Deviated septum, polyps and infection in sinuses
Doctor Answers 4
OSA with sinus disease
Great question- you've obviously thought a good bit about this and done some reading - Great Job!
Sleep apnea is a very complex problem- one thing that can't be challenged is that sleep apnea is VERY DANGEROUS. There have been many papers linking sleep apnea with heart problems, high blood pressure, and stroke among others.
I would recommend: 1. Begin sleep apnea therapy as soon as offered. 2. It sounds like you would be a good candidate for a CT scan for evaluation of your sinuses and possibly some steroids/abx. Moderate to severe polyp disease will not improve without surgery- A good physical exam would be very helpful to determine your possible sites of obstruction (in addition to your nose).
Nasal surgery can be very helpful in decreasing the pressure required by CPAP machines which makes it more tolerable.
Oral appliances, weight loss, CPAP, and surgical procedures can improve sleep apnea problems.
Multilevel airway obstruction
Hello-Nasal obstruction secondary to a deviated septum and nasal polyps can certainly contribute to obstructive sleep apnea (OSA). However, if you have "severe" OSA based upon the sleep study, it is not likely the only cause, and fixing the nose likely will not "cure" your sleep apnea. In most cases, OSA is due to obstruction at many sites within the airway, including the nose, palate, back of the throat, back of the tongue. The gold standard treatment would be a CPAP machine. The good news, however, is that a nasal surgery would likely lower the amount of pressure that would be required on your CPAP, which makes it more comfortable and easy to use for you. It is important to take your severe OSA seriously; if untreated there are higher rates of heart and lung disease and stroke. Also, if treated you will feel better with more energy!
Many types of doctors manage OSA including neurologists, pulmonologists, and otolaryngologists (sometimes even primary care doctors). I would recommend an otolaryngology (consultation), and choose a surgeon that specializes in nasal and sinus surgery.
Sleep obstruction issues
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