Effectiveness of nasal surgery alone on sleep quality, architecture, position, and sleep-disordered breathing in obstructive sleep apnea syndrome with nasal obstruction

Ji Ho Choi, Eun Joong Kim, Yeon Soo Kim, Tae-Hoon Kim, June Choi, Soon Young Kwon, Heung Man Lee, Sang Hag Lee, Seung Hoon Lee

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29 Citations (Scopus)

Abstract

Background: The goal of this study was to evaluate the effect of nasal surgery alone on sleep quality, architecture, position, and sleep-disordered breathing (SDB) (including obstructive apnea and snoring) in adult patients with obstructive sleep apnea syndrome (OSAS) and nasal obstruction. Methods: A total of 22 consecutive male patients (mean age, 41.3 ± 10.9 years) with OSAS and nasal obstruction, who underwent nasal surgery alone, were enrolled in the study. We compared polysomnographic data related with sleep quality (sleep efficiency [SE] and arousal index [ArI]), sleep architecture (stages N [nonrapid eye movement], 1, 2, and 3, and R [rapid eye movement]), the distribution of sleep positions, and SDB (apnea-hypopnea index [AHI], apnea index [AI], minimum arterial oxygen saturation [SaO 2], and snoring) before and after nasal surgery. Results: SE (from 86.6 ± 6.3% to 89.7 ± 7.1%; p = 0.039), stage R (from 15.3 ± 4.8% to 18.6 ± 5.4%; p = 0.016) and snoring (from 32.2 ± 16.4% to 25.8 ± 18.6%; p = 0.045) significantly changed after nasal surgery. However, there were no significant changes in ArI, other sleep stages, the proportion of sleep time spent in the supine position, AHI, AI, and minimum SaO 2 after nasal surgery. Conclusion: Nasal surgery alone was partially effective in improving sleep quality, architecture, and snoring, but it had no effect on the change of the distribution of sleep positions and obstructive apnea in patients with OSAS and nasal obstruction.

Original languageEnglish
Pages (from-to)338-341
Number of pages4
JournalAmerican Journal of Rhinology and Allergy
Volume25
Issue number5
DOIs
Publication statusPublished - 2011 Sep 1

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Nasal Surgical Procedures
Nasal Obstruction
Sleep Apnea Syndromes
Obstructive Sleep Apnea
Sleep
Apnea
Snoring
Sleep Stages
Arousal
Supine Position
REM Sleep
Eye Movements
Oxygen

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Immunology and Allergy

Cite this

@article{3d46658df05f463ea73029ce21225022,
title = "Effectiveness of nasal surgery alone on sleep quality, architecture, position, and sleep-disordered breathing in obstructive sleep apnea syndrome with nasal obstruction",
abstract = "Background: The goal of this study was to evaluate the effect of nasal surgery alone on sleep quality, architecture, position, and sleep-disordered breathing (SDB) (including obstructive apnea and snoring) in adult patients with obstructive sleep apnea syndrome (OSAS) and nasal obstruction. Methods: A total of 22 consecutive male patients (mean age, 41.3 ± 10.9 years) with OSAS and nasal obstruction, who underwent nasal surgery alone, were enrolled in the study. We compared polysomnographic data related with sleep quality (sleep efficiency [SE] and arousal index [ArI]), sleep architecture (stages N [nonrapid eye movement], 1, 2, and 3, and R [rapid eye movement]), the distribution of sleep positions, and SDB (apnea-hypopnea index [AHI], apnea index [AI], minimum arterial oxygen saturation [SaO 2], and snoring) before and after nasal surgery. Results: SE (from 86.6 ± 6.3{\%} to 89.7 ± 7.1{\%}; p = 0.039), stage R (from 15.3 ± 4.8{\%} to 18.6 ± 5.4{\%}; p = 0.016) and snoring (from 32.2 ± 16.4{\%} to 25.8 ± 18.6{\%}; p = 0.045) significantly changed after nasal surgery. However, there were no significant changes in ArI, other sleep stages, the proportion of sleep time spent in the supine position, AHI, AI, and minimum SaO 2 after nasal surgery. Conclusion: Nasal surgery alone was partially effective in improving sleep quality, architecture, and snoring, but it had no effect on the change of the distribution of sleep positions and obstructive apnea in patients with OSAS and nasal obstruction.",
author = "Choi, {Ji Ho} and Kim, {Eun Joong} and Kim, {Yeon Soo} and Tae-Hoon Kim and June Choi and Kwon, {Soon Young} and Lee, {Heung Man} and Lee, {Sang Hag} and Lee, {Seung Hoon}",
year = "2011",
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TY - JOUR

