Can Nasal Surgery Improve Obstructive Sleep Apnea: Subjective or Objective?
Abstract
Background: This study assessed changes in sleep-related symptoms and polysomnographic parameters after nasal surgery for nasal obstruction in obstructive sleep apnea (OSA) adults in Taiwan. Methods: A total of 66 patients with OSA and chronic nasal obstruction were recruited (surgical, n = 44; control, n = 22). Nasal surgery alone was the treatment in surgical patients. Outcomes were measured in a Snore Outcome Survey (SOS), Epworth Sleepiness Scale (ESS), rhinomanometry, and polysomnographic parameters at baseline and again after 3 months. Results: Significantly improved nasal resistance as measured by the SOS and ESS were found only in the surgical group (all, p < 0.001). Both groups revealed insignificant changes in polysomnographic parameters. The patients with lower body weight index, less daytime sleepiness, and lower tongue position had a better success rate than the others (50% versus 3%; p < 0.001). Conclusion: Although nasal surgery relieved snoring and daytime sleepiness, it had variable effects on polysomnographic parameters.
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Five studies did not specify the time frame within which patients were included.
“five studies did not specify the time frame within which patients were included [20,23,24,27,29].”
From The Role of Isolated Nasal Surgery in Obstructive Sleep Apnea Therapy—A Systematic Review (2022) · cites this paper as [24]
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 [24]
In thirteen studies, it was not reported if patients used CPAP during the study period.
“In thirteen studies, it was not reported if patients used CPAP during the study period [12,13,14,15,16,19,20,23,24,26,27,29,32].”
From The Role of Isolated Nasal Surgery in Obstructive Sleep Apnea Therapy—A Systematic Review (2022) · cites this paper as [24]
Li et al. found no significant effect of surgery on AHI and a lower success rate of 16% in a comparable patient group with septal deviation and hypertrophic inferior turbinates.
“One study by Li et al [13] described a homogenous patient group comparable to ours with septal deviation and hypertrophic inferior turbinates (n = 44). They found no significant effect of surgery on AHI, and a lower success rate of 16%.”
From An observational cohort study of the effects of septoplasty with or without inferior turbinate reduction in patients with obstructive sleep apnea (2014) · cites this paper as [13]
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- Authors
- Li, H.-Y., Lee, L.-A., Wang, P.-C., Fang, T.-J., & Chen, N.-H.
- Affiliations
- Chang Gung University of Science and Technology (TW)
- Chang Gung University (TW)
- Fu Jen Catholic University (TW)
- Chang Gung Memorial Hospital (TW)
- Venue
- American Journal of Rhinology & Allergy
- Publisher
- SAGE Publications
- Published
- 2009-11
- Volume
- 23
- Issue
- 6
- Pages
- e51-e55
- ISSN
- 1945-8924 (ISSN-L)
- 1945-8932
- OpenAlex
- W2064754318
- Cited by
- 59
- References
- 28
- Citations by year
- 2025: 4 · 2024: 2 · 2023: 4 · 2022: 3 · 2021: 3 · 2020: 3 · 2019: 6 · 2018: 4 · 2017: 4 · 2016: 3 · 2015: 2 · 2014: 7 · 2013: 4 · 2012: 1
- FWCI
- 1.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Rhinology and Allergy (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Cathay General Hospital
- 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, daytime sleepiness, nasal resistance, polysomnography, Epworth Sleepiness Scale, rhinomanometry, body mass index, tongue position, treatment outcomes
- MeSH terms
- Adult, Body Weight, Female, Follow-Up Studies, Humans, Male, Middle Aged, Nose, Rhinoplasty, Snoring, Treatment Outcome, Polysomnography, Disease Progression, Sleep Apnea, Obstructive, Rhinomanometry
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