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Inicio Acta Otorrinolaringológica Española Efectos adversos derivados del tratamiento con ncpap y su relación con la nariz
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Vol. 55. Issue 1.
Pages 17-22 (January 2004)
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Vol. 55. Issue 1.
Pages 17-22 (January 2004)
Efectos adversos derivados del tratamiento con ncpap y su relación con la nariz
Adverse effects of continuous positive airway pressure therapy and its relation with the nose
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E. Esteller*,a, E. Matiñó*, F. Segarra**, J.J. Sanz*, J.M. Ademà*, E. Estivill**
* Servicio de otorrinolaringología
** Unidad del sueño del hospital general de catalunya. san cugat del vallés. barcelona
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Resumen

El principal inconveniente del tratamiento del síndrome de la apnea obstructiva del sueño (SAOS) con presión positiva nasal continua (nCPAP) es el incumplimiento, muchas veces debido a los efectos adversos del mismo. Mediante un análisis prospectivo de los pacientes tratados con nCPAP, se pretende demostrar la relación de las alteraciones nasales preexistentes con los efectos adversos de la utilización de nCPAP. Se han recogido 182 casos tratados con nCPAP y el 60% explicaron uno o más efectos adversos. De éstos, el 69% tenían dismorfia septal y 31% no (p=0,001). En los casos con efectos adversos de cariz nasal se observó un 80% de aumento de la tolerancia al nCPAP en los tratados médicamente y un 89% en los sometidos a septoplastia. Este trabajo pone en evidencia que los efectos adversos del tratamiento con nCPAP se relacionan de forma significativa con las alteraciones nasales preexistentes y que el tratamiento de éstas colabora a incrementar la tolerancia a nCPAP

Palabras clave:
Síndrome de la apnea obstructiva del sueño (SAOS)
Presión nasal positiva continua (nCPAP)
Efectos adversos
Obstrucción nasal
Abstract

TThe main problem in the treatment of obstructive sleep apnea syndrome (OSAS) with nasal continuous airway pressure (nCPAP) is the lack of compliance. One of the most important reasons for no compliance is the adverse effects of this treatment. We analyse, prospectively, 182 patients treated with nCPAP in order to show the relationship between previous nasal problems and adverse effects of nCPAP. Sixty percent of the population developed one o more side effects. Of this group, 69% showed nasal septum deviation at first examination in front of 31% that did not showed this problem (p=0,001). In the group of patients with nasal side effects we observed an increase of compliance in 80% of patients treated medically and in 89% of those treated by a septoplasty. We demonstrate that the adverse effects of nCPAP are related to previous nasal problems and, also, that treatment of those problems can achieve an increase in compliance to nCPAP therapy

Key words:
Obstructive Sleep Apnoea Síndrome (OSAS)
Nasal Continuous positive airway pressure (nCPAP)
Adverse effects
Nasal obstruction

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