INFLUENCE OF RHINOSURGERY ON THE COURSE OF OBSTRUCTIVE APNEA SYNDROME

Abstract

Purpose of this open study was the evaluation of rhinosurgery effect on the course of obstructive apnea syndrome (OSA). 25 patients 25-60 years old with nasal obstruction and OSA were examined: neurologic, otorhynolaryngologic studies and cardiopulmonary monitoring were conducted before and 3-4 months after nasal surgery. 50% or more decline of sleep apnea index (SAI) was observed in 6 (24%) persons, in other 6 (24%) persons SAI has grown up 50% or more, no significant difference was shown in 13 patients (52%). No correlation of SAI shift after surgical treatment with physical, anamnestic and respiratory data were demonstrated. Nasal surgery leads to positive results referring to pharyngeal obstruction not more than in 24% of cases. Today we have no proved predictors of high nasal correction effect on the severity of OSA.

Keywords

obstructive apnea syndrome / nasal obstruction / rhinosurgery

References

[1] Effect of treating severe nasal obstruction on the severity of obstructive sleep apnoea / H.A. McLean [et al.] // Eur Respir J. - 2005. - Vol. 25. - P. 521-527.

[2] Georgalas C. The role of the nose in snoring and obstructive sleep apnoea: an update / C. Georgalas // Eur Arch Otorhinolaryngol. - 2011. - Vol. 268, № 9. -P. 1365-1373.

[3] Improvement in Quality of Life After Nasal Surgery Alone for Patients With Obstructive Sleep Apnea and Nasal Obstruction / Hsueh-Yu Li [et al.] // Arch Otolaryngol Head Neck Surg. - 2008. -Vol. 134, № 4. - P. 429-433.

[4] Kohler M. Predicting outcome of nasal surgery in patients with obstructive sleep apnoea / M. Kohler, K.E. Bloch // Eur Respir J. - 2008. - Vol. 32. - P. 246.

[5] Maurer J.T. Update on surgical treatment for sleep apnoea / J.T. Maurer // SWISS MED WKLY. - 2009. - Vol. 139, №43-44. - P. 624-629.

[6] McNicholas W.T. The nose and OSA: variable nasal obstruction may be more important in pathophysiology than fixed obstruction / W.T. McNicholas // Eur Respir J. - 2008. - Vol. 32. - P. 3-8.

[7] Nasal obstruction and its impact on sleep-related breathing disorders / Ph. Rombaux [et al.] // Rhinology. - 2005. -Vol. 43. - P. 242-250.

[8] Randomised trial of nasal surgery for fixed nasal obstruction in obstructive sleep apnoea / I. Koutsourelakis [et al.] // Eur Respir J. - 2008. - Vol. 31, № 1. -P. 110-117.

[9] Series F. Surgical correction of nasal obstruction in the treatment of mild sleep apnoea: importance of cephalometry in predicting outcome / F. Series, S. St. Pierre, G. Carrier // Thorax. - 1993. -Vol. 48. - P. 360-363.

[10] Snoring Is Not Relieved by Nasal Surgery Despite Improvement in Nasal Resistance / P. Virkkula [et al.] // Chest. -2006. - Vol. 129, № 1. - P. 81-87.

[11] Snoring management with nasal surgery and upper airway radiofrequency ablation / W. Carroll [et al.] // Otolaryngol Head Neck Surg. - 2012. - Vol. 146, № 6. -P. 1023-1027.

[12] The efficacy of nasal surgery in obstructive sleep apnea syndrome: a prospective clinical study / M. Sufioglu [et al.] // Eur Arch Otorhinolaryngol. - 2012. - Vol. 269, № 2. - P. 487-494.

[13] The Nose and Sleep-Disordered Breath-ing *What We Know and What We Do Not Know / M. Rappai [et al.] // Chest. -2003. - Vol. 124. - P. 2309-2323.

[14] Verse T. Effect of Nasal Surgery on Sleep-Related Breathing Disorders / T. Verse, J.T. Maurer, P. Wolfgang // Laryngoscope. - 2002. - Vol. 112. -P. 64-69.

RIGHTS & PERMISSIONS

Tardov M.V., Kunelskaya N.L., Turovsky A.B., Ivoylov A.Y., Klyasov A.V., Zarapkin G.Y., Artemev M.E., Arhangelskaya I.I., Zaoeva Z.O., Kondrashina V.V.