doi:10.1051/odf/2021035 · Cited by 6 · see citing works
Partial update of the German S3 Guideline Sleep-Related Breathing Disorders in Adults
Stuck, B. A., Arzt, M. E., Fietze, I., Galetke, W., Hein, H., Heiser, C., Herkenrath, S. D., Hofauer, B. G., Maurer, J. T., Mayer, G., et al. (2022) · Somnologie - Schlafforschung und Schlafmedizin · doi:10.1007/s11818-022-00349-5 · Cited by 6 · see citing works
The Evidence Base for the Benefits of Functional Septorhinoplasty and its Future Post COVID-19
Unadkat, S. N., Pendolino, A. L., Auer, D., Khwaja, S., Randhawa, P. S., Andrews, P. J., & Saleh, H. A. (2021) · Facial Plastic Surgery · doi:10.1055/s-0041-1725162 · Cited by 6 · see citing works
Ross, E. E., & Anari, S. (2018) · The Journal of Laryngology & Otology · doi:10.1017/s002221511800035x · Cited by 6 · see citing works
Measuring Nasal Airway Resistance to Personalize Surgery for Nasal Obstruction in OSA Patients
Lunardi, G., Giombi, F., Pace, G. M., Cerasuolo, M., Spriano, G., & Malvezzi, L. (2025) · Journal of Personalized Medicine · doi:10.3390/jpm15120608 · Cited by 5 · see citing works
Treatment of the Nose for Patients with Sleep Apnea
Callander, J. K., & Chang, J. L. (2023) · Otolaryngologic Clinics of North America · doi:10.1016/j.otc.2023.11.002 · Cited by 5 · see citing works
Treatments for Adult Obstructive Sleep Apnea
Choi, J. H. (2021) · Sleep Medicine Research · doi:10.17241/smr.2021.00913 · Cited by 5 · see citing works
Almalki, M., Alharthi, M., Altowairqi, M., Al-Amri, S., Mashrah, H. T., & Aljuaid, E. (2020) · Journal of Family Medicine and Primary Care · doi:10.4103/jfmpc.jfmpc_882_19 · Cited by 4 · see citing works
Modern view on the effectiveness of surgical methods for treating obstructive sleep apnea syndrome
Tardov, M. V., Стуров, Н. В., Ивановна, Р. Е., & Boldin, A. V. (2024) · S S Korsakov Journal of Neurology and Psychiatry · doi:10.17116/jnevro202412405253 · Cited by 4 · see citing works
Overview of Recent Advances in Surgical Treatments for OSA
Urban, M. J., Friedman, J. J., Husain, I. A., & LoSavio, P. (2020) · Current Sleep Medicine Reports · doi:10.1007/s40675-020-00186-8 · Cited by 4 · see citing works
Evidence-Based Medicine: The role of nasal surgery in treatment of obstructive sleep apnea
Newsome, H. (2023) · Facial Plastic Surgery · doi:10.1055/a-2031-3289 · Cited by 3 · see citing works
Pendolino, A. L., Unadkat, S. N., Cheong, R. C. T., Patel, A., Ferreira, J., Scarpa, B., & Andrews, P. J. (2024) · Diagnostics · doi:10.3390/diagnostics14161820 · Cited by 3 · see citing works
Neshat, S., Daneii, P., Neshat, N., Faridizad, R., Raeisi, S., Malakooti, S. M., Sadeghi, S., Ghadiri, M., & Ghiasi, F. (2021) · CRANIO® · doi:10.1080/08869634.2021.1977900 · Cited by 3 · see citing works
Effect of house dust mite allergen on sleep parameters and sleep quality
Im, Y. H., Kim, D., Jeon, E., Nam, I., Lee, H. J., Yu, K. J., & Kim, D.-Y. (2023) · Sleep And Breathing · doi:10.1007/s11325-023-02832-1 · Cited by 3 · see citing works
Khode, S. (2023) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/s00405-023-08160-0 · Cited by 3 · see citing works
Suurna, M. V., & Krieger, A. C. (2021) · Clinics in Geriatric Medicine · doi:10.1016/j.cger.2021.04.005 · Cited by 3 · see citing works
Demographics of Adults With Obstructive Sleep Apnea Who Undergo Nasal Surgery
Shah, S., Darbinian, J., Collazo, S. A., Nguyen, D., & Durr, M. L. (2024) · OTO Open · doi:10.1002/oto2.70005 · Cited by 1 · see citing works
Surgery for Sleep-Disordered Breathing
Hisamatsu, K., Matsuzaki, H., Kudou, I., & Makiyama, K. (2019) · IntechOpen eBooks · doi:10.5772/intechopen.82261 · Cited by 2 · see citing works
Huang, C., Chang, C., Hwang, Y.-L., Hsu, Y., Ko, J., & Wu, S. (2025) · Journal of Otolaryngology - Head and Neck Surgery · doi:10.1177/19160216251390319 · Cited by 1 · see citing works
Chinese Guidelines for the Diagnosis and Surgical Treatment of Adult Obstructive Sleep Apnea (2024)
Working Group of Guideline for the Diagnosis and Surgical Treatment of Adult OSA, & Editorial Board of Chinese Journal of Otorhinolaryngology Head and Neck Surgery (2026) · World Journal of Otorhinolaryngology - Head and Neck Surgery · doi:10.1002/wjo2.70070 · Cited by 1 · see citing works
