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Rhinological interventions for obstructive sleep apnoea - a systematic review and descriptive meta-analysis.

S Sharma¹, J C R Wormald², J M Fishman³

¹Department of ENT,Queens Medical Centre,Nottingham,UK.

The Journal of Laryngology and Otology

|February 22, 2019

Summary

This summary is machine-generated.

Nasal surgery may offer some benefit for individuals with obstructive sleep apnoea (OSA), a common sleep disorder. Evidence suggests potential improvements in breathing metrics, though further research is needed.

Keywords:

Nasal Surgery Nasal Surgical Procedures Obstructive Sleep Apnea Rhinosurgery Sleep Apnea Syndromes

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Area of Science:

Otolaryngology
Sleep Medicine
Respiratory Medicine

Background:

Obstructive sleep apnoea (OSA) is a prevalent chronic condition marked by upper airway collapse during sleep.
The nasal airway is a critical component of the upper airway, and its obstruction may influence OSA severity.

Purpose of the Study:

To systematically review the existing literature on the efficacy of rhinological surgical interventions in managing obstructive sleep apnoea.

Main Methods:

A systematic literature review was conducted.
Studies were included if they compared non-surgical/non-rhinological interventions with rhinological surgical interventions for OSA treatment.

Main Results:

Sixteen studies met the inclusion criteria.
Pooled data indicated reductions in the apnoea/hypopnea index and respiratory disturbance index after nasal surgery.
Study heterogeneity precluded a statistically significant meta-analysis.

Conclusions:

Current evidence suggests that nasal surgery might provide limited benefits for a specific group of obstructive sleep apnoea patients.