The effect of treatment of nasal and sinus diseases on the success rate of palatal surgery for obstructive sleep apnea

Abstract Objective: Many patients with obstructive sleep apnea (OSA) have coexisting nasal and sinus problems. In the absence of major anatomical abnormalities, these problems may be overlooked, hence jeopardizing the success rate of palatal surgery. Our objective was to identify the effect of medical management of nasal and sinus diseases on the success rate of palatal surgery in mild to moderate cases of OSA. Methodology: This prospective study included 28 patients divided in two groups; group A was treated medically with antibiotics and local steroids before palatal surgeries, whereas group B was not treated medically before palatal surgeries. Assessment was made preoperatively and postoperatively using polysomnography. Results: Group A showed more improvement in the apnea hypopnea index than group B. Conclusion: Management of nasal and sinus problems improves the results of palatal surgery in cases of mild to moderate OSA. © 2012, The Egyptian Oto - Rhino - Laryngological Society.