T1 - Effectiveness of nasal surgery alone on sleep quality, architecture, position, and sleep-disordered breathing in obstructive sleep apnea syndrome with nasal obstruction

AU - Choi, Ji Ho

AU - Kim, Eun Joong

AU - Kim, Yeon Soo

AU - Kim, Tae-Hoon

AU - Choi, June

AU - Kwon, Soon Young

AU - Lee, Heung Man

AU - Lee, Sang Hag

AU - Lee, Seung Hoon

PY - 2011/9/1

Y1 - 2011/9/1

N2 - Background: The goal of this study was to evaluate the effect of nasal surgery alone on sleep quality, architecture, position, and sleep-disordered breathing (SDB) (including obstructive apnea and snoring) in adult patients with obstructive sleep apnea syndrome (OSAS) and nasal obstruction. Methods: A total of 22 consecutive male patients (mean age, 41.3 ± 10.9 years) with OSAS and nasal obstruction, who underwent nasal surgery alone, were enrolled in the study. We compared polysomnographic data related with sleep quality (sleep efficiency [SE] and arousal index [ArI]), sleep architecture (stages N [nonrapid eye movement], 1, 2, and 3, and R [rapid eye movement]), the distribution of sleep positions, and SDB (apnea-hypopnea index [AHI], apnea index [AI], minimum arterial oxygen saturation [SaO 2], and snoring) before and after nasal surgery. Results: SE (from 86.6 ± 6.3% to 89.7 ± 7.1%; p = 0.039), stage R (from 15.3 ± 4.8% to 18.6 ± 5.4%; p = 0.016) and snoring (from 32.2 ± 16.4% to 25.8 ± 18.6%; p = 0.045) significantly changed after nasal surgery. However, there were no significant changes in ArI, other sleep stages, the proportion of sleep time spent in the supine position, AHI, AI, and minimum SaO 2 after nasal surgery. Conclusion: Nasal surgery alone was partially effective in improving sleep quality, architecture, and snoring, but it had no effect on the change of the distribution of sleep positions and obstructive apnea in patients with OSAS and nasal obstruction.

AB - Background: The goal of this study was to evaluate the effect of nasal surgery alone on sleep quality, architecture, position, and sleep-disordered breathing (SDB) (including obstructive apnea and snoring) in adult patients with obstructive sleep apnea syndrome (OSAS) and nasal obstruction. Methods: A total of 22 consecutive male patients (mean age, 41.3 ± 10.9 years) with OSAS and nasal obstruction, who underwent nasal surgery alone, were enrolled in the study. We compared polysomnographic data related with sleep quality (sleep efficiency [SE] and arousal index [ArI]), sleep architecture (stages N [nonrapid eye movement], 1, 2, and 3, and R [rapid eye movement]), the distribution of sleep positions, and SDB (apnea-hypopnea index [AHI], apnea index [AI], minimum arterial oxygen saturation [SaO 2], and snoring) before and after nasal surgery. Results: SE (from 86.6 ± 6.3% to 89.7 ± 7.1%; p = 0.039), stage R (from 15.3 ± 4.8% to 18.6 ± 5.4%; p = 0.016) and snoring (from 32.2 ± 16.4% to 25.8 ± 18.6%; p = 0.045) significantly changed after nasal surgery. However, there were no significant changes in ArI, other sleep stages, the proportion of sleep time spent in the supine position, AHI, AI, and minimum SaO 2 after nasal surgery. Conclusion: Nasal surgery alone was partially effective in improving sleep quality, architecture, and snoring, but it had no effect on the change of the distribution of sleep positions and obstructive apnea in patients with OSAS and nasal obstruction.

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U2 - 10.2500/ajra.2011.25.3654

DO - 10.2500/ajra.2011.25.3654

M3 - Article

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SP - 338

EP - 341

JO - American Journal of Rhinology and Allergy

JF - American Journal of Rhinology and Allergy

SN - 1945-8924

IS - 5

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