Sleep Med Psychophysiol.  2016 Dec;23(2):97-99. 10.14401/KASMED.2016.23.2.97.

A Case of Nasal Surgery for a Positive Airway Pressure-Intolerant OSAS Patient Due to Nasal Obstruction

• Jung JH
• Seon SW
• Hong SN
• Choi JH

• KMID: 2369059
• DOI: http://doi.org/10.14401/KASMED.2016.23.2.97

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.

Keyword

Obstructive sleep apnea syndrome; Positive airway pressure; Compliance; Nasal surgical procedures

MeSH Terms

Blood Pressure
Compliance
Humans
Male
Masks
Middle Aged
Mouth
Nasal Obstruction*
Nasal Surgical Procedures*
Phobic Disorders
Skin
Sleep Apnea, Obstructive