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but not in the AHI . Similarly, in another Data Confidentiality
26
meta-analysis conducted by Li et al. (13 The authors declare having followed the
studies, 474 patients), the authors reported protocols in use at their working center
an improvement in snoring and daytime regarding patients’ data publication.
sleepiness after nasal surgery alone but not in
the AHI . Protection of humans and animals
27
The main limitation of this study was the small The authors declare that the procedures
sample size, although many studies included were followed according to the regulations
in the abovementioned meta-analyses 17,26,27 established by the Clinical Research and Ethics
also had a limited number of participants Committee and to the 2013 Helsinki Declaration
(approximately 20 patients). Although this of the World Medical Association.
study had a significant number of patients
undergoing nasal surgery for the treatment of Funding Sources
OSA/OSAS, not all of them underwent control This work did not receive any contribution,
polysomnography, either because of access funding or scholarship.
difficulties or because they felt better and
deemed it unnecessary. Availability of scientific data
Nevertheless, the dissemination of the data There are no datasets available, publicly related
obtained in this study is important because it to this work.
reinforces the role of the otorhinolaryngologist
in the sleep team as a professional who can Bibliographic references
offer a range of therapeutic options, including 1. Patel SR. Obstructive sleep apnea. Ann Intern Med. 2019
Dec 3;171(11):ITC81-ITC96. doi: 10.7326/AITC201912030.
surgery, and the importance of monitoring 2. Kline LR. Clinical presentation and diagnosis of
the effect of the chosen treatment. According obstructive sleep apnea in adults. UpToDate. 2022.
to the AASM, OSA should be addressed as Disponível em: <https://www.uptodate.com/contents/
clinical-presentation-and-diagnosis-of-obstructive-sleep-
a chronic disease that requires prolonged apnea-in-adults>. Acedido em 01.05.2022.
multidisciplinary vigilance. Further, patients 3. Gottlieb DJ, Punjabi NM. Diagnosis and management
should be provided with multiple treatment of obstructive sleep apnea: a review. JAMA. 2020 Apr
options, depending on the severity of their 14;323(14):1389-1400. doi: 10.1001/jama.2020.3514.
4. Labarca G, Saavedra D, Dreyse J, Jorquera J, Barbe
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In adequately selected patients, nasal surgery 5. Virk JS, Kotecha B. When continuous positive airway
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to moderate OSAS, although randomized doi: 10.21037/jtd.2016.09.67.
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Acknowledgments 7. Bakker JP, Weaver TE, Parthasarathy S, Aloia MS.
Adherence to CPAP: what should we be aiming for, and
The authors thank Dr. Sara Dias of Universidade how can we get there? Chest. 2019 Jun;155(6):1272-1287.
Nova de Lisboa for assisting with the statistical doi: 10.1016/j.chest.2019.01.012.
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Conflicts of Interest doi: 10.1186/s40463-016-0156-0.
The authors declare that there is no conflict 9. Veasey SC, Rosen IM. Obstructive sleep apnea in adults.
of interests regarding the publication of this N Engl J Med. 2019 Apr 11;380(15):1442-1449. doi: 10.1056/
NEJMcp1816152.
paper. 10. Kent D, Stanley J, Aurora RN, Levine C, Gottlieb DJ,
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