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Impact of endoscopic sinus surgery on sleep quality in patients with chronic nasal obstruction due to nasal polyposis.
J Craniofac Surg. 2009 Mar; 20(2):446-9.JC

Abstract

OBJECTIVE

The aim of this study was to investigate the effect of endoscopic sinus surgery on sleep quality in a patient group who has chronic nasal obstruction resulting from nasal polyposis.

METHODS

Twenty-seven patients with nasal polyposis, filling at least 50% of each nasal passage, were enrolled in the study. Assessment of nasal patency was determined by nasal endoscopy and acoustic rhinometry. All patients underwent endoscopic sinus surgery with polypectomy. Sleep quality was evaluated, using visual analog scale, Epworth sleepiness scale, and polysomnography before and 3 months after the surgery.

RESULTS

Nasal resistance decreased significantly after the surgery (P < 0.01). Snoring scores were significantly improved postoperatively (P < 0.01) and completely disappeared in 9 of 27 patients. A significant improvement occurred in mean daytime sleepiness scores in the postoperative period (4.14) as compared with the preoperative values (9.44; P < 0.01). There was no significant difference between preoperative (6.85) and postoperative (5.53) mean values of apnea-hypopnea index (P = 0.55).

CONCLUSIONS

Endoscopic sinus surgery with polypectomy significantly improves sleep quality, including snoring and daytime sleepiness in patients with chronic nasal obstruction due to nasal polyposis. However, it has a limited benefit on apnea-hypopnea index scores.

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Authors+Show Affiliations

Tosun F
Department of Otorhinolaryngology Head and Neck Surgery, Gulhane Military Medical School, Ankara, Turkey. fuattosun@yahoo.com
Kemikli K
No affiliation info available
Yetkin S
No affiliation info available
Ozgen F
No affiliation info available
Durmaz A
No affiliation info available
Gerek M
No affiliation info available

MeSH

AdultAgedAirway ResistanceChronic DiseaseEndoscopyFemaleFollow-Up StudiesHumansMaleMiddle AgedNasal ObstructionNasal PolypsPolysomnographyRespirationRhinometry, AcousticSinusitisSleepSleep Apnea SyndromesSleep StagesSnoringWork of BreathingYoung Adult

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

19276823

Citation

Tosun, Fuat, et al. "Impact of Endoscopic Sinus Surgery On Sleep Quality in Patients With Chronic Nasal Obstruction Due to Nasal Polyposis." The Journal of Craniofacial Surgery, vol. 20, no. 2, 2009, pp. 446-9.
Tosun F, Kemikli K, Yetkin S, et al. Impact of endoscopic sinus surgery on sleep quality in patients with chronic nasal obstruction due to nasal polyposis. J Craniofac Surg. 2009;20(2):446-9.
Tosun, F., Kemikli, K., Yetkin, S., Ozgen, F., Durmaz, A., & Gerek, M. (2009). Impact of endoscopic sinus surgery on sleep quality in patients with chronic nasal obstruction due to nasal polyposis. The Journal of Craniofacial Surgery, 20(2), 446-9. https://doi.org/10.1097/SCS.0b013e31819b97ef
Tosun F, et al. Impact of Endoscopic Sinus Surgery On Sleep Quality in Patients With Chronic Nasal Obstruction Due to Nasal Polyposis. J Craniofac Surg. 2009;20(2):446-9. PubMed PMID: 19276823.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Impact of endoscopic sinus surgery on sleep quality in patients with chronic nasal obstruction due to nasal polyposis. AU - Tosun,Fuat, AU - Kemikli,Kismet, AU - Yetkin,Sinan, AU - Ozgen,Fuat, AU - Durmaz,Abdullah, AU - Gerek,Mustafa, PY - 2009/3/12/entrez PY - 2009/3/12/pubmed PY - 2009/8/13/medline SP - 446 EP - 9 JF - The Journal of craniofacial surgery JO - J Craniofac Surg VL - 20 IS - 2 N2 - OBJECTIVE: The aim of this study was to investigate the effect of endoscopic sinus surgery on sleep quality in a patient group who has chronic nasal obstruction resulting from nasal polyposis. METHODS: Twenty-seven patients with nasal polyposis, filling at least 50% of each nasal passage, were enrolled in the study. Assessment of nasal patency was determined by nasal endoscopy and acoustic rhinometry. All patients underwent endoscopic sinus surgery with polypectomy. Sleep quality was evaluated, using visual analog scale, Epworth sleepiness scale, and polysomnography before and 3 months after the surgery. RESULTS: Nasal resistance decreased significantly after the surgery (P < 0.01). Snoring scores were significantly improved postoperatively (P < 0.01) and completely disappeared in 9 of 27 patients. A significant improvement occurred in mean daytime sleepiness scores in the postoperative period (4.14) as compared with the preoperative values (9.44; P < 0.01). There was no significant difference between preoperative (6.85) and postoperative (5.53) mean values of apnea-hypopnea index (P = 0.55). CONCLUSIONS: Endoscopic sinus surgery with polypectomy significantly improves sleep quality, including snoring and daytime sleepiness in patients with chronic nasal obstruction due to nasal polyposis. However, it has a limited benefit on apnea-hypopnea index scores. SN - 1536-3732 UR - https://www.unboundmedicine.com/medline/citation/19276823/Impact_of_endoscopic_sinus_surgery_on_sleep_quality_in_patients_with_chronic_nasal_obstruction_due_to_nasal_polyposis_ L2 - https://doi.org/10.1097/SCS.0b013e31819b97ef DB - PRIME DP - Unbound Medicine ER -