• J Laryngol Otol · Mar 2019

    Meta Analysis

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

    • S Sharma, J C R Wormald, J M Fishman, P Andrews, and B T Kotecha.
    • Department of ENT,Queens Medical Centre,Nottingham,UK.
    • J Laryngol Otol. 2019 Mar 1; 133 (3): 168-176.

    ObjectivesObstructive 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.MethodsA 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.ResultsSixteen 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.ConclusionNasal surgery may have limited benefit for a subset of patients based on current evidence.

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