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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.

Original publication

DOI

10.1017/S0022215119000240

Type

Journal article

Journal

J laryngol otol

Publication Date

03/2019

Volume

133

Pages

168 - 176

Keywords

Nasal Surgery, Nasal Surgical Procedures, Obstructive Sleep Apnea, Rhinosurgery, Sleep Apnea Syndromes, Humans, Nasal Surgical Procedures, Sleep Apnea, Obstructive