{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:52:19Z","timestamp":1777877539392,"version":"3.51.4"},"reference-count":34,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Ditmanson Medical Foundation Chia-Yi Christian Hospital Research Program","award":["R113-056"],"award-info":[{"award-number":["R113-056"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Otolaryngology - Head &amp; Neck Surgery"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Importance<\/jats:title>\n                    <jats:p>Chronic rhinitis (CR) affects quality of life and often coexists with obstructive sleep apnea (OSA), a comorbidity that may increase surgical risks. Understanding OSA\u2019s impact on outcomes of minimally invasive nasal surgery is clinically relevant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the efficacy and safety of minimally invasive nasal surgery for CR and assess the influence of OSA on postoperative complications and symptom relief.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Single tertiary medical center in Taiwan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A total of 325 CR patients underwent nasal surgery between March 2023 and June 2024. Based on sleep study results, patients were stratified into OSA (n\u2009=\u200948) and non-OSA (n\u2009=\u2009277) groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Exposure or Intervention<\/jats:title>\n                    <jats:p>Minimally invasive nasal surgery, including radiofrequency inferior turbinate reduction and\/or posterior nasal nerve neurolysis. Patients receiving adjunctive procedures (eg, septoplasty, uvulopalatopharyngoplasty, and tonsillectomy) were excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Postoperative complications (eg, epistaxis) within 1\u2009month and symptom relief based on reflective total nasal symptom score and nasal obstruction symptom evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      OSA [odds ratio (OR), 5.105; 95% confidence interval (CI), 1.222-21.328;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.025] and hypertension (OR, 5.809; 95% CI, 1.134-29.744;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.035) were independent risk factors for major epistaxis. OSA patients had higher overall complication rates (22.9% vs 4.3%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.005), epistaxis (18.8% vs 3.6%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.012), and major epistaxis (14.6% vs 1.8%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.018). Both groups showed significant symptom improvement postoperatively (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Minimally invasive nasal surgery improves CR symptoms regardless of OSA. However, OSA and hypertension are linked to increased complication risk and require careful perioperative management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance<\/jats:title>\n                    <jats:p>These findings support tailored preoperative assessment and multidisciplinary care to optimize safety and outcomes in CR patients with OSA.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19160216251390319","type":"journal-article","created":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:59:24Z","timestamp":1762869564000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Impact of Obstructive Sleep Apnea on Outcomes of Minimally Invasive Nasal Surgery for Chronic Rhinitis"],"prefix":"10.1177","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6341-5471","authenticated-orcid":false,"given":"Chien-Yu","family":"Huang","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Chia-Yi Hospital, Chiayi City, Taiwan"},{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi City, Taiwan"},{"name":"Department of Artificial Intelligence, National Yang-Ming Chiao Tung University, Taipei, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chia-Hao","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Lotung Poh-Ai Hospital, Luodong Township, Yilan, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi-Li","family":"Hwang","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Chiayi Chang Gung Memorial Hospital, Puzi City, Chiayi County, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ying-Shuo","family":"Hsu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Shin Kong Wu Ho-Su Hospital, Taipei, Taiwan"},{"name":"Institute of Brain Science, National Yang-Ming Chiao Tung University, Taipei, Taiwan"},{"name":"Sleep Research Center, National Yang-Ming Chiao Tung University, Taipei, Taiwan"},{"name":"School of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jenq-Yuh","family":"Ko","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Lotung Poh-Ai Hospital, Luodong Township, Yilan, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5637-558X","authenticated-orcid":false,"given":"Szu-Yuan","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Food Nutrition and Health Biotechnology, College of Medical and Health Science, Asia University, Taichung, Taiwan"},{"name":"Division of Radiation Oncology, Lo-Hsu Medical Foundation, Lotung Poh-Ai Hospital, Luodong Township, Yilan, Taiwan"},{"name":"Big Data Center, Lo-Hsu Medical Foundation, Lotung Poh-Ai Hospital, Luodong Township, Yilan, Taiwan"},{"name":"Department of Healthcare Administration, College of Medical and Health Science, Asia University, Taichung, Taiwan"},{"name":"Cancer Center, Lo-Hsu Medical Foundation, Lotung Poh-Ai Hospital, Luodong Township, Yilan, Taiwan"},{"name":"Centers for Regional Anesthesia and Pain Medicine, Taipei Municipal Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,11,11]]},"reference":[{"issue":"3","key":"e_1_3_2_2_2","first-page":"147","article-title":"Rhinitis: a dose of epidemiological reality","volume":"24","author":"Settipane RA.","year":"2003","unstructured":"Settipane RA. 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