The study included 22 males with significant decrease in nasal patency, at age of 44 ± 7 yrs with body mass index 28,9 ± 3,8 kg/m2, diagnosed with obstructive sleep apnea syndrome (OSAS) by polysomnography. All patients underwent functional, corrective nasal surgery. In one patient an infection in the wound occurred. Postoperatively
19 (86%) patients reported significant subjective improvement. With regard to polysomnography, one patient was cured and in another one a decrease of AHI to more than 50% of baseline was found. In 6 (27,3%) patients AHI rose from 33,2 ± 13 to 53,6 ± 21,2.
Conclusion: Nasal surgery in OSAS shows limited effectiveness. Because of multilevel decrease in airway patency,
some of the patients may need a step-wise approach to surgical treatment
