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Nasal packing and nocturnal oxygen desaturation
N Johannessen1, P F Jensen, S Kristensen
1Department of Anaesthesiology, Central Hospital, Esbjerg, Denmark.
Acta Oto-Laryngologica. Supplementum
|January 1, 1992
Summary
Nasal packing after septoplasty can worsen breathing during sleep, potentially causing obstructive sleep apnea. Further research is recommended, suggesting partial packing may be a safer alternative.
Area of Science:
- Otolaryngology
- Sleep Medicine
- Respiratory Physiology
Background:
- Nasal obstruction significantly impacts sleep respiration.
- Nasal packing following nasal surgery is a potential contributor to obstructive sleep apnea (OSA).
Purpose of the Study:
- To investigate the effect of total nasal packing on nocturnal oxygen saturation in patients undergoing septoplasty.
- To assess the potential link between nasal packing and sleep-disordered breathing.
Main Methods:
- Continuous, non-invasive pulse oximetry monitoring for three nights.
- Inclusion of 12 patients with total nasal packs post-septoplasty.
Main Results:
- A significant increase in the time spent with oxygen saturation below 90% was observed during the first and second postoperative nights.
- Demonstrated prolonged periods of nocturnal hypoxemia in patients with total nasal packing.
Conclusions:
- Total nasal packing after septoplasty may lead to significant nocturnal oxygen desaturation.
- Partial nasal packing is suggested as a potentially preferable alternative.
- Further investigation into nocturnal oxygen saturation following nasal surgery is warranted.