학술논문

Rhinological interventions for obstructive sleep apnoea – a systematic review and descriptive meta-analysis.
Document Type
Article
Source
Journal of Laryngology & Otology. Mar2019, Vol. 133 Issue 3, p168-176. 9p.
Subject
*NASAL surgery
*META-analysis
*OPERATIVE otolaryngology
*RESPIRATORY obstructions
*SLEEP apnea syndromes
*SYSTEMATIC reviews
Language
ISSN
0022-2151
Abstract
Objectives: Obstructive sleep apnoea is a common chronic sleep disorder characterised by collapse of the upper airway during sleep. The nasal airway forms a significant part of the upper airway and any obstruction is thought to have an impact on obstructive sleep apnoea. A systematic review was performed to determine the role of rhinological surgical interventions in the management of obstructive sleep apnoea. Methods: A systematic review of current literature was undertaken; studies were included if they involved comparison of a non-surgical and/or non-rhinological surgical intervention with a rhinological surgical intervention for treatment of obstructive sleep apnoea. Results: Sixteen studies met the selection criteria. The pooled data suggest that there are reductions in the apnoea/hypopnea index and respiratory disturbance index following nasal surgery. However, the current body of studies is too heterogeneous for statistically significant meta-analysis to be conducted. Conclusion: Nasal surgery may have limited benefit for a subset of patients based on current evidence. [ABSTRACT FROM AUTHOR]