|
KMID : 0900220190260010008
|
|
대한비과학회지
2019 Volume.26 No. 1 p.8 ~ p.15
|
|
|
Effect of Endonasal Dilator on Nasal Airflow and Sleep Test Index on Sleep Apnea Patients
|
|
Jang Tae-Young
Kim Young-Hyo
|
|
|
Abstract
|
|
|
Background and Objectives: We aimed to evaluate effects of endonasal dilators (END) on sleep quality in patients with ob- structive sleep apnea (OSA) by improving nasal airflow.
Materials and Method: In 13 patients with OSA, changes of total nasal volume (TNV) and minimal cross-sectional area (MCA) before and after END use were evaluated. The change in peak nasal inspiratory flow (PNIF) was also measured. Subjects completed Epworth Sleepiness Scale questionnaire before and 2 weeks after END use. Finally, changes in apnea-hypopnea index (AHI), respiratory distress index (RDI), oxygen desaturation index (ODI), sleep time, sleep position and loudness of snoring (in decibels) were obtained by repetitive portable polysomnography.
Results: After END use, TNV (11.4±3.1 cm3 to 19.4±5.7 cm3) and MCA (0.7±0.2 cm2 to 0.9±0.1 cm2) increased significantly (p=0.001). PNIF also increased significantly after END (147.3±39.5 to 194.6±57.6 liter/min, p=0.001). Among 11 patients undergoing 2-week follow-up, 7 reported improvement in daytime sleepiness. Although AHI, RDI and ODI showed no statisti- cally significant change before and after END (p＞0.05), the proportion of subjects sleeping in the supine position increased from 38.0 to 44.5%.
Conclusion: END may be an effective adjunctive tool for patients with OSA with the potential to improve nasal airflow and daytime sleepiness.
|
|
|
KEYWORD
|
|
|
Obstructive sleep apnea, Nasal cavity, Hypersomnolence
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
 
|
|