Sleep and Breathing Disturbance Secondary to Nasal Obstruction

  title={Sleep and Breathing Disturbance Secondary to Nasal Obstruction},
  author={Kerry D. Olsen and Eugene Barton Kern and P R Westbrook},
  journal={Otolaryngology–Head and Neck Surgery},
  pages={804 - 810}
The purpose of this study was to determine the effect of acute nasal obstruction on sleep and breathing in eight normal persons. The subjects were randomized into two groups. One night the subject was studied with the nose open and a second night with the nose obstructed. The electroencephalogram, electrocardiogram, inspiratory effort, nasal and oral airflow, and oxygen saturation were monitored. Sleep proved to be both subjectively and objectively disturbed. The subjects with the nose… Expand
Effect of intranasal obstruction on breathing during sleep.
It is concluded that intranasal obstruction produces predominantly obstructive apneas and hypopneas during sleep. Expand
Sleep, breathing and the nose.
While it proves difficult to show a relationship between the degree of nasal obstruction and the number of disturbed breathing events, the presence of nose obstruction will most likely have an impact on the severity of sleep-disordered breathing. Expand
Nasal influences on snoring and obstructive sleep apnea.
Although the relationship between nasal obstruction and sleep disturbance is variable, either partial or total obstruction of the nasal passages can cause snoring, obstructive sleep apnea, and theExpand
The Role of Nasal Obstruction in Obstructive Sleep Apnea Syndrome
In patients who have symptoms consistent with obstructive sleep apnea syndrome and/or other disorders of excessive somnolence, a careful history eliciting findings of possible nasal obstruction as well as a thorough nasal examination is appropriate, if nasal obstruction is present. Expand
Effect of nasal obstruction on upper airway muscle activation in normal subjects.
It is suggested that nasal occlusion generally increases respiratory drive to upper airway muscles during sleep and that it does not cause OSA by merely decreasing respiratoryDrive to these muscles. Expand
Nasal obstruction and its impact on sleep-related breathing disorders.
The relation between nasal physiology at night and sleep quality and the possible mechanisms between nasal obstruction and obstructive sleep apnea-hypopnea syndrome (OSAS) are discussed. Expand
The effects of nasal dilation on snoring and obstructive sleep apnea.
There was a substantial decrease in snoring noise with the dilator in all patients who presented withSnoring noise above these levels during the control night, and no subjective effects on arousal frequency or daytime hypersomnolence were reported. Expand
Rhinitis and sleep apnea
Reduction of nasal inflammation with topical treatment improves sleep quality and subsequent daytime sleepiness and fatigue and there is no correlation of daytime nasal resistance with the severity of OSA. Expand
Effects of Nasal Surgery on Sleep Quality in Obstructive Sleep Apnea Syndrome with Nasal Obstruction
It is suggested that nasal surgery is useful for lowering nasal resistance, ameliorating sleep-disordered breathing, and improving sleep quality and daytime sleepiness in OSAS. Expand
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The following case report suggests that unilateral nasal obstruction may be responsible for fatigue independent of any effect it might have on sleep, indicating the lack of any association with sleep. Expand


Chronic nasopharyngeal obstruction as a cause of cardiomegaly, cor pulmonale, and pulmonary edema.
The problem of chronic upper airway obstruction caused by tremendously enlarged tonsils and adenoids in children warrants further investigation and more widespread recognition as being potentially dangerous from cardiorespiratory standpoints. Expand
Nasal Reflexes
A discussion on the innervation of the nose, updates the current understanding about nasal neuropeptides, and then summarizes information about several different types of nasal reflexes are presented. Expand
Hypertrophied adenoids causing pulmonary hypertension and severe congestive heart failure.
Very few cases of cor pulmonale in association with hypertrophied adenoids or tonsils have been reported, suggesting that upper-airway obstruction is a common phenomenon in children. Expand
Adenotonsillectomy as the treatment of serious medical conditions: Five case reports
Adenotonsillectomy surgery for serious medical conditions has been reported in various specialty medical journals in recent years. Most of these reported cases were performed for cor pulmonale andExpand
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