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Can PAP resume immediately after sinus surgery?

Patients restarting therapy within 1 day showed no statistically significant adjusted differences in sinonasal healing, bleeding, or patient-reported outcomes.

  • By

  • Andrea Surnit

  • November 12, 2026

  • 4 min

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  • 1

    A prospective controlled study included 100 adults undergoing functional endoscopic sinus surgery at 4 US academic centers; 49 patients with obstructive sleep apnea resumed PAP on postoperative day 0

  • 2

    After adjustment for clinical and surgical factors, early PAP resumption was not significantly associated with worse endoscopic scores at either postoperative assessment.

  • 3

    Sinonasal symptoms and sleep quality improved in both groups, with no significant adjusted differences associated with early PAP resumption.

  • 4

    Epistaxis severity and need for medical management did not differ significantly between groups, and no PAP-related complications were reported.

  • 5

    The nonrandomized study had a small sample, baseline group differences, self-reported PAP adherence, and exclusions that limit assessment of uncommon complications and generalizability.

Original Source(s)

Can PAP resume immediately after sinus surgery?

  • by Andrea Surnit

  • November 12, 2026

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