Effects of nasal surgery on sleep quality in obstructive sleep apnea syndrome with nasal obstruction
Abstract
BACKGROUND: The purpose of this study was to evaluate the effects of nasal surgery on nasal resistance, sleep apnea, and sleep quality in adult male patients with obstructive sleep apnea syndrome (OSAS). A prospective study was performed in OSAS patients who underwent isolated nasal surgery in a tertiary referral center. METHODS: During the 3-year study period, 49 OSAS patients suffering from symptomatic nasal obstruction/impaired nasal breathing underwent the standard polysomnography before and after surgery. Polysomnography along with measures of nasal resistance and daytime sleepiness (the Epworth sleepiness scale [ESS] scores) were reviewed also. RESULTS: Surgery decreased the nasal resistance (0.55 +/- 0.37 Pa/cm(3) per second versus 0.17 +/- 0.19 Pa/cm(3) per second; p < 0.001) and ESS scores (11.7 +/- 4.1 versus 3.3 +/- 1.3; p < 0.001), without changes in the apnea-hypopnea index (AHI; 44.6 +/- 22.5 versus 42.5 +/- 22.0). Surgery increased nadir oxygen saturation (76.2 +/- 10.9% versus 78.8 +/- 8.1%; p < 0.01), shortened apnea-hypopnea duration (averaged/maximum; 33.5 +/- 7.3/61.1 +/- 46.0 versus 28.8 +/- 7.4/47.3 +/- 36.1 second; p < 0.05/p < 0.01), and improved sleep quality. CONCLUSION: The results suggest that nasal surgery is useful for lowering nasal resistance, ameliorating sleep-disordered breathing, and improving sleep quality and daytime sleepiness in OSAS.
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The overall AHI was not significantly different after nasal surgery in twelve studies.
“The overall AHI was not significantly different after nasal surgery in twelve studies [15,16,17,18,21,22,23,24,25,28,29,30].”
From The Role of Isolated Nasal Surgery in Obstructive Sleep Apnea Therapy—A Systematic Review (2022) · cites this paper as [21]
Nakata et al. included patients using CPAP, but it was unclear if they used CPAP postoperatively.
“Nakata et al. included patients using CPAP, but it was unclear if they used CPAP postoperatively [21].”
From The Role of Isolated Nasal Surgery in Obstructive Sleep Apnea Therapy—A Systematic Review (2022) · cites this paper as [21]
Two studies did not report a time frame between preoperative and postoperative PSG.
“Two studies did not report a time frame between preoperative and postoperative PSG [17,21].”
From The Role of Isolated Nasal Surgery in Obstructive Sleep Apnea Therapy—A Systematic Review (2022) · cites this paper as [21]
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- Authors
- Nakata, S., Noda, A., Yasuma, F., Morinaga, M., Sugiura, M., Katayama, N., Sawaki, M., Teranishi, M., & Nakashima, T.
- Affiliations
- Nagoya University (JP)
- National Hospital Organization (JP)
- Nagoya Women's University (JP)
- Suetsugu Clinic, Nagoya, Japan
- Venue
- American Journal of Rhinology
- Publisher
- SAGE Publications
- Published
- 2008-01
- Volume
- 22
- Issue
- 1
- Pages
- 59-63
- ISSN
- 1050-6586 (ISSN-L)
- 1539-6290
- OpenAlex
- W2028655020
- Cited by
- 104
- References
- 34
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 3 · 2023: 5 · 2022: 6 · 2021: 7 · 2020: 8 · 2019: 8 · 2018: 3 · 2017: 13 · 2016: 8 · 2015: 3 · 2014: 8 · 2013: 5 · 2012: 6
- FWCI
- 3.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Rhinology (publishedVersion)
- 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 obstruction, nasal surgery, nasal resistance, sleep quality, daytime sleepiness, Epworth Sleepiness Scale, apnea-hypopnea index, oxygen saturation, sleep-disordered breathing
- MeSH terms
- Adult, Aged, Endoscopy, Follow-Up Studies, Humans, Male, Middle Aged, Nose, Retrospective Studies, Sleep, Sleep Apnea Syndromes, Otorhinolaryngologic Surgical Procedures, Nasal Obstruction, Treatment Outcome, Polysomnography
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