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Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea

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[Smokers develop a nasal obstruction in supine position].

H Gudziol¹, J Krause, M Stadeler

¹Uniklinikum, HNO-Klinik, Jena. hilmar.gudziol@med.uni-jena.de

Laryngo- Rhino- Otologie

|May 6, 2011

Summary

Smokers experience nasal obstruction when lying down, confirmed by acoustic rhinometry. This nasal congestion resolves with physical activity, suggesting lifestyle changes can improve breathing.

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Culturing of Human Nasal Epithelial Cells at the Air Liquid Interface

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Published on: October 8, 2013

Area of Science:

Otolaryngology
Respiratory Physiology
Cardiovascular Physiology

Context:

Previous studies indicate non-smokers do not develop nasal obstruction in a supine position.
Smokers exhibit different nasal respiratory behaviors compared to non-smokers.

Purpose:

To investigate nasal respiratory changes in smokers while in a supine position.
To assess the impact of physical activity on nasal respiration and cardiovascular parameters in smokers.

Summary:

Acoustic rhinometry revealed a significant decrease in total nasal volume in smokers when lying down, indicating nasal obstruction.
Approximately one-third of smokers reported noticeable nasal obstruction in the supine position.
Physical activity, such as climbing stairs, led to increased nasal parameters, blood pressure, and heart rate, with most parameters returning to baseline within minutes.

Impact:

Demonstrates cigarette smoke-induced nasal obstruction in smokers using acoustic rhinometry.
Highlights the potential benefit of elevating the head of the bed for smokers experiencing nasal obstruction.
Recommends topical corticosteroids for chronic rhinitis and smoking cessation as long-term solutions for improved nasal breathing.