4.The evaluation of nasal ventilatioan in patients with obstructive sleep apnea-hypopnea syndrome after nasal cavity ventilation expansion techniques by using acoustic rhinometry.
Hanqiang LU ; Huaping JIANG ; Qiusheng HUANG
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2016;30(1):58-60
OBJECTIVE:
To evaluate nasal ventilation in patients with obstructive sleep apnea hypopnea syndrome (OSAHS) after nasal cavity ventilation expansion techniques by using acoustic rhinometry.
METHOD:
Thirty-eight patients with mild OSAHS and 17 patients with moderate OSAHS who were diagnosis by PSG were selected. The acoustic rhinometry and rhinomanometry were used to assess the nasal cavity volumes (NCV), nasal airway resistance (NR), nasal minimal cross-section area (NMCA) and distance of nasal minimal cross-section area from nostril (DCAN) before and after the surgery (6 month later).
RESULT:
The state of mild OSAHS group in NCV, NMCA and NR: before surgery (2.41 ± 1.33) cm³, (0.37 ± 0.39) cm², (2.07 ± 1.48) cmH₂O/(L · min), after surgery (2.53 ± 1.54) cm³, (0.45 ± 0.34) cm², (1.69 ± 1.03) cmH₂O/(L · min), has significant difference (P < 0.05). The state of moderate OSAHS group in NCV, NMCA and NR: before surgery (2.03 ± 1.54)cm³, (0.29 ± 0.39) cm², (3.47 ± 2.56) cmH₂O/(L · min), after surgery (2.31 ± 1.47) cm³, (0.39 ± 0.33) cm², (1.89 ± 1.03)cmH₂O/(L · min), also has significant difference (P < 0.05), while DCAN in two group had no difference (P > 0.05).
CONCLUSION
There was an objective evaluation of nasal ventilation in OSAHS patients after surgery by using acoustic rhinometry.
Humans
;
Nasal Cavity
;
surgery
;
Rhinometry, Acoustic
;
Sleep Apnea, Obstructive
;
surgery
8.Partial tonsillectomy.
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2013;27(12):673-676
The feasibility of partial tonsillectomy was reviewed. Compared with total tonsillectomy, partial tonsillectomy has the advantages of less postoperative pain, lower postoperative bleeding rate and faster recovery. Partial tonsillectomy has a potential for tonsil regrowth and its efficacy in treating sleep-disordered breathing in children is still controversial.
Humans
;
Sleep Apnea, Obstructive
;
surgery
;
Tonsillectomy
;
adverse effects
;
methods
9.Meta analysis of nasal surgery alone for obstructive sleep apnea hypopnea syndrome.
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2015;29(6):499-504
OBJECTIVE:
To investigate the effect of nasal surgery alone for OSAHS using Meta-analysis.
METHOD:
The published articles were searched from PubMed, Chinese Biomedical Literature CD-ROM databases, China Academic Journals Full-text database. The quality of the searched original studies were assessed and the outcomes with the requirements were analyzed.
RESULT:
Nineteen articles and 621 cases were finally included, including 15 English literatures and 4 Chinese literatures. The results of Meta analysis showed that: (1)The weighted mean between pre-and postoperative AHI was no significantly difference [weighted mean difference (WMD) = 0. 11, 95% CI (-0. 02,0. 23), P>0. 05]. (2) The nasal surgery alone significantly reduced theEpworth sleepiness scale scores in thirteen studies [WMD=0. 94,95% CI (0. 62,1. 26), P<. 01].
CONCLUSION
The meta-analyses show that nasal surgery alone can effectively improve the subjective clinical symptoms of patients with OSAHS. However, nasal surgery alone has a limited efficacy in treating OSAHS.
China
;
Humans
;
Nasal Surgical Procedures
;
Sleep Apnea, Obstructive
;
surgery
Result Analysis
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