SpringerLink
Log in

Prevalence of Obstructive Sleep Apnoea in patients with primary nasal and nasopharyngeal pathologies

  • Original Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

The aim of this study was to study the prevalence of obstructive sleep apnea syndrome in patients with nasal and nasopharyngeal pathologies. A total of 60 consenting patients between the age of 14 to 60 years with primary nasal and nasopharyngeal pathologies were taken up for the study. These patients underwent history taking, detailed clinical examination including BMI, diagnostic nasal endoscopy and overnight polysomnography. The polysomnography results of people with different pathologies were compared and analysed. Based on the analysis it was arrived that isolated pathologies like septal deviation, nasal polypi and adenoid hypertrophy provided a statistically significant association with occurrence and severity of OSA. Also, that patients with combined pathologies were more proportionately affected by OSA than those with isolated pathologies. Nasal and nasopharyngeal pathologies have significant association with obstructive sleep apnea syndrome and all patients with these pathologies need to undergo polysomnography along with other routine investigations.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price includes VAT (Germany)

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Friedman’s sleep apnea and snoring: surgical and non-surgical therapy Chap. 2 pg. 3

  2. Ballenger’s textbook of Otolaryngology Chap. 98, pg. 1279–1282

  3. Friedman’s sleep apnea And snoring: surgical and non-surgical therapy chap. 2 pg. 4,5,6,7.

  4. Scott-Brown’s Otorhinolaryngology Head & Neck surgery; 8th edition, volume 3, Chap. 73

  5. Cummings textbook of Otorhinolaryngology 7th edition, Chap. 15

  6. Ganong’s medical physiology 26th edition, Chap. 14

  7. Obstructive sleep apnea Diagnosis and treatment. Clete A Kushida. Chapter 4, pg61–63

  8. Mannarino MR, Di Filippo F, Pirro M (2012) Obstructive sleep apnea syndrome. Eur J Intern Med 23(7):586–593

    Article  PubMed  Google Scholar 

  9. Scott brown 8th edition, volume 1, Chap. 103, page 1137

  10. Mladina R (1987) The role of maxillar morphology in the development of pathological septal deformities. Rhinology 25(3):199–205

    CAS  PubMed  Google Scholar 

  11. Huizing EZ, de Groot JAM, Sect. (2003) 8: Surgery of the Nasal Cavity: Turbinate Surgery. Functional Reconstructive Nasal Surgery, 2nd edition, Thieme, Stuttgart, pg. 276–282

  12. Meltzer EO, Hamilos DL, Hadley JA, Lanza DC, Marple BF, Nicklas RA et al (2006) Rhinosinusitis Initiative. Rhinosinusitis: develo** guidance for clinical trials. J Allergy Clin Immunol 118(5 Suppl):S17–61

    Article  PubMed  Google Scholar 

  13. Lin CM, Davidson TM, Ancoli-Israel S (2008) Gender differences in obstructive sleep apnea and treatment implications. Sleep Med Rev 12(6):481–496

    Article  PubMed  PubMed Central  Google Scholar 

  14. Deng X, Gu W, Li Y, Liu M, Li Y, Gao X (2014) Age-group-specific associations between the severity of obstructive sleep apnea and relevant risk factors in male and female patients. PLoS ONE 9(9):e107380

    Article  PubMed  PubMed Central  Google Scholar 

  15. Georgalas C (2011) The role of the nose in snoring and obstructive sleep apnoea: an update. Eur Arch Otorhinolaryngol 268(9):1365–1373

    Article  PubMed  PubMed Central  Google Scholar 

  16. Yeom SW, Kim MG, Lee EJ, Chung SK, Kim DH, Noh SJ, Lee MH, Yang YN, Lee CM, Kim JS (2021) Association between septal deviation and OSA diagnoses: a nationwide 9-year follow-up cohort study. J Clin Sleep Med 17(10):2099–2106

