The role of minimally invasive surgical interventions in the nasal cavity in a somatically burdened patient in the treatment of obstructive sleep apnea syndrome

This article addresses the current challenges in treating obstructive sleep apnea syndrome (OSA) in patients with severe somatic concomitant diseases in combination with nasal pathology, which often complicates the use of continuous positive airway pressure (CPAP) therapy. The nasal obstruction significantly reduces CPAP effectiveness by causing discomfort and limiting airway patency. The article reviews studies highlighting a higher prevalence of apnea among patients with non-allergic rhinitis.

Special emphasis is placed on minimally invasive surgical methods, particularly interstitial laser coagulation of the inferior nasal turbinates, which effectively reduces tissue volume and edema, improves nasal breathing, and enhances CPAP compliance. A detailed clinical case is presented involving a patient with severe OSA and vasomotor rhinitis, who demonstrated significant improvement in respiratory function and overall clinical status after laser coagulation.

This work is valuable for specialists in somnology and otorhinolaryngology, as well as physicians managing comprehensive OSA therapy in patients with multiple somatic disorders. The described data and practical experience with minimally invasive treatments aid in assessing the efficacy of modern approaches and improving adherence to CPAP therapy, directly impacting patients’ quality of life.

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