Table of Contents Author Guidelines Submit a Manuscript
Pulmonary Medicine
Volume 2016, Article ID 4841310, 7 pages
http://dx.doi.org/10.1155/2016/4841310
Review Article

Nasal Dilators (Breathe Right Strips and NoZovent) for Snoring and OSA: A Systematic Review and Meta-Analysis

1Tripler Army Medical Center, Division of Otolaryngology, Sleep Surgery and Sleep Medicine, 1 Jarrett White Rd, Tripler AMC, Honolulu, HI 96859, USA
2Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA
3Tripler Army Medical Center, Division of Otolaryngology-Head & Neck Surgery, Tripler AMC, Honolulu, HI 96859, USA
4Clay County Hospital, 911 Stacy Burk Drive, Flora, IL 62839, USA
5Sleep Disorders Center, Sunnyside Community Hospital, 1016 Tacoma Avenue, Sunnyside, WA 98944, USA
6Department of Psychiatry and Behavioral Sciences, Sleep Medicine Division, Stanford Hospital and Clinics, Redwood City, CA 94063, USA

Received 23 July 2016; Revised 29 September 2016; Accepted 10 October 2016

Academic Editor: Dimitris Georgopoulos

Copyright © 2016 Macario Camacho et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. M. Camacho, S. Zaghi, V. Certal et al., “Inferior Turbinate classification system, grades 1 to 4: development and validation study,” The Laryngoscope, vol. 125, no. 2, pp. 296–302, 2015. View at Publisher · View at Google Scholar
  2. J. Teixeira, V. Certal, E. T. Chang, and M. Camacho, “Nasal septal deviations: a systematic review of classification systems,” Plastic Surgery International, vol. 2016, Article ID 7089123, 8 pages, 2016. View at Publisher · View at Google Scholar
  3. J. C. Hsia, M. Camacho, and R. Capasso, “Snoring exclusively during nasal breathing: a newly described respiratory pattern during sleep,” Sleep & Breathing, vol. 18, no. 1, pp. 159–164, 2014. View at Publisher · View at Google Scholar · View at Scopus
  4. C. E. Sullivan, F. G. Issa, M. Berthon-Jones, and L. Eves, “Reversal of obstructive sleep apnoea by continuous positive airway pressure applied through the nares,” The Lancet, vol. 317, no. 8225, pp. 862–865, 1981. View at Publisher · View at Google Scholar · View at Scopus
  5. M. Camacho, V. Certal, J. Abdullatif et al., “Myofunctional therapy to treat obstructive sleep apnea: a systematic review and meta-analysis,” Sleep, vol. 38, no. 5, pp. 669–675, 2015. View at Publisher · View at Google Scholar · View at Scopus
  6. A. R. Kumar, C. Guilleminault, V. Certal, D. Li, R. Capasso, and M. Camacho, “Nasopharyngeal airway stenting devices for obstructive sleep apnoea: a systematic review and meta-analysis,” The Journal of Laryngology and Otology, vol. 129, no. 1, pp. 2–10, 2015. View at Publisher · View at Google Scholar · View at Scopus
  7. M. Riaz, V. Certal, G. Nigam, J. Abdullatif, and S. Zaghi, “Nasal expiratory positive airway pressure devices (Provent) for OSA: a systematic review and meta-analysis,” Sleep Disorders, vol. 2015, Article ID 734798, 15 pages, 2015. View at Publisher · View at Google Scholar
  8. M. Camacho, M. Riaz, R. Capasso et al., “The effect of nasal surgery on continuous positive airway pressure device use and therapeutic treatment pressures: a systematic review and meta-analysis,” Sleep, vol. 38, no. 2, pp. 279–286, 2015. View at Publisher · View at Google Scholar · View at Scopus
  9. H.-Y. Li, P.-C. Wang, Y.-P. Chen, L.-A. Lee, T.-J. Fang, and H.-C. Lin, “Critical appraisal and meta-analysis of nasal surgery for obstructive sleep apnea,” American Journal of Rhinology and Allergy, vol. 25, no. 1, pp. 45–49, 2011. View at Publisher · View at Google Scholar · View at Scopus
  10. M. Camacho, R. Capasso, and S. Schendel, “Airway changes in obstructive sleep apnoea patients associated with a supine versus an upright position examined using cone beam computed tomography,” The Journal of Laryngology and Otology, vol. 128, no. 9, pp. 824–830, 2014. View at Publisher · View at Google Scholar · View at Scopus
  11. N. B. Powell, A. I. Zonato, E. M. Weaver et al., “Radiofrequency treatment of turbinate hypertrophy in subjects using continuous positive airway pressure: a randomized, double-blind, placebo-controlled clinical pilot trial,” The Laryngoscope, vol. 111, no. 10, pp. 1783–1790, 2001. View at Publisher · View at Google Scholar · View at Scopus
  12. M. W. Johns, “A new method for measuring daytime sleepiness: the Epworth sleepiness scale,” Sleep, vol. 14, no. 6, pp. 540–545, 1991. View at Google Scholar · View at Scopus
  13. National Institute for Health and Clinical Excellence, Methods for Development of NICE Public Health Guidance, National Institute for Health and Clinical Excellence, London, UK, 2009.
  14. J. Cohen, Statistical Power Analysis for the Behavioral Sciences, Erlbaum, Hillsdale, NJ, USA, 2nd edition, 1988.
