Journal of Otology & RhinologyISSN: 2324-8785

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Research Article, J Otol Rhinol S Vol: 0 Issue: 1

Nasal Surgery improves Continuous Positive Airway Pressure compliance and Daytime Sleepiness in Obstructive Sleep Apnea Syndrome

Misato Kasai, Akira Minekawa, Hirotomo Homma, Asami Nakzawa, Takashi Iizuka, Ayako Inoshita and Katsuhisa Ikeda*
Department of Otorhinolaryngology, Juntendo University Faculty of Medicine, Tokyo, Japan
Corresponding author : Katsuhisa Ikeda, MD
Department of 1Otorhinolaryngology, Juntendo University Faculty of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan
Tel: +81-3-5802-1094; Fax: +81-3-5689-0547
Received: November 17, 2014 Accepted: January 26, 2015 Published: March 12, 2015
Citation: Kasai M, Minekawa A, Homma H, Nakzawa A, Iizuka T, et al. (2015) Nasal Surgery improves Continuous Positive Airway Pressure compliance and Daytime Sleepiness in Obstructive Sleep Apnea Syndrome. J Otol Rhinol S1:1. doi:10.4172/2324-8785.S1-006


Background: The pressure level during nasal continuous positive airway pressure (CPAP) and the compliance may be influenced by the improvement in nasal patency resulting from nasal surgery.

Methods: We investigated 12 male OSAS patients, diagnosed by standard polysomnography, nasal airflow resistance, and Epworth sleepiness scale (ESS), who were evaluated before and after nasal surgery under the use of CPAP.

Results: The total nasal resistance was reduced after nasal surgery in all OSAS patients. A significant difference was observed in the ESS scores postoperatively. Nasal surgery significantly improved both the CPAP pressure and the compliance in all patients.

Conclusion: Nasal continuous positive airway pressure (CPAP) intolerance in obstructive sleep apnea syndrome (OSAS) patients can be adequately improved by nasal surgery. The improvement of CPAP compliance may be brought about by the reduction in applied CPAP pressure after the improvement of nasal patency.

Keywords: Nasal continuous positive airway pressure; Obstructive sleep apnea syndrome; Nasal resistance; Nasal surgery; Compliance

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