Rhinological interventions for obstructive sleep apnoea – a systematic review and descriptive meta-analysis

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 det...

Full description

Saved in:
Bibliographic Details
Published in:Journal of laryngology and otology 2019-03, Vol.133 (3), p.168-176
Main Authors: Sharma, S, Wormald, J C R, Fishman, J M, Andrews, P, Kotecha, B T
Format: Article
Language:English
Subjects:
Apnea
Feasibility studies
Meta-analysis
Nose
Patients
Respiratory tract
Review Articles
Sleep
Sleep apnea
Sleep deprivation
Sleep disorders
Statistical analysis
Surgery
Systematic review
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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. 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. 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. Nasal surgery may have limited benefit for a subset of patients based on current evidence.
ISSN:0022-2151
1748-5460
DOI:10.1017/S0022215119000240