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

Published online by Cambridge University Press:  21 February 2019

S Sharma ,
J C R Wormald ,
J M Fishman ,
P Andrews  and
B T Kotecha
S Sharma
Affiliation:
Department of ENT, Queens Medical Centre, Nottingham, UK
J C R Wormald
Affiliation:
Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, UK Department of Plastic and Reconstructive Surgery, Stoke Mandeville Hospital, Aylesbury, UK
J M Fishman
Affiliation:
Department of ENT, Royal National Throat, Nose and Ear Hospital, London, UK UCL Ear Institute, London, UK
P Andrews
Affiliation:
Department of ENT, Royal National Throat, Nose and Ear Hospital, London, UK UCL Ear Institute, London, UK
B T Kotecha*
Affiliation:
Department of ENT, Royal National Throat, Nose and Ear Hospital, London, UK
*
Author for correspondence: Professor Bhik T Kotecha, Department of ENT, Royal National Throat, Nose and Ear Hospital, 330 Gray's Inn Road, London WC1X 8EE, UK E-mail: Bhik.kotecha@uclh.nhs.uk
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Abstract

Objectives

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.

Methods

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.

Results

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.

Conclusion

Nasal surgery may have limited benefit for a subset of patients based on current evidence.

Keywords

Obstructive Sleep ApneaSleep Apnea SyndromesNasal Surgical ProceduresRhinosurgeryNasal Surgery
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 3 , March 2019 , pp. 168 - 176
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Professor B T Kotecha takes responsibility for the integrity of the content of the paper

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