"75/108" . "Obstruk\u010Dn\u00ED sp\u00E1nkov\u00E1 apnoe a CPAP - m\u00E1 v\u00FDznam \u0159e\u0161it nosn\u00ED pr\u016Fchodnost?"@cs . . . "RIV/00843989:_____/12:00102497!RIV13-MZ0-00843989" . "\u0160trympl, Pavel" . . "CZ - \u010Cesk\u00E1 republika" . "2" . . . "Kom\u00EDnek, Pavel" . "Obstruk\u010Dn\u00ED sp\u00E1nkov\u00E1 apnoe a CPAP - m\u00E1 v\u00FDznam \u0159e\u0161it nosn\u00ED pr\u016Fchodnost?" . . "Obstruk\u010Dn\u00ED sp\u00E1nkov\u00E1 apnoe a CPAP - m\u00E1 v\u00FDznam \u0159e\u0161it nosn\u00ED pr\u016Fchodnost?"@cs . . . "septoplasty; obstructive sleep apnoe; rhinomanometry"@en . . "C\u00EDl: C\u00EDlem studie bylo zjistit p\u0159\u00EDnos septoplastiky a turbinoplastiky v l\u00E9\u010Db\u011B obstruk\u010Dn\u00ED sp\u00E1nkov\u00E9 apnoe (OSA), i ve vztahu k n\u00E1sledn\u00E9 l\u00E9\u010Db\u011B n-CPAP (nasal Continuous Positive Airway Pressure). Materi\u00E1l a metodika: Auto\u0159i prezentuj\u00ED sestavu 28 pacient\u016F se subjektivn\u011B obt\u00ED\u017En\u00FDm nosn\u00EDm d\u00FDch\u00E1n\u00EDm a OSA. U v\u0161ech byla endoskopick\u00FDm vy\u0161et\u0159en\u00EDm nosu zji\u0161t\u011Bna deformita nosn\u00ED p\u0159ep\u00E1\u017Eky nebo hypertrofie doln\u00EDch sko\u0159ep a byla provedena opera\u010Dn\u00ED korekce. P\u0159ed\u00ADopera\u010Dn\u011B a poopera\u010Dn\u011B byli pacienti vy\u0161et\u0159eni limitovanou polygrafi\u00ED, m\u011B\u0159ena byla hodnota AHI (Apnoe/Hypopnoe Index). Hodnocen byl i subjektivn\u00ED efekt operace a denn\u00ED spavost. P\u0159edopera\u010Dn\u00ED a poopera\u010Dn\u00ED parametry byly statisticky srovn\u00E1ny. U pacient\u016F s p\u0159etrv\u00E1vaj\u00EDc\u00EDm st\u0159edn\u011B t\u011B\u017Ek\u00FDm a t\u011B\u017Ek\u00FDm OSA poopera\u010Dn\u011B byla provedena zkou\u0161ka naz\u00E1ln\u011B aplikovan\u00FDm CPAP se zam\u011B\u0159en\u00EDm na toleranci l\u00E9\u010Dby. V\u00FDsledky: Subjektivn\u011B do\u0161lo ke zlep\u0161en\u00ED nosn\u00ED pr\u016Fchodnosti u 27 pacient\u016F, denn\u00ED spavost nebyla poopera\u010Dn\u011B sn\u00ED\u017Eena. Poopera\u010Dn\u011B nedo\u0161lo ke statisticky v\u00FDznamn\u00E9mu sn\u00ED\u017Een\u00ED parametru AHI (p = 0,0792). CPAP byl tolerov\u00E1n u t\u0159\u00ED z osmi indikovan\u00FDch pacient\u016F. Z\u00E1v\u011Br: I p\u0159es pozitivn\u00ED subjektivn\u00ED i objektivn\u00ED efekt operace na nosn\u00ED pr\u016Fchodnost nebyla zji\u0161t\u011Bna signifikantn\u00ED zm\u011Bna ventila\u010Dn\u00EDch parametr\u016F poopera\u010Dn\u011B. Pozitivn\u00ED efekt operace na toleranci n-CPAP nebyl v na\u0161em souboru potvrzen."@cs . . "5"^^ . "155562" . . "Obstruk\u010Dn\u00ED sp\u00E1nkov\u00E1 apnoe a CPAP - m\u00E1 v\u00FDznam \u0159e\u0161it nosn\u00ED pr\u016Fchodnost?" . . "Objective: The purpose of this paper was to evaluate the effect of septoplasty and turbinoplasty in the treatment of obstructive sleep apnoe (OSA), also including evaluation of subsequent CPAP (Continuous Positive Airway Pressure) therapy. Material and methods: Authors present a sample of 28 patients with reduced nasal patency and OSA. Nasal septal deviation and inferior turbinate hypertrophy identified by rhinoendoscopy in all these patients was corrected surgically. Pre- and