The effect of continuous positive airway pressure therapy on nasal patency.

Background: Nasal congestion and obstruction are reported in the majority of continuous positive airway pressure (CPAP) users and are frequently cited as reasons for noncompliance. To our knowledge, no study has demonstrated a change in objective or subjective nasal patency in patients with obstructive sleep apnea (OSA) after a therapeutic trial of CPAP therapy.

Methods: This prospective nonrandomized trial tested the hypothesis that CPAP therapy would result in both objective and subjective improvements in nasal patency in patients with OSA.

Strategies for decreasing contamination of homemade nasal saline irrigation solutions.

Background: Saline nasal irrigations (SNI) are an important adjunct in the treatment of rhinosinusitis, and many patients prepare and store these solutions in their homes without an awareness of the potential for contamination. The objectives of this study were to determine if such contamination occurs and the effect of preparation methods on contamination.

Methods: Stock solutions of various tonicities and pHs were prepared using boiled, bottled, and distilled water (n = 57).

Robotic-assisted transoral removal of a bilateral floor of mouth ranulas.

Objective: To describe the management of bilateral oral ranulas with the use of the da Vinci Si Surgical System and discuss advantages and disadvantages over traditional transoral resection.

Study Design: Case Report and Review of Literature.

Results: A 47 year old woman presented to our service with an obvious right floor of mouth swelling.