Evaluation of Sleep Quality in Patients With Nasal Septal Deviation via the Pittsburgh Sleep Quality Index

Kara, Memduh; Erdoğan, Halil İbrahim; Güçlü, Oğuz; Şahin, Hasan; Dereköy, Fevzi Sefa

doi:10.1097/scs.0000000000003008

Cited by 13 publications

(14 citation statements)

References 16 publications

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“…Respecto a las características preoperatorias, la muestra estudiada tuvo en promedio baja calidad de sueño medida por el índice de calidad de sueño de Pittsburgh, independientemente del tipo de operación. Estos datos coinciden con los diferentes estudios en pacientes sometidos tanto a intervenciones nasales (septoplastia, rinoseptolastia, reducción de cornetes) (1,(18)(19)(20) como a operación nasosinusal endoscópica por sinusitis crónica (2,5,21) .…”

Section: Discussionunclassified

Efecto de la intervención nasal y nasosinusal en calidad de sueño en el Hospital Edgardo Rebagliati Martins 2017

2019

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Objetivo: Determinar el efecto de la cirugía nasal y nasosinusal endoscópica sobre la calidad de sueño en el Servicio de Otorrinolaringología del Hospital Edgardo Rebagliati Martins durante el año 2017. Materiales y métodos: Estudio retrospectivo y longitudinal. La muestra es de 92 pacientes operados en quienes se evaluó la calidad de sueño mediante el Índice de calidad de sueño de Pittsburgh. Los datos fueron analizados con SPSS versión 24 y se realizó análisis univariado, Mann-Whitney, correlación de Spearman y prueba de rango con signo de Wilcoxon. Resultados: La calidad de sueño mejoró después de la operación nasal y nasosinusal endoscópica (p<0,01), al igual que la obstrucción nasal (p<0,01). En los datos preoperatorios, se encontró correlación entre IMC (índice de masa corporal) y obstrucción nasal con calidad de sueño. Conclusiones: Las operaciones nasal y nasosinusal endoscópica tienen un efecto positivo sobre calidad de sueño en pacientes del Servicio de Otorrinolaringología del Hospital Edgardo Rebagliati Martins 2017. Palabras clave: Sueño; Higiene del sueño; Cirugía endoscópica por orificios naturales (Fuente: DeCS BIREME). Effect of nasal and sinus surgery on sleep quality at the Hospital Edgardo Rebagliati Martins during 2017 ABSTRACT Objective: To determine the effect of nasal and sinus endoscopic surgery on sleep quality at the Otorhinolaryngology Department of the Hospital Edgardo Rebagliati Martins during 2017. Materials and methods: A retrospective and longitudinal study was conducted with a sample of 92 patients who underwent surgery and whose sleep quality was assessed using the Pittsburgh Sleep Quality Index. The data was analyzed using software SPSS version 24. Additionally, a univariate analysis, Mann-Whitney U test, Spearman´s rank correlation coefficient and Wilcoxon signed rank test were used in the study. Results: Both sleep quality (p <0.01) and nasal obstruction (p <0.01) improved after nasal and sinus endoscopic surgery. The preoperative data shows that BMI (body mass index) and nasal obstruction have a correlation with sleep quality. Conclusions: Nasal and sinus endoscopic surgery had a positive effect on sleep quality in patients of the Otorhinolaryngology Department of the Hospital Edgardo Rebagliati Martins during 2017.

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Section: Discussionunclassified

Efecto de la intervención nasal y nasosinusal en calidad de sueño en el Hospital Edgardo Rebagliati Martins 2017

2019

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“…Nasal septum deviation should be investigated in patients with sleep disorders [18]. The most frequent cause of impaired nasal patency was nasal septal deviation, which was found in 82.5% of the patients, including 45% with unilateral impaired patency and 37.5% with bilateral nasal patency [19].…”

Section: Discussionmentioning

confidence: 99%

Surgery for Sleep-Disordered Breathing

Hisamatsu¹,

Matsuzaki²,

Kudou³

et al. 2019

Contemporary Rhinoplasty

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We evaluated the outcomes of nasal surgery for sleep-disordered breathing, including obstructive sleep apnea syndrome (OSAS), respiratory effort-related arousal, and snoring. To reduce pharyngeal negative pressure during sleep, the nasal parasympathetic nerve was resected, and the nasal cavity was enlarged by submucosal inferior turbinectomy and septoplasty if necessary. Of the 45 severe OSAS patients, symptoms were significantly ameliorated in 67%. This low-invasiveness nasal operation effectively reduced excessive daytime sleepiness and bothersome snoring without any pharyngeal operation. In addition, no side effects have been reported to be associated with this treatment regimen.

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“…Generally, this common nasal pathology affects the quality of life (QOL) due to its rhinologic symptoms [ 2 , 3 ]. Additionally, previous articles have reported non-rhinologic manifestations accompanying NSD, such as facial pain, sleep problems, and loss of productivity [ 4 , 5 ]. Due to these effects on overall QOL, it can be assumed that NSD is also associated with neuropsychological disorders such as anxiety, depression, and migraine.…”

Section: Introductionmentioning

confidence: 99%

Association of nasal septal deviation with the incidence of anxiety, depression, and migraine: A national population-based study

Lee

Kim

et al. 2021

PLoS ONE

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Background & aims Nasal obstruction caused by nasal septal deviation is very bothersome and, therefore, can affect the patient’s emotional state. However, little is known about the effect of nasal septal deviation (NSD) on the neuropsychiatric aspects of patients. Therefore, this study aims to verify the higher incidence of anxiety, depression, and migraine in patients diagnosed with NSD compared to general populations using big data. Methods This retrospective cohort study collected subjects from the Korean National Health Insurance Service (NHIS) database. Adjustments were made to minimize the confounding of variables for age, sex, residence type, income levels, hypertension, diabetes, dyslipidemia, rhinitis, and chronic rhinosinusitis between the two groups. The primary endpoint of this study was newly diagnosed anxiety, depression, and migraine between January 2009 and December 2018. Kaplan-Meier survival curves, logarithmic rank test, and Cox proportional regression test were used for statistical analysis. Results Among a total of 135,769 subjects in the NHIS database, 48,495 patients with NSD (NSD group) and 54,475 control subjects (control group) were selected. Patients with NSD had an increased risk of anxiety, depression, and migraine compared to the control group. In the NSD group, the adjusted hazard ratios (HR) were 1.236 (95% CI, 1.198–1.276) for anxiety, 1.289 (95% CI, 1.238–1.343) for depression, and 1.251 (95% CI, 1.214–1.290) for migraine. Conclusion NSD is associated with a higher incidence of anxiety, depression, and migraine. Therefore, it is suggested that physicians carefully consider psychoneurological distress and employ therapeutic strategies to minimize these conditions.

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Evaluation of Sleep Quality in Patients With Nasal Septal Deviation via the Pittsburgh Sleep Quality Index

Abstract: The presence of nasal septum deviation with nasal obstruction should be investigated in patients with sleep disorders. If any pathology is present, opening the nasal passages should be ensured and sleep disorders reevaluated.

Cited by 13 publications

References 16 publications

Efecto de la intervención nasal y nasosinusal en calidad de sueño en el Hospital Edgardo Rebagliati Martins 2017

Efecto de la intervención nasal y nasosinusal en calidad de sueño en el Hospital Edgardo Rebagliati Martins 2017

Surgery for Sleep-Disordered Breathing

Association of nasal septal deviation with the incidence of anxiety, depression, and migraine: A national population-based study

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