The Effect of Nasal Septum Deviation on Sleep Apnea

Nasal Septum Deviation and Sleep Apnea

Sleep apnea - Nasal septum deviation - Effect of nasal septum deviation on sleep apnea - Intranasal airway resistance - CPAP intolerance

In patients with sleep apnea, nasal septum deviation may increase the severity of the disease; complaints may also increase. Nasal obstruction may occur due to nasal septum deviation. In advanced deviations, the mouth opens to sleep during sleep and the throat opening (expanding the airway during breathing) minimizes muscle activity (such as swallowing with mouth open).

In addition, in patients using CPAP (Continuous positive airway pressure), nasal masks are more difficult to tolerate in patients with nasal obstruction.

Nasal obstruction negatively affects the treatment of sleep apnea with many different mechanisms. In these patients, nose surgery is usually recommended with weight loss.

When nasal airway resistance increases due to nasal septum deviation, a decrease in blood oxygen level is inevitable. In patients with obstructive sleep apnea syndrome, it is intended to treat the reduction of airway resistance, so that nasal septoplasty operations can be combined with intraoral operations for snoring and sleep apnea.

Although nasal septum deviation is present in 80% of people in changing streams; In patients with airway stenosis in the throat region, symptoms due to nasal septum deviation may be higher (eg decreased sleep quality, decreased exercise capacity, daytime sleepiness ...)
Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

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