Nasal Surgery, Obstructive Sleep Apnea, Snoring
Conditions
Brief summary
This study aimed to evaluate the effect of isolated nasal surgery on sleep-disordered breathing, particularly apnea-hypopnea index (AHI) and snoring index (SI), Apnea index (AI) and minimal arterial oxygen saturation (MAO2) in adults with obstructive sleep apnea syndrome (OSAS) and nasal obstruction.
Detailed description
Snoring is the noisy breathing that occurs throughout sleep, resulting from the vibration of the structures in the oral cavity, including the soft palate, uvula, tonsils, base of the tongue, epiglottis, as well as pharyngeal walls. Obstructive sleep apnea syndrome (OSAS) is a respiratory sleep disorder distinguished by repeated episodes of partial or total occlusion of the upper airways throughout sleep. This blockage is typically associated with a decrease (hypopnea) or total cessation (apnea) of airflow in the upper airways, and sustained thoracic-diaphragmatic respiratory movements.
Interventions
PROCEDURESeptoplasty with partial inferior turbinectomy
Patients with nasal septal deviation and hypertrophied inferior turbinate (HIT) who underwent septoplasty with partial inferior turbinectomy.
PROCEDURENasal polypectomy
Patients with chronic rhinosinusitis with nasal polyps who underwent functional endoscopic sinus surgery (FESS) with nasal polypectomy.
PROCEDUREPartial inferior turbinectomy
Patients with isolated hypertrophied inferior turbinate (HIT) who underwent partial inferior turbinectomy alone.
Sponsors
Al-Azhar University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age above 18 years. * Both sexes. * Patients with anatomical nasal obstruction due to septal deviation, hypertrophied inferior turbinate (HIT), or nasal polyps refractory to medical treatment. * Presence of snoring and obstructive sleep apnea (OSA). * Fitness for surgery.
Exclusion criteria
* Central or mixed sleep apnea. * Previous nasal surgery. * Unfitness for surgery. * Pathological obesity. * History of cardiopulmonary disease or asthma.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Apnea-Hypopnea Index | 3 months postoperatively | The Apnea-Hypopnea Index (AHI) is a critical metric used to diagnose and rank the severity of sleep apnea. It measures the average number of times your breathing completely stops (apneas) or becomes severely shallow (hypopneas) per hour of sleep. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Snoring index | 3 months postoperatively | The snoring index was defined as the number of snoring episodes divided by the hours of total sleep time |
Countries
Egypt
Outcome results
None listed