Obstructive Sleep Apnoe and CPAP – is it Reasonable to Solve Nasal Patency?

Česká verze

Authors: T. Pniak ¹; P. Matoušek ¹ ; P. Štrympl ¹; V. Novák ²; P. Komínek ¹
Authors place of work: Fakultní nemocnice Ostrava ORL klinika ¹; Fakultní nemocnice Ostrava Klinika dětské neurologie ²
Published in the journal: Cesk Slov Neurol N 2012; 75/108(2): 222-226
Category: Krátké sdělení

Summary

Objective:
The purpose of this paper was to evaluate the effect of septoplasty and turbinoplasty in the treatment of obstructive sleep apnoe (OSA), also including evaluation of subsequent CPAP (Continuous Positive Airway Pressure) therapy.

Material and methods:
Authors present a sample of 28 patients with reduced nasal patency and OSA. Nasal septal deviation and inferior turbinate hypertrophy identified by rhinoendoscopy in all these patients was corrected surgically. Pre- and postoperatively, rhinomanometry and limited polygraphy with a special emphasis on AHI (Apnoe/Hypopnoe Index) were obtained. Subjective outcome and daytime sleepiness were also evaluated. Nasal CPAP trial was performed in patients with persistent moderate to severe postsurgical OSA, specifically focusing on therapy tolerance.

Findings:
An improvement in subjective nasal patency was observed in 27 patients, while daytime sleepiness did not improve. There was no significant postoperative decrease in AHI (p = 0.0792). CPAP was accepted in 3 of 8 indicated patients.

Conclusion:
Even though there was subjective and objective improvement of nasal patency after the operation, no significant improvement of ventilation parameters was observed. Positive effect of nasal surgery on CPAP tolerance was not confirmed in our cohort.

Key words:
septoplasty – obstructive sleep apnoe – rhinomanometry

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