IP Indian Journal of Anatomy and Surgery of Head, Neck and Brain

Print ISSN: 2581-5210

Online ISSN: 2581-5229

CODEN : IIJAAL

IP Indian Journal of Anatomy and Surgery of Head, Neck and Brain (IJASHNB) open access, peer-reviewed quarterly journal publishing since 2015 and is published under the Khyati Education and Research Foundation (KERF), is registered as a non-profit society (under the society registration act, 1860), Government of India with the vision of various accredited vocational courses in healthcare, education, paramedical, yoga, publication, teaching and research activity, with the aim of faster and better dissemination of knowledge, we will be publishing more...

Article type

Original Article


Article page

57-64


Authors Details

Neelam Naik*, Ashwin Ashok Jaiswal, Neeta Sharma


Article Metrics


View Article As

 


Downlaod Files

   






Article statistics

Viewed: 300

PDF Downloaded: 378


Incidence of nasal and nasopharyngeal obstruction by nasal examination and nasal endoscopy in patients with abnormal polysomnography: A prospective study


Original Article

Author Details : Neelam Naik*, Ashwin Ashok Jaiswal, Neeta Sharma

Volume : 8, Issue : 2, Year : 2022

Article Page : 57-64

https://doi.org/10.18231/j.ijashnb.2022.014



Suggest article by email

Get Permission

Abstract

Aim: To assess the incidence of nasal and nasopharyngeal obstruction in patients with abnormal polysomnography. To correlate the levels of nasal and nasopharyngeal obstruction with degree of obstructive sleep apnoea (OSA).
Materials and Methods: Polysomnography by RMS Quest 32 polysomnography machine. Anterior and posterior rhinoscopy using Thudicum’s nasal speculum and posterior rhinoscopy mirror respectively. Nasal endoscopy to visualise nasal and nasopharyngeal airway for obstruction using 0 Hopkin’s rod endoscope under topical anaesthesia using 4% Xylocaine.
Results: 31 patients had deviated nasal septum (DNS), 19 had hypertrophied turbinates, 4 had Chronic Rhinosinusitis with Nasal Polyposis (CRSwNP). 21 patients had posterior DNS, 7 had postnasal drip. By Nasal Endoscopy 42 patients had DNS among which 20 had anterior, 15 had posterior deviation. 7 patients had both anterior and posterior DNS. 4 patients had CRSwNP, 7 CRSsNP (Chronic Rhinosinusitis sans Nasal Polyposis), 3 had concha bullosa. Retropalatal obstruction was classified according to Mullers grade, where we found 10% patients had grade I, 28.75% grade II, 28.75% grade III and 32.5% grade IV obstruction. P value of DNS was 0.60 whereas that of other types of nasal obstruction was 0.85. Correlation of Retropalatal obstruction was significantly high with severity of OSA with P value <0> Conclusion: 1-year incidence of Nasal and Nasopharyngeal obstruction in patients with OSA is 0.67 per 1000 population. Degree of OSA has poor correlation with levels of nasal obstruction and strong correlation with grades of retropalatal obstruction.
 

Keywords: Obstructive Sleep Apnea, Polysomnography, Deviated Nasal Septum, Nasal Endoscopy, Retropalatal obstruction


How to cite : Naik N, Jaiswal A A, Sharma N, Incidence of nasal and nasopharyngeal obstruction by nasal examination and nasal endoscopy in patients with abnormal polysomnography: A prospective study. IP Indian J Anat Surg Head Neck Brain 2022;8(2):57-64

This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.