The effect of surgical correction of pathological changes in the nasal cavity on the severity of obstructive sleep apnea syndrome in patients undergoing laser sculptural uvulopalatoplasty



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Abstract

Background. Nasal obstruction plays an important role in the pathogenesis of ronchopathy. Narrowing of the nasal cavity, in the presence of certain pathological changes in it, leads to an increase in resistance to the inhaled air flow. However, surgical correction of these changes in patients with ronchopathy and obstructive sleep apnea syndrome does not necessarily lead to a decrease in pharyngeal obstruction, and the absence of changes in the severity of obstructive sleep apnea syndrome after surgical removal of nasal obstruction shows the ineffectiveness of surgical treatment.

Aim. To evaluate the effect of surgical correction of pathological changes in the nasal cavity on the degree of reduction of the severity of obstructive sleep apnea syndrome in patients undergoing laser sculptural uvulopalatoplasty.

Methods. The data of the analysis of the results of anterior active rhinomanometry and their correlation with the data of monitoring computer pulse oximetry and polysomnography in 72 patients with ronchopathy and obstructive sleep apnea syndrome aged 37 to 75 years who underwent laser sculptural uvulopalatoplasty are presented.

Results. The study showed that despite the positive effect of surgical interventions in eliminating nasal obstruction, confirmed by the results of anterior active rhinomanometry, the subjective improvement in sleep quality and general somatic condition in the vast majority of operated patients (45 out of 52 or 86.5%) - a decrease in the severity of obstructive sleep apnea syndrome after laser sculptural uvulopalatoplasty is objectively confirmed by the results of computer monitoring Pulse oximetry and polysomnography were performed in only 18 (34.6%) of 52 operated patients with various degrees of syndrome.

Conclusion. Surgical correction of pathological changes in the nasal cavity reduces the severity of obstructive sleep apnea syndrome in patients who underwent laser sculptural uvulopalatoplasty in only 34.6% of cases.

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About the authors

Vladimir Knyazkov

Russian University of Medicine of the Ministry of Health of the Russian Federation

Author for correspondence.
Email: v.b.knyazkov@mail.ru
ORCID iD: 0000-0001-5742-3459
SPIN-code: 9303-5321

кандидат медицинских наук, младший научный сотрудник лаборатории минимально инвазивной хирургии НИИ ТЕХНОБИОМЕД НОИ медицинских технологий им. С.Н. Федорова

Russian Federation

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