Am J Otolaryngol Head Neck Surg | Volume 1, Issue 2 | Research Article | Open Access
Hazem S. Amer1, Mohammad Waheed El-Anwar1*, Sherif M Askar1, Ahmed Elsobki2 and Ali Awad1
1Department of Otorhinolaryngology, Zagazig University, Egypt
2Department of Otorhinolaryngology, Mansoura University, Egypt
*Correspondance to: Mohammad Waheed El-Anwar
Fulltext PDFObjective: To study the role of nasal surgery as a part of multilevel surgery for management of OSA.
Methods: All patients underwent multilevel surgery for relieving OSA symptoms and they were classified according to type of surgical intervention into: group A (20 patients), who underwent hyoid suspension (Hyoidthyroidpexy), tonsillectomy, suspension (El-Ahl and El-Anwar) sutures and nasal surgery (inferior turbinate surgery). Group B (20 patients), who underwent hyoid suspension (Hyoidthyroidpexy), tonsillectomy and suspension sutures. Pre and postoperative sleep study, Epworth Sleepiness Scale (ESS), snoring score were reported and compared.
Results: Apnea Hypoapnea Index (AHI) dropped significantly in both groups. The mean preoperative AHI was significantly less in patients had no nasal obstruction (P= 0.0367), while the difference in postoperative values was non-significant (p =0.7358). The mean ESS improved significantly in both groups, but the difference between pre and postoperative values in both groups was non-significant. The lowest oxygen saturation elevated significantly in both groups, but the difference between pre and postoperative values in both groups was non-significant. As regards snoring scores, they dropped significantly in both groups. The preoperative snoring score was reported to be significantly more in patients had associated nasal obstruction (group A) (P =0.0113). But after surgery and the difference in postoperative values was non-significant (P =0.1296).
Conclusion: Treatment of nasal obstruction should be considered as an important component in the comprehensive management plan OSA patients as it has significant impact on the patients AHI and snoring.
Obstructive sleep apnea; Multilevel surgery; Nose; Snoring
Amer HS, El-Anwar MW, Askar SM, Elsobki A, Awad A. Could Nasal Surgery Affect Multilevel Surgery Results for Obstructive Sleep Apnea? Am J Otolaryngol Head Neck Surg. 2018;1(2):1006.