The authors have no funding, financial relationships, or conflicts of interest to disclose.
The effect of nasal surgery on nasal continuous positive airway pressure compliance
Article first published online: 10 APR 2013
© 2013 The American Laryngological, Rhinological and Otological Society, Inc.
Volume 124, Issue 1, pages 317–319, January 2014
How to Cite
Poirier, J., George, C. and Rotenberg, B. (2014), The effect of nasal surgery on nasal continuous positive airway pressure compliance. The Laryngoscope, 124: 317–319. doi: 10.1002/lary.24131
- Issue published online: 20 DEC 2013
- Article first published online: 10 APR 2013
- Manuscript Accepted: 7 MAR 2013
- Manuscript Revised: 20 FEB 2013
- Manuscript Received: 25 OCT 2012
- Obstructive sleep apnea;
- continuous positive airway pressure;
- nasal surgery;
Nasal continuous positive airway pressure (CPAP) is the standard therapy for sleep apnea; however, compliance rates are historically poor. Among the most commonly cited reasons for nonadherence is nasal obstruction. Our study sought to examine if nasal surgery actually increases CPAP compliance.
Prospective case series.
Nasal CPAP-intolerant obstructive sleep apnea (OSA) patients, with documented nasal obstruction, underwent septoplasty plus inferior turbinoplasty. Preoperative and postoperative data were collected on CPAP usage per night and subjective nasal obstruction with the Nasal Obstruction Symptom Evaluation (NOSE) Scale questionnaire.
Eighteen patients met inclusion criteria and underwent septoplasty. CPAP usage increased significantly from 0.5 hours per night preoperatively to 5 hours per night postoperatively (P < .05). Subjective nasal obstruction on the NOSE Scale decreased from 16.1 preoperatively to 5.4 following surgical intervention (P < .05). CPAP pressure decreased from 11.9 preoperatively to 9.2 after surgery, with a trend toward signifiance (P = .062).
This study demonstrates improved CPAP compliance rates following septoplasty in OSA patients with nasal obstruction. Correction of nasal obstruction should be offered in nasal CPAP-intolerant individuals to improve CPAP compliance.
Level of Evidence
3b Laryngoscope, 124:317–319, 2014