The effect of treatment of nasal and sinus diseases on the success rate of palatal surgery for obstructive sleep apnea

被引：0
作者：
Nassim N.T. [1 ]
Elhoshy H.M. [1 ]
Fattah A.F.A. [1 ]
Safwat S.F. [2 ]
Atef A.M. [1 ]
机构：
[1] Department of E.N.T., Faculty of Medicine, Cairo University, Cairo
[2] National Institute of Enhanced Laser Sciences, Cairo University, Cairo
来源：
The Egyptian Journal of Otolaryngology | 2012年 / 28卷 / 3期
关键词：
apnea hypopnea index; Lund–Mackay score; obstructive sleep apnea;
D O I：
10.7123/01.EJO.0000418069.27183.21
中图分类号：
学科分类号：
摘要：
Abstract Objective: Many patients with obstructive sleep apnea (OSA) have coexisting nasal and sinus problems. In the absence of major anatomical abnormalities, these problems may be overlooked, hence jeopardizing the success rate of palatal surgery. Our objective was to identify the effect of medical management of nasal and sinus diseases on the success rate of palatal surgery in mild to moderate cases of OSA. Methodology: This prospective study included 28 patients divided in two groups; group A was treated medically with antibiotics and local steroids before palatal surgeries, whereas group B was not treated medically before palatal surgeries. Assessment was made preoperatively and postoperatively using polysomnography. Results: Group A showed more improvement in the apnea hypopnea index than group B. Conclusion: Management of nasal and sinus problems improves the results of palatal surgery in cases of mild to moderate OSA. © 2012, The Egyptian Oto - Rhino - Laryngological Society.
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页码：196 / 200
页数：4
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