What is the efficacy of nasal surgery in patients with obstructive sleep apnea syndrome?
Abstract
PURPOSE: Obstructive sleep apnea syndrome (OSAS) is characterized by repetitive episodes of partial or complete obstruction of the upper airway during sleep and is associated with increasing respiratory efforts, with a consequent oxyhemoglobin desaturation, sleep fragmentation, and daytime symptoms, most commonly excessive sleepiness. The effectiveness of continuous positive airway pressure (CPAP) is undoubtedly high in treating those patients who use it regularly, but for those who refuse it, the success rate is 0. It is for this subset of patients that surgical therapy can be useful. The purpose of this study was to evaluate the effects of nasal surgery on nasal resistance, sleep apnea, sleep quality, and nasal volumetric measurement in adult male patients with OSAS. METHODS: Twenty male patients with complaints of hypersomnia and snoring were included in the study. Polysomnography of patients with the prediagnosis of OSAS was planned. All patients underwent CPAP treatment before and after surgery. Patients, who had anatomic structural defects causing nasal valve shrinkage, were operated on at the Plastic Reconstructive and Aesthetic Department. Volumetric measurements of the nose were obtained before and after the operation. RESULTS: In our study, it was observed that respiratory tract space of patients increased subsequent to the surgery, and thereby OSAS level decreased, and tolerating CPAP device was easier. Measurements of internal nasal valve vertex and fields and external nasal valve fields before and after operation were significant. CONCLUSIONS: Surgical relief of this nasal obstruction may improve quality of life in patients with OSAS.
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Overall, studies clearly stated their research question and specified the selection criteria for their study population except one study.
“Overall, studies clearly stated their research question and specified the selection criteria for their study population except one study [31].”
From The Role of Isolated Nasal Surgery in Obstructive Sleep Apnea Therapy—A Systematic Review (2022) · cites this paper as [31]
Patient selection was not clearly specified in one study.
“Patient selection was not clearly specified in this study.”
From The Role of Isolated Nasal Surgery in Obstructive Sleep Apnea Therapy—A Systematic Review (2022) · cites this paper as [31]
In the remaining eight studies, the overall AHI decreased significantly after nasal surgery.
“In the remaining eight studies, the overall AHI decreased significantly after nasal surgery [12,13,19,20,26,27,31,32].”
From The Role of Isolated Nasal Surgery in Obstructive Sleep Apnea Therapy—A Systematic Review (2022) · cites this paper as [31]
Another study evaluated the effect of nasal surgery between CPAP users and non-CPAP users and found that CPAP users had a lower ESS after nasal surgery compared with non-CPAP users.
“Another study evaluated the effect of nasal surgery between CPAP users and non-CPAP users and found that CPAP users had a lower ESS after nasal surgery compared with non-CPAP users [31].”
From The Role of Isolated Nasal Surgery in Obstructive Sleep Apnea Therapy—A Systematic Review (2022) · cites this paper as [31]
Bican et al. and Elwany et al. concluded that patients tolerated CPAP therapy better after nasal surgery.
“Bican et al. and Elwany et al. concluded that patients tolerated CPAP therapy better after nasal surgery [28,31].”
From The Role of Isolated Nasal Surgery in Obstructive Sleep Apnea Therapy—A Systematic Review (2022) · cites this paper as [31]
Bican et al. and Elwany et al. found a significant decrease in CPAP titration pressure after nasal surgery.
“They found a significant decrease in CPAP titration pressure after nasal surgery.”
From The Role of Isolated Nasal Surgery in Obstructive Sleep Apnea Therapy—A Systematic Review (2022) · cites this paper as [31]
Other authors have informed an improvement in sleepiness and in sleep quality and its architecture, measured by PSG, after nasal surgery, while the AHI remained with the same values as in the preoperative measure.
“Other authors 63 64 have informed not only an improvement in sleepiness but also in sleep quality and its architecture, measured by PSG. Nevertheless, the AHI remained with the same values as in the preoperative measure.”
From Role of Nasal Surgery in Adult Obstructive Sleep Apnea: A Systematic Review (2024) · cites this paper as [63]
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- Authors
- Bican, A., Kahraman, A., Bora, İ., Kahveci, R., & Hakyemez, B.
- Affiliations
- Bursa Uludağ Üni̇versi̇tesi̇ (TR)
- Corresponding author
- Bican, Aylin
- Bora, İbrahim
- Venue
- Journal of Craniofacial Surgery
- Published
- 2010-11
- Volume
- 21
- Issue
- 6
- Pages
- 1801-1806
- ISSN
- 1049-2275 (ISSN-L)
- OpenAlex
- W2331938656
- Cited by
- 48
- References
- 22
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 2 · 2023: 6 · 2022: 7 · 2021: 4 · 2020: 5 · 2019: 3 · 2018: 1 · 2017: 4 · 2016: 6 · 2015: 2 · 2014: 1 · 2013: 1
- FWCI
- 0.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Craniofacial Surgery (publishedVersion)
- PubMed (publishedVersion)
- Bursa Uludag University - AVESIS (submittedVersion)
- 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 valve collapse, nasal obstruction, CPAP tolerance, sleep quality, snoring, hypersomnia, upper airway
- MeSH terms
- Adult, Airway Resistance, Cephalometry, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Nose, Oxygen, Quality of Life, Pulmonary Ventilation, Sleep, Sleep Apnea Syndromes, Sleep Stages, Snoring, Time Factors, Nasal Obstruction, Treatment Outcome, Polysomnography, Anatomy, Cross-Sectional, Sleep Apnea, Obstructive, Continuous Positive Airway Pressure
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