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European Archives of Oto-Rhino-Laryngology

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01-05-2006 | Miscellaneous

Upper airway surgery: the effect on nasal continuous positive airway pressure titration on obstructive sleep apnea patients

Authors: Adriane Iurck Zonato, Lia Rita A. Bittencourt, Fernanda Louise Martinho, Luiz Carlos Gregório, Sergio Tufik

Published in: European Archives of Oto-Rhino-Laryngology | Issue 5/2006

Abstract

The objective of this study was to observe the change in CPAP pressure after nasal and/or tonsil surgery in a retrospective study involving 17 patients unable to tolerate CPAP titration. All patients had two polysomnography studies for titration: one before and another subsequent to upper airway surgical treatment. The results showed a mean age of 49±9 years, a body mass index of 30±4 kg/m² and an apnea-hypopnea index of 38±19. Surgical procedures were radiofrequency reduction of the inferior turbinate (eight patients), septoplasty (one patient), septoplasty with inferior turbinectomy (two patients), septoplasty with inferior turbinate submucosal diathermy (two patients), septoplasty with tonsillectomy (two patients), septoplasty with inferior turbinate submucosal diathermy and tonsillectomy (one patient) and tonsillectomy (one patient). CPAP titration before and after surgery had respectively a mean pressure of 12.4±2.5 and 10.2±2.2 cmH₂O ( P =0.001). Maximum CPAP pressure was 16.4 cmH₂O before and 13 cmH₂O after surgery. A pressure reduction ≥1 cmH₂O occurred in 76.5% of the patients and ≥3 cmH₂O in 41.1%. Upper airway surgical treatment appears to have some benefit by reducing nasal CPAP pressure levels. The effect seems to be greater when the prior pressure was ≥14 cmH₂O.

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Title: Upper airway surgery: the effect on nasal continuous positive airway pressure titration on obstructive sleep apnea patients
Authors: Adriane Iurck Zonato
Lia Rita A. Bittencourt
Fernanda Louise Martinho
Luiz Carlos Gregório
Sergio Tufik
Publication date: 01-05-2006
Publisher: Springer-Verlag
Published in: European Archives of Oto-Rhino-Laryngology / Issue 5/2006
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-005-1018-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Upper airway surgery: the effect on nasal continuous positive airway pressure titration on obstructive sleep apnea patients

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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