postoperatively, rhinomanometry and limited polygraphy with a special emphasis on AHI (Apnoe/Hypopnoe Index) were obtained. Subjective outcome and daytime sleepiness were also evaluated. Nasal CPAP trial was performed in patients with persistent moderate to severe postsurgical OSA, specifically focusing on therapy tolerance. Findings: An improvement in subjective nasal patency was observed in 27 patients, while daytime sleepiness did not improve. There was no significant postoperative decrease in AHI (p = 0.0792). C PAP was accepted in 3 of 8 indicated patients. Conclusion: Even though there was subjective and objective improvement of nasal patency after the operation, no significant improvement of ventilation parameters was observed. Positive effect of nasal surgery on C PAP tolerance was not confirmed in our cohort."@en . "V" . . . "5"^^ . "RIV/00843989:_____/12:00102497" . "Pniak, Tom\u00E1\u0161" . "Matou\u0161ek, Petr" . . . . "\u010Cesk\u00E1 a slovensk\u00E1 neurologie a neurochirurgie" . . . "Nov\u00E1k, Vil\u00E9m" . "5"^^ . "Obstructive sleep apnoe and CPAP - is it reasonable to solve nasal patency?"@en . "1210-7859" . "[D05575306FDE]" . "Obstructive sleep apnoe and CPAP - is it reasonable to solve nasal patency?"@en . "C\u00EDl: C\u00EDlem studie bylo zjistit p\u0159\u00EDnos septoplastiky a turbinoplastiky v l\u00E9\u010Db\u011B obstruk\u010Dn\u00ED sp\u00E1nkov\u00E9 apnoe (OSA), i ve vztahu k n\u00E1sledn\u00E9 l\u00E9\u010Db\u011B n-CPAP (nasal Continuous Positive Airway Pressure). Materi\u00E1l a metodika: Auto\u0159i prezentuj\u00ED sestavu 28 pacient\u016F se subjektivn\u011B obt\u00ED\u017En\u00FDm nosn\u00EDm d\u00FDch\u00E1n\u00EDm a OSA. U v\u0161ech byla endoskopick\u00FDm vy\u0161et\u0159en\u00EDm nosu zji\u0161t\u011Bna deformita nosn\u00ED p\u0159ep\u00E1\u017Eky nebo hypertrofie doln\u00EDch sko\u0159ep a byla provedena opera\u010Dn\u00ED korekce. P\u0159ed\u00ADopera\u010Dn\u011B a poopera\u010Dn\u011B byli pacienti vy\u0161et\u0159eni limitovanou polygrafi\u00ED, m\u011B\u0159ena byla hodnota AHI (Apnoe/Hypopnoe Index). Hodnocen byl i subjektivn\u00ED efekt operace a denn\u00ED spavost. P\u0159edopera\u010Dn\u00ED a poopera\u010Dn\u00ED parametry byly statisticky srovn\u00E1ny. U pacient\u016F s p\u0159etrv\u00E1vaj\u00EDc\u00EDm st\u0159edn\u011B t\u011B\u017Ek\u00FDm a t\u011B\u017Ek\u00FDm OSA poopera\u010Dn\u011B byla provedena zkou\u0161ka naz\u00E1ln\u011B aplikovan\u00FDm CPAP se zam\u011B\u0159en\u00EDm na toleranci l\u00E9\u010Dby. V\u00FDsledky: Subjektivn\u011B do\u0161lo ke zlep\u0161en\u00ED nosn\u00ED pr\u016Fchodnosti u 27 pacient\u016F, denn\u00ED spavost nebyla poopera\u010Dn\u011B sn\u00ED\u017Eena. Poopera\u010Dn\u011B nedo\u0161lo ke statisticky v\u00FDznamn\u00E9mu sn\u00ED\u017Een\u00ED parametru AHI (p = 0,0792). CPAP byl tolerov\u00E1n u t\u0159\u00ED z osmi indikovan\u00FDch pacient\u016F. Z\u00E1v\u011Br: I p\u0159es pozitivn\u00ED subjektivn\u00ED i objektivn\u00ED efekt operace na nosn\u00ED pr\u016Fchodnost nebyla zji\u0161t\u011Bna signifikantn\u00ED zm\u011Bna ventila\u010Dn\u00EDch parametr\u016F poopera\u010Dn\u011B. Pozitivn\u00ED efekt operace na toleranci n-CPAP nebyl v na\u0161em souboru potvrzen." . "000303294000014" .