The evaluation of pattern and quality of sleep in patients with chronic rhinosinusitis with nasal polyps
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Date
2017
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Abstract
Objective The goal of this study is to evaluate the impact of chronic rhinosinusitis with nasal polyps (CRSwNP) on sleep pattern and sleep quality before and after functional endoscopic sinus surgery using subjective and objective parameters. Methods Twenty-two patients with CRSwNP were evaluated. All subjects underwent assessment by nasal endoscopy, rhinomanometry and computed tomography. Sleep pattern and sleep quality were evaluated by Pittsburgh sleep quality index (PSQI) and polysomnography (PSG). All patients were reassessed 6 months after surgery. Results Nasal resistance decreased after the surgery (p < 0.001). Postoperative PSQI scores were significantly lower than preoperative scores (p < 0.001). The preoperative mean values of total apnea index and apnea-hypopnea index were 25.4 and 13.3, respectively. After surgery, the total apnea and apnea-hypopnea index had decreased significantly to 7.8 and 11.2, respectively (p = 0.009 and 0.019, respectively). Conclusion In patients with CRSwNP, functional endoscopic sinus surgery significantly ameliorates sleep pattern and sleep quality. CRSwNP may be a predisposing factor for sleep related respiratory disorders. © 2017 Elsevier B.V.
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Adult , Chronic Disease , Endoscopy , Female , Humans , Male , Middle Aged , Nasal Polyps , Otorhinolaryngologic Surgical Procedures , Polysomnography , Rhinitis , Rhinomanometry , Sinusitis , Sleep , Sleep Apnea Syndromes , Tomography, X-Ray Computed , adult , apnea hypopnea index , Article , chronic rhinosinusitis , clinical article , clinical effectiveness , clinical evaluation , endoscopic sinus surgery , female , human , male , nose airway resistance , nose polyp , oxygen saturation , Pittsburgh Sleep Quality Index , polysomnography , postoperative period , preoperative period , REM sleep , scoring system , sleep pattern , sleep quality , sleep stage , sleep time , treatment outcome , treatment response , chronic disease , complication , diagnostic imaging , ear nose throat surgery , endoscopy , middle aged , nose polyp , pathophysiology , rhinitis , rhinomanometry , sinusitis , sleep , sleep disordered breathing , x-ray computed tomography