{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T13:46:42Z","timestamp":1791899202078,"version":"4.3.4"},"reference-count":27,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Untreated obstructive sleep apnea (OSA) in the perioperative period confers significant cardiopulmonary risk. However, many otolaryngologists defer restarting positive airway pressure (PAP) therapy following functional endoscopic sinus surgery (FESS) due to perceived risk of epistaxis, mucosal injury, and wound healing. Thus, the objective of this study was to evaluate the immediate resumption of PAP therapy in OSA patients undergoing FESS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Multicenter prospective controlled study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Academic medical centers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients with a history of OSA on PAP therapy scheduled for FESS were prospectively enrolled (OSA\/PAP group) along with a control group of non\u2010OSA FESS patients (non\u2010OSA group). Patients in the OSA\/PAP group restarted PAP therapy on post\u2010operative Day #0 or #1. The primary outcome was change in Lund\u2010Kennedy endoscopic scores (LKES); secondary outcomes of interest included change in post\u2010operative SNOT\u201022 scores, Pittsburgh Sleep Quality Index (PSQI) scores, complications, and epistaxis severity scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 100 patients were enrolled, of whom 49 were in the OSA\/PAP group, and 51 were in the non\u2010OSA group. In multivariate adjusted models, early PAP resumption was not independently associated with higher LKES compared to the control group at POV1 or POV2, higher SNOT\u201022 compared to the control group at POV1 or POV2, or higher postoperative epistaxis scores compared to the control group. There were no PAP\u2010related complications such as orbital emphysema or pneumocephalus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Early resumption of PAP in OSA patients undergoing FESS does not appear to be associated with worsened post\u2010operative endoscopic scores, quality\u2010of\u2010life scores, or an increased risk of post\u2010operative epistaxis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.70496","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T12:56:04Z","timestamp":1791896164000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Immediate Resumption of Positive Airway Pressure Following Sinus Surgery: A Prospective Controlled Multicenter Study"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3745-2727","authenticated-orcid":false,"given":"Garret","family":"Choby","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery University of Pittsburgh Medical Center Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose L.","family":"Mattos","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery University of Virginia Medical Center Charlottesville Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin K.","family":"O'Brien","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Mayo Clinic Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devyani","family":"Lal","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Mayo Clinic Phoenix Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Marino","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Mayo Clinic Phoenix Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Spencer","family":"Payne","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery University of Virginia Medical Center Charlottesville Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos N.","family":"Pinheiro\u2010Neto","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery New York University New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas R.","family":"Rowan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Johns Hopkins University Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery University of Pittsburgh Medical Center Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric W.","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery University of Pittsburgh Medical Center Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janalee","family":"Stokken","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Mayo Clinic Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,13]]},"reference":[{"issue":"7","key":"e_1_2_8_2_1","doi-asserted-by":"crossref","first-page":"1061","DOI":"10.1002\/alr.23079","article-title":"International consensus statement on obstructive sleep apnea","volume":"13","author":"Chang JL","year":"2023","journal-title":"Int Forum Allergy Rhinol"},{"key":"e_1_2_8_3_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.sleep.2021.11.019","article-title":"Meta\u2010analysis of the association between obstructive sleep apnea and postoperative complications","volume":"91","author":"Sun X","year":"2022","journal-title":"Sleep Med"},{"issue":"8","key":"e_1_2_8_4_1","doi-asserted-by":"crossref","first-page":"1205","DOI":"10.5665\/sleep.4892","article-title":"The impact of untreated obstructive sleep apnea on cardiopulmonary complications in general and vascular surgery: a cohort study","volume":"38","author":"Abdelsattar ZM","year":"2015","journal-title":"Sleep"},{"key":"e_1_2_8_5_1","doi-asserted-by":"crossref","unstructured":"American Society of Anesthesiologists Task Force on Perioperative Management of Patients With Obstructive Sleep. 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