Rhinology Journal · 2017 · 10 citations · 15 references
MedicineOtolaryngologySurgeryOtolaryngologic SurgeryRhinologySleep MedicineContinuous Positive Airway PressureNasal SurgeryPositive Airway Pressure TherapySleep Apnea CareSleep-disordered BreathingSleep-related Breathing DisordersMatched Study DesignsNasal Continuous Positive Airway PressureObstructive Sleep Apnea TherapyObstructive Sleep Apnea TreatmentOxygenationResidual SleepinessSleepSleep Apnea Syndrome
OBJECTIVE: Residual sleepiness after continuous positive airway pressure (CPAP) is a critical problem in some patients with obstructive sleep apnea syndrome (OSAS). However, nasal surgery is likely to reduce daytime sleepiness and feelings of unrefreshed sleep. The aim of this study is to clarify the effects of nasal surgery and CPAP on daytime sleepiness. METHODOLOGY: This is a retrospective and matched-case control study. The participants were consecutive 40 patients with OSAS who underwent nasal surgery (Surgery group) and 40 matched patients who were treated with CPAP (CPAP group). RESULTS: In the Surgery group, although the nasal surgery did not decrease either apnea or hypopnea, it improved oxygenation, the quality of sleep. In the CPAP Group, the CPAP treatment reduced apnea and hypopnea, and improved oxygenation, quality of sleep. The degree of relief from daytime sleepiness was different between the two groups. The improvement of Epworth Sleepiness Scale was more significant in the Surgery Group than those in the CPAP Group (Surgery from 11.0 to 5.1, CPAP from 10.0 to 6.2). DISCUSSION: These findings suggest that the results of the nasal surgery is more satisfactory for some patients with OSAS than CPAP on daytime sleepiness.
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