<abstract xmlns="http://www.w3.org/1999/xhtml"><bold>BACKGROUND.</bold> Sleep apnea is a pathology with an ever-increasing spread, the causes being the most diverse. In this study we focus on sleep breathing disorders caused by nasal obstruction and also by soft palate and uvula anatomical changes. The right treatment recommended in this pathology according to the American Academy Sleep Medicine (AASM) is non-invasive ventilation – positive airway pressure (CPAP). A substantial percentage of patients with obstructive sleep apnea seek alternatives to CPAP and the solution for this can be upper airway surgery.<bold>OBJECTIVE.</bold> The attempt to demonstrate the viability of upper respiratory tract surgery as an alternative to CPAP treatment, demonstrating objectives by pre- and postoperative polysomnographic control.<bold>RESULTS.</bold> Aggregating the data from all 54 patients with nasal obstruction and pharyngeal modifications, we observed a decrease in AHI from 20.406/h to 15.86/h, representing 32.36%, an improvement in sleep architecture and especially REM sleep from 41.5 minutes initially to 67.8 minutes (increased value with 63.37 percent).<bold>CONCLUSION.</bold> The benefits of nasopharyngeal repermeabilization surgery are represented by decreasing the severity of respiratory events and, second to this, lowering the number of arousals. By reducing the number of arousals, one will obtain a better percentage regarding the deep sleep phase - REM, having a beneficial effect on reducing the daytime sleepiness – which is a major symptom that patients are present.</abstract>

BACKGROUND. Sleep apnea is a pathology with an ever-increasing spread, the causes being the most diverse. In this study we focus on sleep breathing disorders caused by nasal obstruction and also by soft palate and uvula anatomical changes. The right treatment recommended in this pathology according to the American Academy Sleep Medicine (AASM) is non-invasive ventilation – positive airway pressure (CPAP). A substantial percentage of patients with obstructive sleep apnea seek alternatives to CPAP and the solution for this can be upper airway surgery.OBJECTIVE. The attempt to demonstrate the viability of upper respiratory tract surgery as an alternative to CPAP treatment, demonstrating objectives by pre- and postoperative polysomnographic control.RESULTS. Aggregating the data from all 54 patients with nasal obstruction and pharyngeal modifications, we observed a decrease in AHI from 20.406/h to 15.86/h, representing 32.36%, an improvement in sleep architecture and especially REM sleep from 41.5 minutes initially to 67.8 minutes (increased value with 63.37 percent).CONCLUSION. The benefits of nasopharyngeal repermeabilization surgery are represented by decreasing the severity of respiratory events and, second to this, lowering the number of arousals. By reducing the number of arousals, one will obtain a better percentage regarding the deep sleep phase - REM, having a beneficial effect on reducing the daytime sleepiness – which is a major symptom that patients are present.

Polysomnography outcomes on patients with obstructive sleep apnea after upper airways repermeabilization surgery

ENT&HNS Department, “Sfanta Maria” Hospital

“Carol Davila” University of Medicine and Pharmacy

CESITO Centre, “Sfanta Maria” Hospital

Romanian Journal of Rhinology

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

BACKGROUND. Sleep apnea is a pathology with an ever-increasing spread, the causes being the most diverse. In this study we focus on sleep breathing disorders...

Polysomnography outcomes on patients with obstructive sleep apnea after upper airways repermeabilization surgery

Published Online: May 08, 2018

Page range: 103 - 115

Received: Feb 12, 2018

Accepted: Mar 20, 2018

DOI: https://doi.org/10.2478/rjr-2018-0011

Keywords
sleep apnea, polysomnography, LAUP, nasal repermeabilization surgery

© 2018 Ionut Tanase et al., published by De Gruyter Open

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Polysomnography outcomes on patients with obstructive sleep apnea after upper airways repermeabilization surgery

Published Online: May 08, 2018

Page range: 103 - 115

Received: Feb 12, 2018

Accepted: Mar 20, 2018

DOI: https://doi.org/10.2478/rjr-2018-0011

Keywordssleep apnea, polysomnography, LAUP, nasal repermeabilization surgery

© 2018 Ionut Tanase et al., published by De Gruyter Open

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Keywords
sleep apnea, polysomnography, LAUP, nasal repermeabilization surgery