Nasal airway in obstructive sleep apnea: a supine magnetic resonance imaging study
Kong, F.-B., Mi, S., Deng, G., Chen, H., & Jiang, T. (2025) · European Journal of Orthodontics · doi:10.1093/ejo/cjag002 · Cited by 1 · see citing works
Stahl, S. M. (2026) · CONTINUUM Lifelong Learning in Neurology · doi:10.1212/cont.0000000000001722 · Cited by 1 · see citing works
The Efficacy of Nasal Surgery on Pharyngeal Airway
Yoon, S. H., Yang, H. C., Galiulina, N., Kang, T. G., Kim, H. Y., Lim, H. R., & Lim, S. C. (2019) · Korean Journal of Otorhinolaryngology - Head and Neck Surgery · doi:10.3342/kjorl-hns.2019.00101 · Cited by 1 · see citing works
Gafar, H. A.-L., Abdulla, A. E.-D. A., Ghanem, Y. Y., & Bahgat, A. (2022) · The Egyptian Journal of Otolaryngology · doi:10.1186/s43163-022-00268-0 · Cited by 1 · see citing works
Effect of Septoplasty on Objective and Subjective Parameters of Osas Treatment
Server, E. A., Acıoğlu, E., Yiğit, Ö., Akı, E. S., Seden, N., & Yasak, A. G. (2021) · The Turkish Journal of Ear Nose and Throat · doi:10.26650/tr-ent.2021.41275
Spataro, E. A. (2022) · Advances in Cosmetic Surgery · doi:10.1016/j.yacs.2021.12.009
Reducing Surgical Risks for Septal and Turbinate Surgery
Gilani, S. (2023) · Facial Plastic Surgery Clinics of North America · doi:10.1016/j.fsc.2023.01.010
The Surgical Treatment of OSAS
Shetty, A., & Jardín, P. M. B. (2023) · Springer eBooks · doi:10.1007/978-3-031-38264-2_5
Prevalence of Obstructive Sleep Apnoea in patients with primary nasal and nasopharyngeal pathologies
Shankameswaran, B., Viveknarayan, G., Gowrishankar, M., & Suresh, V. (2024) · Indian Journal of Otolaryngology and Head & Neck Surgery · doi:10.1007/s12070-024-04742-4
Current Views on the Efficacy of Surgical Methods for Treating Obstructive Sleep Apnea Syndrome
Tardov, M. V., Стуров, Н. В., Ивановна, Р. Е., & Boldin, A. V. (2024) · Neuroscience and Behavioral Physiology · doi:10.1007/s11055-024-01698-4
Moideen, S. P., Sistla, S. K., Noorjehan, S. A. H., Sheriff, R. M., & Samad, S. B. (2025) · Romanian Journal of Rhinology · doi:10.2478/rjr-2025-0006
Passive Myofunctional Therapy and Obstructive Sleep Apnea
Amat, P., Correa, E. J., Cruz, M. M. E., Auboiron, M. H., & Cohen-Lévy, J. (2026) · Springer eBooks · doi:10.1007/978-3-032-10057-3_20
de Sousa, F. A., Correia, J. T., Rios, M., Ferreira, M. G., Magalhães, M., & Santos, M. (2026) · Frontiers in Surgery · doi:10.3389/fsurg.2026.1828614
Nasal Surgery for Obstructive Sleep Apnea
Phua, C. Q., Raman, K., Ong, H. Y., Mann, G. S., Lim, C. C., Narayanan, P., Gomez, A. J. C., Toh, S. T., & Goh, L. C. (2026) · Springer eBooks · doi:10.1007/978-981-95-9749-9_3
Osman, A. M., Carney, A. S., Joshi, H., Nguyen, P., CATCHESIDE, P. G., Ooi, E. H., & Eckert, D. J. (2026) · Journal of Sleep Research · doi:10.1111/jsr.70416
Plastic Surgery Techniques for the Correction of Nasal Obstruction
Walker, B. A., Toriumi, D. M., & Revenaugh, P. C. (2026) · Elsevier eBooks · doi:10.1016/b978-0-443-12563-8.00026-4
Nasal Obstruction and Sleep-Disordered Breathing
Chiba, S., Kent, D. T., & Kezirian, E. J. (2026) · Elsevier eBooks · doi:10.1016/b978-0-443-12563-8.00024-0
- Authors
- Wu, J., Zhao, G., Li, Y., Zang, H., Wang, T., Wang, D., & Han, D.
- Affiliations
- Beijing Tongren Hospital (CN)
- Corresponding author
- Han, Demin
- Venue
- Medicine
- Published
- 2017-02
- Volume
- 96
- Issue
- 5
- Pages
- e6008
- ISSN
- 0025-7974 (ISSN-L)
- PMC
- PMC5293463
- OpenAlex
- W2616986898
- Cited by
- 61
- References
- 41
- Citations by year
- 2026: 6 · 2025: 4 · 2024: 8 · 2023: 7 · 2022: 11 · 2021: 8 · 2020: 5 · 2019: 5 · 2018: 5 · 2017: 2
- FWCI
- 0.57
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Medicine (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- obstructive sleep apnea, nasal surgery, apnea-hypopnea index, nasal obstruction, Epworth Sleepiness Scale, sleep-disordered breathing, surgical outcomes
- MeSH terms
- Adult, Aged, Female, Humans, Male, Middle Aged, Postoperative Period, Severity of Illness Index, Treatment Outcome, Sleep Apnea, Obstructive, Young Adult, Nasal Surgical Procedures
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