Dr. Thomas S. Higgins, Jr.
Nasal surgery provides many benefits in the treatment of obstructive sleep apnea (OSA), says the American Academy of Otolaryngology-Head and Neck Surgery (AAOHNS). Nasal surgery is considered any surgery of the nasal passages to improve nasal breathing, such as septoplasty and inferior turbinate reduction. According to the AAOHNS Position Statement from September 8, 2017, here are four evidence-based benefits of nasal surgery in OSA.
1. Nasal surgery improves the use of Continuous Positive Airway Pressure (CPAP), the mainstay treatment for OSA. Many people do not tolerate CPAP, often throwing the mask off in the middle of the night. A CPAP mask on the nightstand doesn't help at all!
2. Nasal surgery may improve the use of oral appliances. Oral appliances are used to pull the jaw and/or tongue forward at night to open the airway. A couple of studies have shown that many of the people who are unable to tolerate such appliances are those with higher nasal resistance, so reducing nasal resistance could improve compliance.
3. Nasal surgery improves quality of life in people with OSA. Two quality-of-life scales, the Epworth Sleepiness Scale and the SF-36, improve significantly after nasal surgery, with decreases in excessive sleepiness along with improved general health and mental health scores.
4. Nasal surgery can reduce the severity of OSA in some people. A few studies, including a randomized control trial, showed improvement in OSA severity, after nasal surgery alone. These results certainly do not indicate that nasal surgery is the cure for OSA, but they do show direct beneficial effects of nasal surgery on OSA.
The evidence currently shows that nasal surgery provides benefit to OSA sufferers. Can it take away OSA? Usually not, but it can help make the treatment easier. Thanks for reading this article. Don't forget to check out other related topics, including septoplasty, inferior turbinate reduction, and functional endoscopic sinus surgery.
Ref: http://www.entnet.org/content/nasal-surgery-and-osas# (accessed 5/20/2018)
To see Dr. Thomas Higgins, a fellowship-trained Rhinologist (Sinus Specialist) with offices in Louisville, Kentucky and southern Indiana, click below or call.
A novel FDA-approved therapy was introduced to the market in March 2018 called Sinuva, a long-acting steroid-eluting implant that can be placed in the sinus cavities during an office visit. Recurrent nasal polyps can form in previously opened sinus cavities. Oral steroids can help shrink them, but these medications can have short-term and long-term side effects. The steroid in Sinuva has minimal absorption into the body and gradual provides steroid to the surface of the polyps to shrink them and keep them away for up to 3-6 months. For more information: CLICK HERE.
By Thomas S. Higgins, Jr., MD, MSPH
1. Antibiotics reduce inflammation.
2. Antibiotics reduce pain.
3. Antibiotics induce the placebo effect.
But antibiotics are not good to use for non-bacterial infections!
The Department of Otolaryngology-Head and Neck Surgery at Johns Hopkins University has once again been ranked the #1 hospital for ENT services by US News. Dr. Thomas Higgins obtained his fellowship training in Rhinology at Johns Hopkins University and is proud to be associated with this historic institution.
Click here for more information: http://health.usnews.com/best-hospitals/rankings/ear-nose-and-throat
August is upon us again.
August is the last month of Summer Break for the kids.
August is a hot month. August is a great month for swimming, going to the lake, and vacationing.
And August is Ragweed pollination month!
Ragweed pollen starts increasing in August and spreads through the air most actively through September. Just look at the Google search trends for "Ragweed" (below) and you will see how, consistently over the past 5 years, Ragweed has peaked in late August/early September!
Symptoms of ragweed allergy can mimic a sinus infection, but antibiotics are not the way to treat ragweed allergy. Symptoms may include the following:
Treatment includes symptomatic relief and preventative measures, including:
So be ready for that annual oxymoron of a condition, The Summer Cold, to try to interrupt your fun. Get back on those allergy medications or seek help now to prevent feeling miserable when the ragweed pollen counts peak!
To see Dr. Thomas S. Higgins, Jr. a fellowship-trained Rhinologist (Sinus Specialist) , click below
or call (502) 894-8441.
Suffering from chronic sinus infections and want an alternative to sinus surgery? Dr. Thomas Higgins is the site investigator of a clinical trial enrolling now to evaluate an innovative minor procedure to treat chronic sinusitis at Kentuckiana Ear, Nose & Throat. If you are (1) at least 22 years old, (2) suffer from chronic sinus infections, and (3) have never had sinus surgery, you may be a candidate for the study. All expenses of the procedure and follow-up visits are paid.
If you are interested, use this link or the button below to complete some information about yourself and provide contact information so our study coordinator can discuss further details with you.
Aspirin Triad Sinusitis (or Aspirin Exacerbated Respiratory Disease) is the combination of aspirin sensitivity, severe chronic sinusitis with polyposis, and asthma. It often manifests in adulthood and can be one of the most difficult-to-manage sinus problems. Read More.
Eustachian tube dysfunction causes ear pressure and pain. It can lead to recurrent ear infections or persistent middle ear fluid. It is a common cause of hearing loss. And it makes air travel a horrible experience. Read more here.
Welcome to Nose and Sinus News on www.higgins-sinus.com, where we post news, highlights, and interesting stories about nose and sinus disease! Check back often!