Role of nasal problems on positional and nonpositional obstructive sleep apnea

Year 2016, Volume: 26 Issue: 4, 219 - 224, 10.09.2016

Raşit Cevizci Yusuf Kemal Kemaloğlu Metin Yılmaz Mehmet Düzlü Recep Karamert

Abstract

Objectives: This study aims to examine the relationship between nasal pathologies and positional PP obstructive sleep apnea OSA or nonpositional NPP OSA. Patients and Methods: A total of 44 male OSA patients mean age 48.0±6.8 years; range 31 to 60 years suffering from nasal obstruction were retrospectively evaluated for nasal obstruction scores, overall apnea hypopnea index AHI and AHI in supine and nonsupine positions, daytime sleepiness scores, and body mass index BMI . Patients were divided into two equal groups as PP group and NPP group. Output parameters were snoring severity index, clinical nasal obstruction score, septal deviation score, conchal hypertrophy score, and allergic rhinitis AR score. These parameters were correlated with the type of OSA. Results: Apnea hypopnea index was significantly lower in PP group than in NPP group p<0.03 . Spearman correlation analysis revealed significant negative correlation between AR score and PP r=-0.40, p<0.0001 . Pearson correlation test revealed significant correlation between AHI and BMI r=0.32, p<0.05 . Conclusion: We suggest that AR is not only an important risk factor for OSA, but also patients with AR tend to be NPP OSA patients because of the serious nasal obstruction which already causes an increase in nasal resistance or pharyngeal collapsibility.

Keywords

Allergic rhinitis, nasal airway obstruction, obstructive sleep apnea

Burun problemlerinin pozisyonel ve pozisyonel olmayan tıkayıcı uyku apnesi üzerindeki rolü

Abstract

Amaç: Bu çalışmada burun patolojileri ve pozisyonel PP tıkayıcı uyku apnesi TUA veya pozisyonel olmayan PO TUA arasındaki ilişki incelendi.Hastalar ve Yöntemler: Burun tıkanıklığı olan toplam 44 erkek TUA hastası ort. yaş 48.0±6.8 yıl; dağılım 31-60 yıl burun tıkanıklığı skorları, genel apne hipopne indeksi AHİ ve sırtüstü ve sırtüstü olmayan pozisyonlarda AHİ, gündüz uykululuk skorları ve vücut kütle indeksi VKİ açısından retrospektif olarak değerlendirildi. Hastalar PP grubu ve PO grubu olmak üzere iki eşit gruba ayrıldı. Çıktı parametreleri horlama şiddeti indeksi, klinik burun tıkanıklığı skoru, septum deviasyonu skoru, konka hipertrofisi skoru ve alerjik rinit AR skoru idi. Bu parametreler TUA tipi ile ilişkiliydi.Bulgular: Apne hipopne indeksi PP grubunda PO grubundan anlamlı olarak daha düşüktü p

Keywords

Alerjik rinit, burun hava yolu tıkanıklığı, tıkayıcı uyku apnesi

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