Effect of Septoplasty on Objective and Subjective Parameters of Osas Treatment

Year 2021, , 10 - 15, 06.07.2021

Ela Araz Server Engin Acıoğlu Özgür Yiğit Ecem Sevim Akı Nihal Seden Ahmet Görkem Yasak

https://doi.org/10.26650/Tr-ENT.2021.41275

Abstract

Objective: The aim of this study was to investigate the effect of isolated septoplasty on polysomnography (PSG) data and subjective findings in patients with OSAS.
Materials and Methods: A total of 25 patients with symptoms of nasal obstruction, septum deviation and who had been diagnosed with OSAS, were included in the study. All patients underwent isolated septoplasty. The PSG prior to and 6 months after the operation, were recorded. The Epworth sleepiness scale (ESS), the Pittsburgh Sleep Quality Index (PSQI) and Snore Outcomes Survey were performed prior to and 6 months after the operation.
Results: The postoperative apnea-hypopnea index (AHI) score, minimum oxygen saturation (MOS) and the snoring time were statistically significantly decreased compared to the preoperative measurements (p=0,000, p=0,01 and p=0,000, respectively). The rate of patients with a decrease in the AHI index of more than 50%, was 56%. A significant decrease was observed in the ESS and snore outcome survey measurements compared to the preoperative measurements. In PSQI, all sub-factor scores except postoperative medication were determined to be significantly decreased compared to the preoperative period (p<0.05). No correlation was observed between AHI and ESS, snore outcome survey and the PSQI reduction (p>0.05).
Conclusion: Isolated septoplasty leads to an improvement in the subjective and objective parameters of the patients with OSAS and symptoms of nasal obstruction, although not to a complete recovery.

Keywords

Obstructive sleep apnea syndrome, snoring, polysomnography, apnea-hypopnea index, septoplasty

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