The comparison of nasal surgery and CPAP on daytime sleepiness in patients with OSAS
Open accessAbstract
OBJECTIVE: Residual sleepiness after continuous positive airway pressure (CPAP) is a critical problem in some patients with obstructive sleep apnea syndrome (OSAS). However, nasal surgery is likely to reduce daytime sleepiness and feelings of unrefreshed sleep. The aim of this study is to clarify the effects of nasal surgery and CPAP on daytime sleepiness. METHODOLOGY: This is a retrospective and matched-case control study. The participants were consecutive 40 patients with OSAS who underwent nasal surgery (Surgery group) and 40 matched patients who were treated with CPAP (CPAP group). RESULTS: In the Surgery group, although the nasal surgery did not decrease either apnea or hypopnea, it improved oxygenation, the quality of sleep. In the CPAP Group, the CPAP treatment reduced apnea and hypopnea, and improved oxygenation, quality of sleep. The degree of relief from daytime sleepiness was different between the two groups. The improvement of Epworth Sleepiness Scale was more significant in the Surgery Group than those in the CPAP Group (Surgery from 11.0 to 5.1, CPAP from 10.0 to 6.2). DISCUSSION: These findings suggest that the results of the nasal surgery is more satisfactory for some patients with OSAS than CPAP on daytime sleepiness.
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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 [17]
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 [17]
Tagaya et al. compared a nasal surgery group to a CPAP therapy group and found that according to daytime sleepiness, nasal surgery was more satisfactory for OSA patients than CPAP therapy.
“Tagaya et al. compared a nasal surgery group to a CPAP therapy group and according to daytime sleepiness, nasal surgery was more satisfactory for OSA patients than CPAP therapy [17].”
From The Role of Isolated Nasal Surgery in Obstructive Sleep Apnea Therapy—A Systematic Review (2022) · cites this paper as [17]
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Cites
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- Authors
- Tagaya, M., Otake, H., Suzuki, K., Yasuma, F., Yamamoto, H., Noda, A., Nishimura, Y., Sone, M., Nakashima, T., & Nakata, S.
- Affiliations
- Nagoya University (JP)
- National Hospital Organization (JP)
- Nagoya Central Hospital (JP)
- Chubu University (JP)
- Fujita Health University (JP)
- Venue
- Rhinology Journal
- Publisher
- Stichting Nase
- Published
- 2017-01-01
- Volume
- 55
- Issue
- 3
- Pages
- 269-271
- ISSN
- 0300-0729 (ISSN-L)
- OpenAlex
- W2807776250
- Cited by
- 10
- References
- 16
- Citations by year
- 2023: 3 · 2022: 2 · 2021: 1 · 2020: 1 · 2019: 2 · 2017: 1
- FWCI
- 0.81
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Rhinology Journal (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 surgery, continuous positive airway pressure, daytime sleepiness, Epworth Sleepiness Scale, sleep quality, oxygenation, apnea-hypopnea
- MeSH terms
- Humans, Retrospective Studies, Sleep Wake Disorders, Case-Control Studies, Polysomnography, Sleep Apnea, Obstructive, Continuous Positive Airway Pressure, Nasal Surgical Procedures
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