The Nose and Nasal Breathing in Sleep Apnea.

Continuous Positive Airway Pressure Humans Nasal Obstruction / complications Nasal Surgical Procedures / methods Quality of Life Rhinitis / drug therapy Sleep Apnea, Obstructive / etiology Snoring / etiology Steroids / administration & dosage
CPAP compliance Nasal anatomy Nasal obstruction Nasal sprays Nasal surgery Obstructive sleep apnea Sleep outcomes Sleep-disordered breathing

Journal

Otolaryngologic clinics of North America
ISSN: 1557-8259
Titre abrégé: Otolaryngol Clin North Am
Pays: United States
ID NLM: 0144042

Informations de publication

Date de publication:
Jun 2020
Historique:
pubmed: 21 3 2020
medline: 29 12 2020
entrez: 21 3 2020
Statut: ppublish

Résumé

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.

Identifiants

DOI: 10.1016/j.otc.2020.02.002 PMID: 32192710
pubmed: 32192710
pii: S0030-6665(20)30004-9
doi: 10.1016/j.otc.2020.02.002
pii:
doi:

Substances chimiques

Steroids 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

385-395

Informations de copyright

Published by Elsevier Inc.

Déclaration de conflit d'intérêts

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.

Auteurs

Yi Cai (Y)

Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, 2233 Post Street, UCSF Box 3213, San Francisco, CA 94115, USA.

Andrew N Goldberg (AN)

Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, 2233 Post Street, Room 309, San Francisco, CA 94115, USA.

Jolie L Chang (JL)

Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, 2233 Post Street, Box 1225, San Francisco, CA 94115, USA. Electronic address: Jolie.Chang@ucsf.edu.

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Classifications MeSH

questionsmedicales.fr › Thérapeutique › Thérapie respiratoire › Ventilation artificielle › Ventilation à pression positive › Ventilation en pression positive continue › The Nose and Nasal Breathing in Sleep Apnea.
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › The Nose and Nasal Breathing in Sleep Apnea.
questionsmedicales.fr › Maladies oto-rhino-laryngologiques › Maladies du nez › Obstruction nasale › The Nose and Nasal Breathing in Sleep Apnea.
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de chirurgie oto-rhino-laryngologique › Procédures chirurgicales du nez › The Nose and Nasal Breathing in Sleep Apnea.
questionsmedicales.fr › Environnement et santé publique › Santé publique › Mesures épidémiologiques › Démographie › État de santé › Qualité de vie › The Nose and Nasal Breathing in Sleep Apnea.
questionsmedicales.fr › Maladies oto-rhino-laryngologiques › Maladies du nez › Rhinite › The Nose and Nasal Breathing in Sleep Apnea.
questionsmedicales.fr › Maladies du système nerveux › Syndromes d'apnées du sommeil › Syndrome d'apnées obstructives du sommeil › The Nose and Nasal Breathing in Sleep Apnea.
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Signes et symptômes respiratoires › Ronflement › The Nose and Nasal Breathing in Sleep Apnea.
questionsmedicales.fr › Composés polycycliques › Composés à cycles fusionnés › Stéroïdes › The Nose and Nasal Breathing in Sleep Apnea.