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Polysomnographic Assessment on Osahs Outcomes in Patients with Nasal Obstruction Undergoing Septoplasty with Partial Inferior Turbinectomy

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Abstract

The relationship between nasal obstruction and obstructive sleep apnea has raised interest among otolaryngologists since years. There are studies that suggest that surgical correction of nasal obstruction improves sleep quality and reduces symptoms of sleep apnea. This lead to our study to understand the effect of nasal surgery on obstructive sleep apnea hypopnea syndrome (OSAHS). Aim: To assess the effect of nasal surgery in improvement in Obstructive Sleep Apnoea Hypopnoea Syndrome in patients with nasal obstruction by Polysomnography (PSG). Material and methods: This study included 30 patients with nasal obstruction who underwent septoplasty and/or turbinate reduction procedure with pre and post operative assessment of respiratory distress index (RDI) including apnoea hypopnoea index (AHI), obstructive apnoea index (OAI), Snoring Index (SI) using polysomnography (PSG). Result: Nasal correction surgery showed statistically significant improvement (p-value < 0.001) in RDI from 13.66 to 6.66, OAI from 6.34 to 3.18 and Snoring Index from 161.77 to 62.23 as assessed by polysomnography. There was statistically significant improvement in minimal saturation levels (during sleep) and positional sleep apnoea. Conclusion: Isolated nasal surgery like septoplasty and/or turbinate reduction improved sleep parameters and alleviated OSA symptoms in patients with static nasal obstruction and obstructive sleep apnoea/hypopnoea syndrome. However, patients with multilevel or dynamic airway obstruction may need further intervention.

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Data Availability

The data used in this study was not used/published in any other publications.

Code Availability

The data was compiled and analysed using IBM SPSS STATISTICS version 28.

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Funding

The authors have no relevant financial or non-financial interest to disclose.

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Authors and Affiliations

  1. Department of Otorhinolaryngology, J.J.M Medical College, Davangere, Karnataka, India

    H. A. Manjunatha, K. B. Prashanth, Syeda Muskaan, D. Prateeksha, Sahil Arora & Yogeshwari P. Hiremath

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  1. H. A. Manjunatha
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  2. K. B. Prashanth
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  3. Syeda Muskaan
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  4. D. Prateeksha
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  5. Sahil Arora
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  6. Yogeshwari P. Hiremath
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by Dr Syeda Muskaan. The first draft of the manuscript was written by -Dr Syeda Muskaan and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Syeda Muskaan.

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The Authors declare that there is no conflict of interest.

Ethics Approval

The study was done after approval of the Institutional Ethics committee from JJM Medical College, Davangere, Karnataka, India in accordance with ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Written informed consent was taken from all the patients.

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Manjunatha, H.A., Prashanth, K.B., Muskaan, S. et al. Polysomnographic Assessment on Osahs Outcomes in Patients with Nasal Obstruction Undergoing Septoplasty with Partial Inferior Turbinectomy. Indian J Otolaryngol Head Neck Surg 76, 770–774 (2024). https://doi.org/10.1007/s12070-023-04277-0

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