  15. A. W. Murphey, J. A. Kandl, S. A. Nguyen, A. C. Weber, and M. B. Gillespie, “The effect of glossectomy for obstructive sleep apnea: a systematic review and meta-analysis,” Otolaryngology—Head and Neck Surgery, vol. 153, no. 3, pp. 334–342, 2015. View at Publisher · View at Google Scholar · View at Scopus
  16. J. Lau, J. P. A. Ioannidis, and C. H. Schmid, “Quantitative synthesis in systematic reviews,” Annals of Internal Medicine, vol. 127, no. 9, pp. 820–826, 1997. View at Publisher · View at Google Scholar · View at Scopus
  17. J. P. T. Higgins, S. G. Thompson, J. J. Deeks, and D. G. Altman, “Measuring inconsistency in meta-analyses,” British Medical Journal, vol. 327, no. 7414, pp. 557–560, 2003. View at Publisher · View at Google Scholar · View at Scopus
  18. A. S. Bahammam, R. Tate, J. Manfreda, and M. H. Kryger, “Upper airway resistance syndrome: effect of nasal dilation, sleep stage, and sleep position,” Sleep, vol. 22, no. 5, pp. 592–598, 1999. View at Google Scholar · View at Scopus
  19. P. G. Djupesland, O. Skatvedt, and A. K. Borgersen, “Dichotomous physiological effects of nocturnal external nasal dilation in heavy snorers: the answer to a rhinologic controversy?” American Journal of Rhinology, vol. 15, no. 2, pp. 95–103, 2001. View at Publisher · View at Google Scholar · View at Scopus
  20. J. Gosepath, R. G. Amedee, S. Romantschuck, and W. J. Mann, “Breathe right nasal strips and the respiratory disturbance index in sleep related breathing disorders,” The American Journal of Rhinology, vol. 13, no. 5, pp. 385–389, 1999. View at Publisher · View at Google Scholar · View at Scopus
  21. V. Hoffstein, S. Mateika, and A. Metes, “Effect of nasal dilation on snoring and apneas during different stages of sleep,” Sleep, vol. 16, no. 4, pp. 360–365, 1993. View at Google Scholar · View at Scopus
  22. U. Hoijer, H. Ejnell, J. Hedner, B. Petruson, and L. B. Eng, “The effects of nasal dilation on snoring and obstructive sleep apnea,” Archives of Otolaryngology—Head and Neck Surgery, vol. 118, no. 3, pp. 281–284, 1992. View at Publisher · View at Google Scholar · View at Scopus
  23. P. Kerr, T. Millar, P. Buckle, and M. Kryger, “The importance of nasal resistance in obstructive sleep apnea syndrome,” The Journal of Otolaryngology, vol. 21, no. 3, pp. 189–195, 1992. View at Google Scholar · View at Scopus
  24. A. Metes, P. Cole, V. Hoffstein, and H. Miljeteig, “Nasal airway dilation and obstructed breathing in sleep,” The Laryngoscope, vol. 102, no. 9, pp. 1053–1055, 1992. View at Google Scholar · View at Scopus
  25. S. Redline, N. Adams, M. E. Strauss, T. Roebuck, M. Winters, and C. Rosenberg, “Improvement of mild sleep-disordered breathing with CPAP compared with conservative therapy,” American Journal of Respiratory and Critical Care Medicine, vol. 157, no. 3, pp. 858–865, 1998. View at Publisher · View at Google Scholar · View at Scopus
  26. B. Schonhofer, K. A. Franklin, H. Brunig, H. Wehde, and D. Kohler, “Effect of nasal-valve dilation on obstructive sleep apnea,” Chest, vol. 118, no. 3, pp. 587–590, 2000. View at Publisher · View at Google Scholar · View at Scopus
  27. A. Todorova, R. Schellenberg, H. C. Hofmann, and W. Dimpfel, “Effect of the external nasal dilator Breathe Right on snoring,” European Journal of Medical Research, vol. 3, no. 8, pp. 367–379, 1998. View at Google Scholar · View at Scopus
  28. M. Wenzel, B. Schonhofer, K. Siemon, and D. Kohler, “Nasal strips without effect on obstructive sleep apnea and snoring,” Pneumologie, vol. 51, no. 12, pp. 1108–1110, 1997. View at Google Scholar
  29. G. Liistro, P. Rombaux, M. Dury, T. Pieters, G. Aubert, and D. O. Rodenstein, “Effects of breathe right on snoring: A Polysomnographic Study,” Respiratory Medicine, vol. 92, no. 8, pp. 1076–1078, 1998. View at Publisher · View at Google Scholar · View at Scopus
  30. A. C. S. Amaro, F. H. G. Duarte, R. S. Jallad, M. D. Bronstein, S. Redline, and G. Lorenzi-Filho, “The use of nasal dilator strips as a placebo for trials evaluating continuous positive airway pressure,” Clinics, vol. 67, no. 5, pp. 469–474, 2012. View at Publisher · View at Google Scholar · View at Scopus
  31. D. Pevernagie, E. Hamans, P. Van Cauwenberge, and R. Pauwels, “External nasal dilation reduces snoring in chronic rhinitis patients: a randomized controlled trial,” The European Respiratory Journal, vol. 15, no. 6, pp. 996–1000, 2000. View at Publisher · View at Google Scholar · View at Scopus
  32. B. Schönhofer, J. Kerl, S. Suchi, D. Köhler, and K. A. Franklin, “Effect of nasal valve dilation on effective CPAP level in obstructive sleep apnea,” Respiratory Medicine, vol. 97, no. 9, pp. 1001–1005, 2003. View at Publisher · View at Google Scholar · View at Scopus
  33. C. Torre, M. Camacho, S. Y.-C. Liu, L.-K. Huon, and R. Capasso, “Epiglottis collapse in adult obstructive sleep apnea: a systematic review,” The Laryngoscope, vol. 126, no. 2, pp. 515–523, 2016. View at Publisher · View at Google Scholar · View at Scopus