Isolated nasal surgery in the treatment of adult obstructive sleep apnea syndrome – Pilot study

Detalhes bibliográficos
Autor(a) principal: Campos, Ana
Data de Publicação: 2023
Outros Autores: Pedro, Cebola, Caroça, Cristina, Pais, José, Paço, João
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.34631/sporl.1064
Resumo: Objective: to evaluate the effects of isolated nasal surgery in the treatment of Obstructive Sleep Apnea Syndrome (OSAS), through the impact on the reduction of the Apnea-Hypopnea Index (AHI), the Oxygen Desaturation Index (ODI), the minimal peripheric oxygen saturation (SpO2min) and in the results of the Epworth Sleepiness Scale (ESS). Study Design: retrospective cohort study Material and methods: Clinical processes of patients diagnosed with OSAS who had complete clinical assessment with polysomnography, drug induced sleep endoscopy (DISE) and Computed Tomography (CT) of the paranasal sinuses and pharynx, were analyzed. Those who underwent isolated nasal surgery as a therapeutic procedure and performed a control polysomnography were selected. The following variables, before and after the intervention, were submitted to statistical analysis: AHI, ODI, SpO2min, ESS result and weight. Results: Of the fifteen patients, mostly male (13/86.6%), there was a statistically significantimprovement of the AHI (p=0.019), ODI (p=0.008) and ESS (p=0,015) after surgery. There was no statistically significant association between 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.
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spelling Isolated nasal surgery in the treatment of adult obstructive sleep apnea syndrome – Pilot studyCirurgia nasal isolada no tratamento da síndrome da apneia obstrutiva do sono do adulto – Estudo pilotoCirurgia nasalApneia obstrutiva do sonoNasal surgeryObstructive sleep apneaObjective: to evaluate the effects of isolated nasal surgery in the treatment of Obstructive Sleep Apnea Syndrome (OSAS), through the impact on the reduction of the Apnea-Hypopnea Index (AHI), the Oxygen Desaturation Index (ODI), the minimal peripheric oxygen saturation (SpO2min) and in the results of the Epworth Sleepiness Scale (ESS). Study Design: retrospective cohort study Material and methods: Clinical processes of patients diagnosed with OSAS who had complete clinical assessment with polysomnography, drug induced sleep endoscopy (DISE) and Computed Tomography (CT) of the paranasal sinuses and pharynx, were analyzed. Those who underwent isolated nasal surgery as a therapeutic procedure and performed a control polysomnography were selected. The following variables, before and after the intervention, were submitted to statistical analysis: AHI, ODI, SpO2min, ESS result and weight. Results: Of the fifteen patients, mostly male (13/86.6%), there was a statistically significantimprovement of the AHI (p=0.019), ODI (p=0.008) and ESS (p=0,015) after surgery. There was no statistically significant association between 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.Objectivo: Avaliar os resultados da cirurgia nasal isolada no tratamento da Síndrome da Apneia Obstrutiva do Sono (SAOS), através do impacto na redução do índice de Apneia-Hipopneia (IAH), do índice de dessaturação de oxigénio (ODI), da saturação periférica oxigénio mínima (SpO2min) e dos resultados da escala de sonolência de Epworth (ESE). Desenho do Estudo: estudo coorte retrospetivo Material e métodos: Foram consultados os processos clínicos dos doentes com diagnóstico de SAOS, que realizaram avaliação com estudo poligráfico do sono, estudo endoscópico da via aérea superior sob indução farmacológica do sono – Drug Induced Sleep Endoscopy (DISE) e Tomografia Computorizada (TC) de seios perinasais e faringe. Foram selecionados aqueles submetidos a cirurgia nasal como procedimento isolado com objetivo terapêutico e que realizaram estudo poligráfico do sono de controlo após a mesma. Pré e pós-operatoriamente, foram analisadas as seguintes variáveis: IAH, ODI, SpO2min, resultado da ESE e peso. Resultados: Foram incluídos 15 doentes, maioritariamente do sexo masculino (13/86,6%). Após a cirurgia, verificou-se uma melhoria estatisticamente significativa do IAH (p=0.019), do ODI (p=0,008) e da ESE (p=0,015). Não se verificou associação estatisticamente significativa entre a SpO2min (p=0,089) e o peso antes e após a cirurgia (p=0.862). Conclusões: A cirurgia nasal pode ser tratamento eficaz na SAOS, em doentes adequadamente selecionados.Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2023-03-16info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfhttps://doi.org/10.34631/sporl.1064https://doi.org/10.34631/sporl.1064Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 61 No. 1 (2023): March; 55-60Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 61 Núm. 1 (2023): Março; 55-60Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 61 N.º 1 (2023): Março; 55-602184-6499reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPengporhttps://journalsporl.com/index.php/sporl/article/view/2011https://journalsporl.com/index.php/sporl/article/view/2011/15https://journalsporl.com/index.php/sporl/article/view/2011/16Direitos de Autor (c) 2023 Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoçoinfo:eu-repo/semantics/openAccessCampos, AnaPedro, CebolaCaroça, CristinaPais, JoséPaço, João2023-11-09T12:00:31Zoai:journalsporl.com:article/2011Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:10:08.018213Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Isolated nasal surgery in the treatment of adult obstructive sleep apnea syndrome – Pilot study
Cirurgia nasal isolada no tratamento da síndrome da apneia obstrutiva do sono do adulto – Estudo piloto
title Isolated nasal surgery in the treatment of adult obstructive sleep apnea syndrome – Pilot study
spellingShingle Isolated nasal surgery in the treatment of adult obstructive sleep apnea syndrome – Pilot study
Campos, Ana
Cirurgia nasal
Apneia obstrutiva do sono
Nasal surgery
Obstructive sleep apnea
title_short Isolated nasal surgery in the treatment of adult obstructive sleep apnea syndrome – Pilot study
title_full Isolated nasal surgery in the treatment of adult obstructive sleep apnea syndrome – Pilot study
title_fullStr Isolated nasal surgery in the treatment of adult obstructive sleep apnea syndrome – Pilot study
title_full_unstemmed Isolated nasal surgery in the treatment of adult obstructive sleep apnea syndrome – Pilot study
title_sort Isolated nasal surgery in the treatment of adult obstructive sleep apnea syndrome – Pilot study
author Campos, Ana
author_facet Campos, Ana
Pedro, Cebola
Caroça, Cristina
Pais, José
Paço, João
author_role author
author2 Pedro, Cebola
Caroça, Cristina
Pais, José
Paço, João
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Campos, Ana
Pedro, Cebola
Caroça, Cristina
Pais, José
Paço, João
dc.subject.por.fl_str_mv Cirurgia nasal
Apneia obstrutiva do sono
Nasal surgery
Obstructive sleep apnea
topic Cirurgia nasal
Apneia obstrutiva do sono
Nasal surgery
Obstructive sleep apnea
description Objective: to evaluate the effects of isolated nasal surgery in the treatment of Obstructive Sleep Apnea Syndrome (OSAS), through the impact on the reduction of the Apnea-Hypopnea Index (AHI), the Oxygen Desaturation Index (ODI), the minimal peripheric oxygen saturation (SpO2min) and in the results of the Epworth Sleepiness Scale (ESS). Study Design: retrospective cohort study Material and methods: Clinical processes of patients diagnosed with OSAS who had complete clinical assessment with polysomnography, drug induced sleep endoscopy (DISE) and Computed Tomography (CT) of the paranasal sinuses and pharynx, were analyzed. Those who underwent isolated nasal surgery as a therapeutic procedure and performed a control polysomnography were selected. The following variables, before and after the intervention, were submitted to statistical analysis: AHI, ODI, SpO2min, ESS result and weight. Results: Of the fifteen patients, mostly male (13/86.6%), there was a statistically significantimprovement of the AHI (p=0.019), ODI (p=0.008) and ESS (p=0,015) after surgery. There was no statistically significant association between 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.
publishDate 2023
dc.date.none.fl_str_mv 2023-03-16
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.34631/sporl.1064
https://doi.org/10.34631/sporl.1064
url https://doi.org/10.34631/sporl.1064
dc.language.iso.fl_str_mv eng
por
language eng
por
dc.relation.none.fl_str_mv https://journalsporl.com/index.php/sporl/article/view/2011
https://journalsporl.com/index.php/sporl/article/view/2011/15
https://journalsporl.com/index.php/sporl/article/view/2011/16
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
publisher.none.fl_str_mv Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
dc.source.none.fl_str_mv Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 61 No. 1 (2023): March; 55-60
Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 61 Núm. 1 (2023): Março; 55-60
Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 61 N.º 1 (2023): Março; 55-60
2184-6499
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instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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