Sleep Medicine and Psychophysiology (수면정신생리)

KOREAN ACADEMY OF SLEEP MEDICINE (대한수면의학회)
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A Case of Nasal Surgery for a Positive Airway Pressure-Intolerant OSAS Patient Due to Nasal Obstruction

코막힘으로 인해 양압기에 적응하지 못한 폐쇄성수면무호흡증 환자에서 시행된 코수술 1례

  • Jung, Jae Hyun (Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon Hospital) ;
  • Seon, Sang Woo (Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon Hospital) ;
  • Hong, Seung-No (Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine, Ansan Hospital) ;
  • Choi, Ji Ho (Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon Hospital)
  • 정재현 (순천향대학교 부천병원 이비인후-두경부외과) ;
  • 선상우 (순천향대학교 부천병원 이비인후-두경부외과) ;
  • 홍승노 (고려대학교 안산병원 이비인후-두경부외과) ;
  • 최지호 (순천향대학교 부천병원 이비인후-두경부외과)
  • Received : 2016.10.11
  • Accepted : 2016.12.16
  • Published : 2016.12.31
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Abstract

Positive airway pressure (PAP) is currently recommended as a primary treatment for obstructive sleep apnea syndrome (OSAS) and positively affects various subjective and objective parameters related to OSAS, such as the apnea-hypopnea index, excessive daytime sleepiness, and blood pressure. However, PAP also exhibits various adverse effects, including skin breakdown, pressure intolerance, claustrophobia, unintentional mask removal, mouth leaks, and dryness. Especially, unintentional mask removal due to nasal obstruction may result in poor PAP compliance. A 47-year-old male patient with severe OSAS who had low PAP compliance due to nasal obstruction underwent nasal surgery. After the surgery, nasal obstruction was corrected and the patient experienced improved PAP compliance (from 30.4% to 86.7%). This case demonstrates that nasal surgery may be useful for improving PAP compliance in OSAS patients with nasal obstruction.

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References

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