[Problems in nasal CPAP management of the obstructive apnea patient--when is a tracheotomy indicated? A case report].

The use of nCPAP-ventilation has changed the rare indication for tracheotomy in patients with severe sleep apnoe syndrome. Only in cases where obstructive nasal and epipharyngeal processes are not resectable tracheotomy can be necessary. A case report shows one indication for such a surgical intervention. Increasing nasal obstruction usually can be treated successfully by operation.