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Reviews and Case Reports ISSN: 2378-3656

Citation

Miyoshi T, Sasaki I, Koike F, Oyama S, Furuie W, et al. (2019) Efficacy and Tolerability of the Nasal Airway Stent in the Treatment of Snoring. Clin Med Rev Case Rep 6:261. doi.org/10.23937/2378-3656/1410261

Copyright

© 2019 Miyoshi T, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

BRIEF REPORT | OPEN ACCESS DOI: 10.23937/2378-3656/1410261

Efficacy and Tolerability of the Nasal Airway Stent in the Treatment of Snoring

Takao Miyoshi, MSc1,2, Ikumi Sasaki, MT1, Fumika Koike, MSc1, Saki Oyama, MT1, Wakaba Furuie, MT1, Miho Akaza, MD, PhD1, Tetsuo Sasano, MD, PhD1, Meiyo Tamaoka, MD, PhD2, Yasunari Miyazaki, MD, PhD2, Naohiko Inase, MD, PhD2 and Yuki Sumi, MD, PhD1*

1Respiratory and Nervous System Science, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Japan

2Department of Respiratory Medicine, Tokyo Medical and Dental University, Japan

Abstract

Introduction

The nastent™ classic, a nasal airway stent (NAS), is a tube-shaped medical device that is positioned from the nose to the soft palate near the uvula. It is expected to reduce snoring by preventing the narrowing and obstruction of the airway and reduce apnea/hypopnea index (AHI) in patients with obstructive sleep apnea (OSA).

Objective

We aimed to examine the tolerability and effectiveness of NAS in snoring.

Methods

We prospectively enrolled subjects who had not been treated for sleep apnea syndrome (SAS) and had no serious complications. We examined the effectiveness of NAS by recording the snoring sounds. A questionnaire survey on the pain caused by NAS treatment was conducted.

Results

Out of 23 subjects recruited, 18 completed the study. Most of the subjects showed improvements of snoring measured as the percentage of snoring time in their total sleep time, average snoring volume, maximum snoring volume, and snoring index (SI, percentage of snoring time in total sleep time multiplied by average snoring volume) after the use of NAS. In time, the subjects got accustomed to wearing the NAS, presenting fewer complaints of discomfort and improvement in sleep in most cases. Out of 23 subjects recruited, five subjects showed an AHI > 5. However, only two subjects who showed an AHI > 5 completed the study.

Conclusion

The NAS helped to reduce the snoring loudness and duration in most subjects. Pains caused by NAS treatment gradually decreased as the subjects became accustomed to it.