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Cirurgia nasal na síndrome da apneia obstructiva do sono

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Resumo:Nasal surgery is commonly involved in surgical treatment for obstructive sleep apnea (OSA). The aim of this study was to investigate the outcomes of nasal surgery for OSA. The Pubmed database (20102014) was searched for original articles published in reviewed journals concerning nasal surgery for nasal obstruction/obtructive sleep apnea syndrome. These articles were selected based on some criteria and the data extracted from them were reviewed and analyzed. Nine articles were analysed. Seven consisted of prospective noncontrolled clinical trials and two retrospective. The weighted mean apnea/hypopnea index measured by polysomnography in all studies decreased from 28.6±7.4 para 23.6±6.6 event/hour after nasal surgery. The pooled success rate of nasal surgery in treating OSA varied between 3.6% and 56%. Considering the cure of OSA as IAH<5, the cure rate was 7.6% (between 11.1% and 22.7%). Daytime sleepiness improved in every studies and the mean Epworth Sleepiness Scale scores decreased from 11.0±3.1 para 6.5±2.6 after nasal surgery. Nasal obstruction improved in the majority of the patients. Nasal surgery for snoring and apnea assessed by individual questionnaires and visual analog scale reported some improvement. Sleep architecture results were controversial. This review shows that nasal surgery can effectively reduce daytime sleepiness and snoring, two of the most influential factors of quality of life. The efficacy of nasal surgery in treating OSA is limited, however this intervention should be considered for all the other positive outcomes.
Autores principais:Fabião, Marta Isabel da Conceição
Assunto:Obstructive sleep apnea syndrome Sleep Sleep apnea Sleep disorder Snoring Nasal surgery
Ano:2015
País:Portugal
Tipo de documento:dissertação de mestrado
Tipo de acesso:acesso restrito
Instituição associada:Universidade de Lisboa
Idioma:português
Origem:Repositório da Universidade de Lisboa

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