Page 55 - Portuguese Journal - SPORL - Vol 61. Nº1
P. 55
Isolated nasal surgery in the treatment
of adult obstructive sleep apnea
syndrome – Pilot study
Original Article
Authors Abstract
Objective: to evaluate the effects of isolated nasal
Ana Campos surgery in the treatment of Obstructive Sleep
Núcleo académico-clínico de Otorrinolaringologia, Apnea Syndrome (OSAS), through the impact on
Hospital CUF Tejo, Lisboa, Portugal the reduction of the Apnea-Hypopnea Index (AHI),
the Oxygen Desaturation Index (ODI), the minimal
Pedro Cebola peripheric oxygen saturation (SpO2min) and in the
Núcleo académico-clínico de Otorrinolaringologia, results of the Epworth Sleepiness Scale (ESS).
Hospital CUF Tejo, Lisboa, Portugal, Centro de
Investigação Interdisciplinar Egas Moniz (CiiEM), Study Design: retrospective cohort study
Instituto Universitário Egas Moniz (IUEM), Almada, Material and methods: Clinical processes of
Portugal patients diagnosed with OSAS who had complete
clinical assessment with polysomnography, drug
Cristina Caroça induced sleep endoscopy (DISE) and Computed
Núcleo académico-clínico de Otorrinolaringologia, Tomography (CT) of the paranasal sinuses and
Hospital CUF Tejo, Lisboa, Portugal. NOVA Medical pharynx, were analyzed. Those who underwent
School, Lisboa, Portugal. Comprehensive Health isolated nasal surgery as a therapeutic procedure
Research Center, Lisbon, Portugal. and performed a control polysomnography were
José Pais selected. The following variables, before and after
Núcleo académico-clínico de Otorrinolaringologia, the intervention, were submitted to statistical
Hospital CUF Tejo, Lisboa, Portugal. analysis: AHI, ODI, SpO2min, ESS result and weight.
Results: Of the fifteen patients, mostly male
João Paço (13/86.6%), there was a statistically significant
Núcleo académico-clínico de Otorrinolaringologia, improvement of the AHI (p=0.019), ODI (p=0.008)
Hospital CUF Tejo, Lisboa, Portugal. NOVA Medical and ESS (p=0,015) after surgery. There was no
School, Lisboa, Portugal. Comprehensive Health statistically significant association between
Research Center, Lisbon, Portugal. SpO2min (p=0.089) or weight (p=0.862) before and
after surgery.
Conclusions: Isolated nasal surgery can be effective
in OSAS, in selected patients.
Keywords: Nasal surgery; Obstructive sleep apnea
Introduction
Obstructive sleep apnea (OSA) is the most
common sleep disorder and is characterized
by recurrent episodes of partial or complete
obstruction of the upper airways during sleep,
which leads to episodes of apnea, hypopnea, or
respiratory effort-related microarousals . The
1
Correspondência:
Ana Campos most common risk factors are old age, male
ana.t.campos@cuf.pt sex, obesity, and craniofacial dysmorphia. OSA
causes well-known symptoms such as daytime
Article received on June 9, 2022. hypersomnolence, headache, insomnia,
Accepted for publication on January 30, 2023.
and problems concerning concentration,
Volume 61 . Nº1 . March 2023 55
