TY - JOUR T1 - Impact of septoplasty in the severity and treatment of sleep apnea JF - European Respiratory Journal JO - Eur Respir J VL - 42 IS - Suppl 57 SP - P2580 AU - Ricardo Reis AU - Daniela Alves AU - José Moutinho AU - Vitória Martins Y1 - 2013/09/01 UR - http://erj.ersjournals.com/content/42/Suppl_57/P2580.abstract N2 - Introduction: Current scientific evidence has yet to show significant benefit in the surgical approach of sleep apnea syndrome (SAS).Aims: Evaluation of the impact of septoplasty in the severity and treatment of sleep apnea patients.Methods: Revision of the patients followed in our Sleep Medicine Center who, in the period of January 1996 to December 2012, were subjected to septoplasty and performed sleep study before and after the surgical procedure.Results: One hundred and eighty SAS patients were subjected to septoplasy and 53% (n= 96) performed sleep study before and after surgery, of which, in 51% an apnea/hypopnea or respiratory disturbance index (AHI/RDI) was calculated. Mean age was 47,8+11,1 years and 93% were male. Sleep cardiorespiratory study was performed in 71% and 86% was under CPAP treatment previously to surgery. In 51% (n=25) of the patients an amygdalectomy/adenoidectomy (A/A) or uvulopalatopharyngoplasty (UP3).View this table:Table 1 - Impact of Surgery on AHI/RDINone of the types of surgery lead to significant change in AHI/RDI. After surgery 12,2% had an AHI/RDI < 5/h and 16,3% an AHI/RDI between 5 and 15/h. Surgery lead to treatment change in 24,5% of patients.Conclusions: Septoplasty showed no significant impact in the global AHI/RDI of sleep apnea patients. However, in a minority of patients there was a change in treatment and in 12,2% sleep apnea was considered as resolved (AHI/RDI < 5/h). ER -