Page 97 - Portuguese Journal - SPORL - Vol 61. Nº2
P. 97

CPAP treatment has minimized the significant      and/or improvement in the symptoms with
          impact  of OSAS, but  the lack of treatment       the introduction of CPAP should not delay this
          adherence remains a limiting factor.  Many        evaluation, when indicated.
                                                13
          patients with OSAS initiate CPAP therapy
          without an adequate evaluation of the upper       Conflict of Interest
          aerodigestive tract. Thus, the prescription       The  authors  declare  no  conflict  of  interest
          of this treatment should be considered on a       regarding this article.
          case by case basis, after gathering a thorough
          clinical history and identifying the risk factors   Data confidentiality
          for OSAS. An incorrect use of these diagnostic    The authors declare that they followed the
          and therapeutic resources may lead to a delay     protocols in use at their working center
          in  the  identification  of  serious  diseases  that   regarding the publication of the patients’ data.
          require early and targeted treatment.
          We think that the evaluation of all patients      Human and animal protection
          with obstructive sleep disorders by an            The authors declare that the followed
          otorhinolaryngologist  is  beneficial.  In  these   procedures were according to the regulations
          disorders, the upper aerodigestive tract          established by the Ethics and Clinical Research
          is simultaneously the area of study and           Committee and the Helsinki Declaration of the
          intervention. However, its direct or indirect     World Medical Association.
          observation is often neglected. Although
          this assessment results in added costs to the     Privacy policy, informed consent, and approval
          initial management of patients with OSAS,         by the ethics committee
          evaluation by an otorhinolaryngologist has        The authors declare that they obtained written
          evident  clinical  benefits  that  translate  into   informed consent for the use of the patients’
          health gains by avoiding delays and errors in     photographs in this article.
          the diagnosis and, consequently, inadequate
          interventions.   Nasopharyngolaryngoscopy         Funding
          performed in this context is an accessible        The present study was conducted in the
          and safe examination that helps in excluding      absence of any contribution, funding, or grant.
          serious diseases, characterizing the airway,
          and   identifying   potentially   correctable     Availability of scientific data
          anatomic factors during the treatment and/        There are no publicly available datasets related
          or  adaptation  to CPAP.  It  is thus  essential   to this study.
          to  acknowledge  the  beneficial  role  of  the
          otorhinolaryngologist in a multidisciplinary      Bibliographic references
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