Safety of topical administration of nasal decongestants and vasoconstrictors in paediatric nasal surgery – A systematic review

Author(s):  
A. Macmillan ◽  
K. Phoon ◽  
O. Edafe
2019 ◽  
Vol 133 (03) ◽  
pp. 168-176 ◽  
Author(s):  
S Sharma ◽  
J C R Wormald ◽  
J M Fishman ◽  
P Andrews ◽  
B T Kotecha

AbstractObjectivesObstructive 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.MethodsA 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.ResultsSixteen 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.ConclusionNasal surgery may have limited benefit for a subset of patients based on current evidence.


2014 ◽  
Vol 96-B (8) ◽  
pp. 1005-1015 ◽  
Author(s):  
S. Alshryda ◽  
M. Sukeik ◽  
P. Sarda ◽  
J. Blenkinsopp ◽  
F. S. Haddad ◽  
...  

2009 ◽  
Vol 37 (5) ◽  
pp. 913-917 ◽  
Author(s):  
Beata LeBon ◽  
Giovambattista Zeppetella ◽  
Irene J. Higginson

SLEEP ◽  
2015 ◽  
Vol 38 (2) ◽  
pp. 279-286 ◽  
Author(s):  
Macario Camacho ◽  
Muhammad Riaz ◽  
Robson Capasso ◽  
Chad M. Ruoff ◽  
Christian Guilleminault ◽  
...  

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