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Rhinological interventions for obstructive sleep apnoea – a systematic review and descriptive meta-analysis

  • S Sharma (a1), J C R Wormald (a2) (a3), J M Fishman (a4) (a5), P Andrews (a4) (a5) and B T Kotecha (a4)...

Obstructive sleep apnoea is a common chronic sleep disorder characterised by collapse of the upper airway during sleep. The nasal airway forms a significant part of the upper airway and any obstruction is thought to have an impact on obstructive sleep apnoea. A systematic review was performed to determine the role of rhinological surgical interventions in the management of obstructive sleep apnoea.


A systematic review of current literature was undertaken; studies were included if they involved comparison of a non-surgical and/or non-rhinological surgical intervention with a rhinological surgical intervention for treatment of obstructive sleep apnoea.


Sixteen studies met the selection criteria. The pooled data suggest that there are reductions in the apnoea/hypopnea index and respiratory disturbance index following nasal surgery. However, the current body of studies is too heterogeneous for statistically significant meta-analysis to be conducted.


Nasal surgery may have limited benefit for a subset of patients based on current evidence.

Corresponding author
Author for correspondence: Professor Bhik T Kotecha, Department of ENT, Royal National Throat, Nose and Ear Hospital, 330 Gray's Inn Road, London WC1X 8EE, UK E-mail:
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Professor B T Kotecha takes responsibility for the integrity of the content of the paper

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