The Nose and Nasal Breathing in Sleep Apnea

被引：34
作者：
Cai, Yi [1 ]
Goldberg, Andrew N. [2 ]
Chang, Jolie L. [3 ]
机构：
[1] Univ Calif San Francisco, Dept Otolaryngol Head & Neck Surg, 2233 Post St,UCSF Box 3213, San Francisco, CA 94115 USA
[2] Univ Calif San Francisco, Dept Otolaryngol Head & Neck Surg, 2233 Post St,Room 309, San Francisco, CA 94115 USA
[3] Univ Calif San Francisco, Dept Otolaryngol Head & Neck Surg, 2233 Post St,Box 1225, San Francisco, CA 94115 USA
来源：
OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA | 2020年 / 53卷 / 03期
关键词：
Nasal obstruction; Nasal surgery; Nasal sprays; Nasal anatomy; Obstructive sleep apnea; Sleep-disordered breathing; CPAP compliance; Sleep outcomes; POSITIVE AIRWAY PRESSURE; NECK PHYSICAL-EXAMINATION; CHRONIC RHINOSINUSITIS; NONALLERGIC RHINITIS; DISEASE SEVERITY; MUSCLE-ACTIVITY; RISK-FACTOR; RESISTANCE; OBSTRUCTION; SURGERY;
D O I：
10.1016/j.otc.2020.02.002
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Assessment of the nose is critical in evaluating obstructive sleep apnea (OSA) because the nose plays an important role in the physiology of sleep by regulating nasal airway resistance and stimulating ventilation. Nasal obstruction is common in sleep apnea, contributes to OSA, and interferes with tolerance of OSA treatment with continuous positive airway pressure (CPAP) or oral appliances. Medical treatment of nasal obstruction and rhinitis with nasal corticosteroid sprays is associated with improved OSA severity and sleep symptoms. Surgery for nasal obstruction, including septoplasty, turbinate reduction, rhinoplasty, and sinus surgery, improves OSA-related quality-of-life measures and CPAP tolerance.
引用
收藏
页码：385 / +
页数：12
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