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Connection of OSA to Rhinitis, and Sinusitis
I'm pretty new here, myself, and really don't have any information, to help with your question, but, I'd like to welcome you to the forum, and say thank you, for your service.

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(01-11-2017, 06:37 PM)ac555 Wrote: Hi, new to the forum. I searched through, and didn't see this brought up before.

Can Sleep Apnea be a secondary condition to Sinusitis/Rhinitis?

Weather is be from swelling of the nasal area causing sleep apnea to be worse than it would normally be? Mucosal inflammation, or just mucus from sinuses draining to throat?

Technically, OSA is when something is restricting or blocking your airway. Commonly caused by your tongue pushing on your soft palate. However, what if that were minor to the point where you didn't have sleep apnea, but inflammation commonly found in people with sinusitis and rhinitis restricted the airways further causing it to become mild OSA?

The reason I ask this is because it may seem pretty possible, and there are tons of doctors who have written about the connection. I have been to several ENT doctors, and they say it's impossible for there to be a connection. Even though my rhinitis was why they sent me to do a sleep study which found out I had mild OSA. Looking around, it seems there is a 50/50 split between Doctors of whether it's possible or not and wanted some more opinions from other people. Maybe someone else has gone through the same thing.

I can't post links since I'm new, and have less than 4 posts. There are plenty of articles online talking about the connections, and studies that have been done.

i believe congestion is responsible for some hypopnea but not apnea unless you are on a machine and it blocks the pressure from being enough to stop the OA
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Ac555, thank you for your service. Your post goes into a lot of detail, and my take-away is you may be suffering from Upper Airway Resistance Syndrome UARS. An easy internet search can tell you more about that than I can, however it is most responsive to bilevel PAP therapy (BiPAP / VPAP). In bilevel, a separate higher inhale pressure and lower exhale pressure are applied to overcome the upper airway resistance and to do part of the work of respiration. It can of course treat obstructive apnea and hypopnea as well.

I don't know if the VA will trial you on a bilevel machine like the Respironics Dreamstation BiPAP Auto or Resmed Aircurve 10 Vauto, but I suspect it would be a lot of help to you. If you have the money, a BiPAP can be purchased for $720 on Amazon, and combined with a nasal interface like the Resmed Airfit P10 nasal pillows. This combination would make nasal breathing fairly easy for you since the pressure assist would move past any chronic congestion and inflammation in your nose and sinuses. Anyway, take a look at UARS and it you think this might be a useful path to pursue, let's talk some more about how to make it happen.
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