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10.22543/2392-7674.1347
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Journal of Mind and Medical Sciences is published by MDPI from Volume 12 Issue 1 (2025). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Valparaiso University (ValpoScholar).
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Article

Nasal Surgery Versus Pharyngeal Surgery in the Treatment of Obstructive Sleep Apnea

by
Ruxandra Oana Alius
1,
Viorel Zainea
1,2,
Catalina Voiosu
1,2,
Irina Gabriela Ionita
1,2,
Andreea Rusescu
1,2,
Oana Denisa Balalau
2,3,
Catalin Alius
4,
Raluca Oana Pulpa
1,2 and
Razvan Hainarosie
1,2
1
Prof. Dr. Dorin Hociotă Institute of Phonoaudiology and Functional Ent Surgery, Bucharest, Romania
2
Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
3
St. John Emergency Clinical Hospital, Bucur Maternity, Bucharest, Romania
4
Emergency Clinical University Hospital of Bucharest, Bucharest, Romania
J. Mind Med. Sci. 2022, 9(2), 318-323; https://doi.org/10.22543/2392-7674.1347
Submission received: 16 March 2022 / Revised: 1 April 2022 / Accepted: 28 May 2022 / Published: 15 October 2022
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Abstract

The endemic spread of obesity and unhealthy behaviors of modern society led to revisiting the real prevalence related to obstructive sleep apnea. Recent data support a paradigm shift towards individually tailored treatments which include functional surgery of the upper airways. This paper presents the results of a randomized interventional, prospective study on 68 patients referred by the general practitioner for obstructive sleep apnea. The eligible cohort consisted of 28 patients who were offered functional surgery for definitive relief of obstructive symptoms. After topographic diagnosis of the obstruction site and grading of the severity of the obstructive sleep apnea, the eligible lot was randomized for either nasal surgery or pharyngeal surgery. Subjective and objective measurements were carried out at presentation and three months after surgery. Results showed a significant reduction in AHI (more than 50%) after functional surgery, with marginal benefit for those treated with nasal surgery. Functional improvement is unequivocal for both surgical methods, but the superior results reported in the nasal surgery group could be related to the relatively small size of the study group. The involvement of a larger cohort in subsequent studies with a similar design could confirm these results.
Keywords: obstructive sleep apnea; nasal; pharyngeal; surgery; surgical treatment obstructive sleep apnea; nasal; pharyngeal; surgery; surgical treatment

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MDPI and ACS Style

Alius, R.O.; Zainea, V.; Voiosu, C.; Ionita, I.G.; Rusescu, A.; Balalau, O.D.; Alius, C.; Pulpa, R.O.; Hainarosie, R. Nasal Surgery Versus Pharyngeal Surgery in the Treatment of Obstructive Sleep Apnea. J. Mind Med. Sci. 2022, 9, 318-323. https://doi.org/10.22543/2392-7674.1347

AMA Style

Alius RO, Zainea V, Voiosu C, Ionita IG, Rusescu A, Balalau OD, Alius C, Pulpa RO, Hainarosie R. Nasal Surgery Versus Pharyngeal Surgery in the Treatment of Obstructive Sleep Apnea. Journal of Mind and Medical Sciences. 2022; 9(2):318-323. https://doi.org/10.22543/2392-7674.1347

Chicago/Turabian Style

Alius, Ruxandra Oana, Viorel Zainea, Catalina Voiosu, Irina Gabriela Ionita, Andreea Rusescu, Oana Denisa Balalau, Catalin Alius, Raluca Oana Pulpa, and Razvan Hainarosie. 2022. "Nasal Surgery Versus Pharyngeal Surgery in the Treatment of Obstructive Sleep Apnea" Journal of Mind and Medical Sciences 9, no. 2: 318-323. https://doi.org/10.22543/2392-7674.1347

APA Style

Alius, R. O., Zainea, V., Voiosu, C., Ionita, I. G., Rusescu, A., Balalau, O. D., Alius, C., Pulpa, R. O., & Hainarosie, R. (2022). Nasal Surgery Versus Pharyngeal Surgery in the Treatment of Obstructive Sleep Apnea. Journal of Mind and Medical Sciences, 9(2), 318-323. https://doi.org/10.22543/2392-7674.1347

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