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Deviated Septum Surgery (Septoplasty) - Helpful to OSA patients?

It is well-acknowledged that Deviated Septum Surgery is rarely, if ever, a cure for Sleep Apnea, however, I would like to know if other Sleep Apnea patients had an improvement in their RDIs and/or AHIs after this surgery. For this discussion, I would like to consider feedback on Septoplasty (deviated septum surgery) in isolation and not as part of a more comprehensive surgery.

I am still in my 30s and understand there is no reliable cure for sleep apnea - just good treatments (ie CPAP), however, if deviated septum surgery is very safe and it can lower my RDIs for the next 50 years, I would consider it worth it.

Please share!

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Dr. Park~ after this surgery how soon do your patients usually start back using their CPAP machine? Another post of this forum stated they could not use for 3-4 weeks.  The ENT I went to today mentioned one week.  I am scheduled for this on 2/9.  The thought of resuming just 1 week after the deviated septum surgery and turbinate reduction causes me pain just to think about it. (But then I am a big baby  LOL)  My O2 sats will have some low spots off of CPAP so I will have to have supplemental oxygen until I am able to use the CPAP.

Thank you!

Steven Y. Park, MD said:

A study looked at this issue: Sleep apnea patients with nasal congestion underwent septoplasty and other nasal procedures to treat nasal congestion. Obstructive sleep apnea was "cured" in approximately 10% of patients. Quality of life definitely improves since you can breathe better through your nose, but don't count on it curing you. However, it does allow you to benefit better from the other treatment options such as CPAP or oral appliances. You need open nasal passageways for these devices to work properly. Breathing through your nose also allows nitric oxide from your nose to go into your lungs, which increases oxygen absorption by 10-20%.

A septoplasty is a simple ambulatory procedure where you go home a few hours afterwards. You can go back to work the next day or definitely after 2 days. I don't usually use nasal packing, so you're breathing right away, with nothing to uncomfortable to take out. You'll need to have some crusts and mucous cleaned out, though.



Ginny Edmundson said:

Dr. Park~ after this surgery how soon do your patients usually start back using their CPAP machine? Another post of this forum stated they could not use for 3-4 weeks.  The ENT I went to today mentioned one week.  I am scheduled for this on 2/9.  The thought of resuming just 1 week after the deviated septum surgery and turbinate reduction causes me pain just to think about it. (But then I am a big baby  LOL)  My O2 sats will have some low spots off of CPAP so I will have to have supplemental oxygen until I am able to use the CPAP.

Thank you!

Steven Y. Park, MD said:

A study looked at this issue: Sleep apnea patients with nasal congestion underwent septoplasty and other nasal procedures to treat nasal congestion. Obstructive sleep apnea was "cured" in approximately 10% of patients. Quality of life definitely improves since you can breathe better through your nose, but don't count on it curing you. However, it does allow you to benefit better from the other treatment options such as CPAP or oral appliances. You need open nasal passageways for these devices to work properly. Breathing through your nose also allows nitric oxide from your nose to go into your lungs, which increases oxygen absorption by 10-20%.

A septoplasty is a simple ambulatory procedure where you go home a few hours afterwards. You can go back to work the next day or definitely after 2 days. I don't usually use nasal packing, so you're breathing right away, with nothing to uncomfortable to take out. You'll need to have some crusts and mucous cleaned out, though.
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