The Nose and Nasal Breathing in Sleep Apnea
- PMID: 32192710
- DOI: 10.1016/j.otc.2020.02.002
The Nose and Nasal Breathing in Sleep Apnea
Abstract
Assessment of the nose is critical in evaluating obstructive sleep apnea (OSA) because the nose plays an important role in the physiology of sleep by regulating nasal airway resistance and stimulating ventilation. Nasal obstruction is common in sleep apnea, contributes to OSA, and interferes with tolerance of OSA treatment with continuous positive airway pressure (CPAP) or oral appliances. Medical treatment of nasal obstruction and rhinitis with nasal corticosteroid sprays is associated with improved OSA severity and sleep symptoms. Surgery for nasal obstruction, including septoplasty, turbinate reduction, rhinoplasty, and sinus surgery, improves OSA-related quality-of-life measures and CPAP tolerance.
Keywords: CPAP compliance; Nasal anatomy; Nasal obstruction; Nasal sprays; Nasal surgery; Obstructive sleep apnea; Sleep outcomes; Sleep-disordered breathing.
Published by Elsevier Inc.
Conflict of interest statement
Disclosure A.N. Goldberg is a consultant and minor stockholder in Keyssa, Inc and Siesta Medical as well as an inventor on a pending sinus diagnostics and therapeutics patent. The terms of this arrangement have been reviewed and approved by the University of California, San Francisco in accordance with its policy on objectivity in research. The other authors have nothing to disclose.
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