    Article  PubMed  PubMed Central  Google Scholar 

  17. Lavie P, Fischel N, Zomer J, Eliaschar I (1983) The effects of partial and complete mechanical occlusion of the nasal passages on Sleep structure and breathing in Sleep. Acta Otolaryngol 95(1–4):161–166

    Article  CAS  PubMed  Google Scholar 

  18. Patel B, Virk JS, Randhawa PS, Andrews PJ (2018) The internal nasal valve: a validated grading system and operative guide. Eur Arch Otorhinolaryngol 275(11):2739–2744

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Lenders H, Schaefer J, Pirsig W (1991) Turbinate hypertrophy in habitual snorers and patients with obstructive sleep apnea: findings of acoustic rhinometry. Laryngoscope 101(6 Pt 1):614–618

    Article  CAS  PubMed  Google Scholar 

  20. Michels Dde S, Rodrigues Ada M, Nakanishi M, Sampaio AL, Venosa AR (2014) Nasal involvement in obstructive sleep apnea syndrome. Int J Otolaryngol. ; 2014:717419

  21. Migueis DP, Lacerda GCB, Lopes MC, Azevedo-Soster LMSF, Thuler LCS, Lemes LNA, Araujo-Melo MH (2019) Obstructive sleep apnea in patients with chronic rhinosinusitis with nasal polyps: a cross-sectional study. Sleep Med 64:43–47

    Article  CAS  PubMed  Google Scholar 

  22. Kang KT, Chou CH, Weng WC, Lee PL, Hsu WC (2013) Associations between adenotonsillar hypertrophy, age, and obesity in children with obstructive sleep apnea. PLoS ONE 8(10):e78666

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Talukder Dc1, Aich Ml2, Alam Mr3, Islam Ms4, Mahmud S5, Biswas D6, Saha K7, Rahman F8. Associations between adenotonsillar hypertrophy, age, and obesity in children with obstructive sleep apnea J Dhaka Med Coll (2017) ; 26(2): 167–172

  24. Magliulo G, Iannella G, Ciofalo A, Polimeni A, De Vincentiis M, Pasquariello B, Montevecchi F, Vicini C (2019) Nasal pathologies in patients with obstructive sleep apnoea. Acta Otorhinolaryngol Ital 39(4):250–256

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. Wu J, Zhao G, Li Y, Zang H, Wang T, Wang D, Han D (2017) Apnea-hypopnea index decreased significantly after nasal surgery for obstructive sleep apnea: a meta-analysis. Med (Baltim) 96(5):e6008

    Article  Google Scholar 

  26. Svanborg E, Guilleminault C (1996) EEG frequency changes during sleep apneas. Sleep 19(3):248–254

    CAS  PubMed  Google Scholar 

Download references

Funding

The authors did not receive support from any organization for the submitted work. Financial interests: The authors declare they have no financial interests. Non-financial interests: none.

Author information

Authors and Affiliations

  1. Department of ENT, Head and Neck Surgery, Stanley Medical College, Chennai, India

    B. Shankameswaran, G. Viveknarayan, M. Gowrishankar & V. Suresh

Authors
  1. B. Shankameswaran
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. G. Viveknarayan
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. M. Gowrishankar
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. V. Suresh
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by Dr. B. Shankameswaran and Dr. G. Viveknarayan. The first draft of the manuscript was written by Dr. B. Shankameswaran and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to G. Viveknarayan.

Ethics declarations

Ethical Approval

Institutional ethical committee approval was obtained and the study was performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Consent

Informed consent was obtained from the patients before the study.

Competing Interests

The authors have no competing interests to declare that are relevant to the content of this article.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Shankameswaran, B., Viveknarayan, G., Gowrishankar, M. et al. Prevalence of Obstructive Sleep Apnoea in patients with primary nasal and nasopharyngeal pathologies. Indian J Otolaryngol Head Neck Surg (2024). https://doi.org/10.1007/s12070-024-04742-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s12070-024-04742-4

Keywords

Search

Navigation