The comparison of nasal surgery and cpap on daytime sleepiness in patients with osas

Mitsuhiko Tagaya, Hironao Otake, Keisuke Suzuki, Fumihiko Yasuma, Hiroshi Yamamoto, Akiko Noda, Yoichi Nishimura, Michihiko Sone, Tsutomu Nakashima, Seiichi Nakata

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

Objective: Residual sleepiness after continuous positive airway pressure (CPAP) is a critical problem in some patients with obstructive sleep apnea syndrome (OSAS). However, nasal surgery is likely to reduce daytime sleepiness and feelings of unrefreshed sleep. The aim of this study is to clarify the effects of nasal surgery and CPAP on daytime sleepiness. Methodology: This is a retrospective and matched-case control study. The participants were consecutive 40 patients with OSAS who underwent nasal surgery (Surgery group) and 40 matched patients who were treated with CPAP (CPAP group). Results: In the Surgery group, although the nasal surgery did not decrease either apnea or hypopnea, it improved oxygenation, the quality of sleep. In the CPAP Group, the CPAP treatment reduced apnea and hypopnea, and improved oxygenation, quality of sleep. The degree of relief from daytime sleepiness was different between the two groups. The improvement of Epworth Sleepiness Scale was more significant in the Surgery Group than those in the CPAP Group (Surgery from 11.0 to 5.1, CPAP from 10.0 to 6.2). Discussion: These findings suggest that the results of the nasal surgery is more satisfactory for some patients with OSAS than CPAP on daytime sleepiness.

Original languageEnglish
Pages (from-to)269-273
Number of pages5
JournalRhinology
Volume55
Issue number3
DOIs
Publication statusPublished - 2017

All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology

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