Critical Appraisal and Meta-Analysis of Nasal Surgery for Obstructive Sleep Apnea

American Journal of Rhinology and Allergy - Tập 25 Số 1 - Trang 45-49 - 2011
Hsueh‐Yu Li1,2, Pa‐Chun Wang3,4,5, Yu‐Pin Chen3, Li‐Ang Lee1,2, Tuan‐Jen Fang1,2, Hsin‐Ching Lin6,2
1Department of Otolaryngology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan
2School of Medicine, Chang Gung University, Taoyuan, Taiwan
3Department of Otolaryngology, Cathay General Hospital, Taipei, Taiwan
4Department of Public Health, China Medical University, Taichung, Taiwan
5Fu Jen Catholic University, School of Medicine, Taipei County, Taiwan
6Department of Otolaryngology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Kaohsiung, Taiwan

Tóm tắt

Background Nasal surgery is commonly involved in surgical treatment for obstructive sleep apnea (OSA). The aim of this study was to investigate the outcomes of nasal surgery for OSA using evidence-based methodology. Methods The MedLine database (1999∼2009) was searched for original articles published in peer-reviewed journals concerning nasal surgery for snoring/sleep apnea. Data extracted from these articles were reviewed and analyzed using meta-analysis technology. Results Thirteen articles were critically appraised. Two studies provided control groups and 11 articles (84.6%) consisted of prospective noncontrolled clinical trials (level II in evidence strength). The weighted mean apnea/hypopnea index measured by polysomnography in nine studies decreased from 35.2 ± 22.6 to 33.5 ± 23.8 event/hour after nasal surgery (overall, p = 0.69). The pooled success rate of nasal surgery in treating OSA was 16.7%. Epworth Sleepiness Scale scores in eight studies decreased from 10.6 ± 3.9 to 7.1 ± 3.7 (overall, p <0.001). Nasal surgery for snoring assessed by individual questionnaires and visual analog scale reported significant improvement (p < 0.05). Conclusion The critical literature appraisal and meta-analyses show that nasal surgery can effectively reduce daytime sleepiness and snoring. However, the efficacy of nasal surgery in treating OSA is limited.

Từ khóa


Tài liệu tham khảo

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Thông tin
Thông tin xuất bản

American Journal of Rhinology and Allergy

Tập 25 Số 1

45-49

Thông tin tác giả