title: [Functional nasal surgery in the treatment of obstructive sleep apnea].
abstract: The study included 22 males with significant decrease in nasal patency, at age of 44+/-7 yrs with body mass index 28.9+/-3.8 kg/m2, diagnosed with obstructive sleep apnea syndrome (OSAS) by polysomnography. All patients underwent functional, corrective nasal surgery. In one patient an infection in the wound occurred. Postoperatively 19 (86%) patients reported significant subjective improvement. With regard to polysomnography, one patient was cured and in another one a decrease of AHI to more than 50% of baseline was found. In 6 (27.3%) patients AHI rose from 33.2+/-13 to 53.6+/-21.2.
  
  
  CONCLUSIONS
  Nasal surgery in OSAS shows limited effectiveness. Because of multilevel decrease in airway patency, some of the patients may need a step-wise approach to surgical treatment.
authors.affiliation: Kliniki Otolaryngologii, Akademii Medycznej w Warszawie.
authors.forename: Jarosław
authors.initials: J
authors.lastname: Balcerzak
authors.forename: Tadeusz
authors.initials: T
authors.lastname: Przybyłowski
authors.forename: Piotr
authors.initials: P
authors.lastname: Bielicki
authors.forename: Piotr
authors.initials: P
authors.lastname: Korczyński
authors.forename: Ryszarda
authors.initials: R
authors.lastname: Chazan
mesh_terms: D000328:Adult; D015992:Body Mass Index; D006801:Humans; D008297:Male; D008875:Middle Aged; D009668:Nose Diseases / Q000150:complications / Q000601:surgery*; D017286:Polysomnography; D020181:Sleep Apnea, Obstructive / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome