Endoscopic XXXX : the effects and outcomes of continuous positive airway pressure therapy.

@entity1 @entity27
BACKGROUND: This study aims to assess the effects and outcomes of continuous positive airway pressure (CPAP) therapy for @entity27 ( @entity27 ) in @entity1 who have undergone endoscopic dacryocystorhinostomy (DCR). DESIGN: Retrospective series in a university setting. @entity1 : A total of 205 consecutive @entity1 were included in this study. METHODS: A 10-year retrospective review was performed of 205 consecutive @entity1 who had undergone powered endoscopic DCR for nasolacrimal duct obstruction. @entity1 notes were reviewed for demographic, clinical and surgical information. In addition, all @entity1 were contacted and asked to complete a standardized telephone survey relating to @entity27 , CPAP use and associated symptoms. MAIN OUTCOME MEASURE: Effects of CPAP following DCR. RESULTS: Ten of the 205 @entity1 undergoing DCR were identified to use CPAP for @entity27 . Eight @entity1 were initiated on a nasal device, while two used a full-face mask. The mean CPAP pressures were 8 cm H20 (range: 6-10 cm H20). Eighty percent (8/10) of @entity1 complained of symptoms from the use of their CPAP following DCR. The most commonly described symptom was that of air regurgitation in 70% of @entity1 followed by ophthalmic symptoms in 60% (6/10). 50% (5/10) of @entity1 discontinued their CPAP as a consequence of their symptoms with 20% (2/10) discontinuing because of intolerable ophthalmic symptoms. CONCLUSION: Symptoms from CPAP use post-endoscopic DCR are a common occurrence and may contribute to poor compliance with CPAP therapy. Detailed preoperative counseling with regards to CPAP use and its effects should be mandatory in known or at risk @entity27 @entity1 undergoing DCR.
