Sleep disruption in chronic rhinosinusitis

Mahdavinia, Mahboobeh; Schleimer, Robert P.; Keshavarzian, Ali

doi:10.1080/14787210.2017.1294063

Cited by 48 publications

(40 citation statements)

References 61 publications

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“…In general, paranasal sinuses are observed in high quality through UACT and disease in this area can exacerbate sleep-disordered breathing. Some studies report that up to 64.7% patients with paranasal sinusitis showed evidence of sleep-disordered breathing, and it is noted that OSA patients have a higher risk of developing paranasal sinusitis [8]. Therefore, such lesions can also negatively affect the treatment process by affecting the ventilation pressure when using positive airway pressure therapy.…”

Section: Discussionmentioning

confidence: 99%

Incidental Findings on Upper Airway CT Images in Patients with Sleep-Disordered Breathing

Park

Bae

2020

Sleep Med Res

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Background and ObjectiveaaTo evaluate incidental findings and upper airway anatomical factors associated with sleep-related breathing disorder (SRBD) on upper airway CT (UACT). MethodsaaA total of 378 participants (304 males, 74 females) were evaluated using medical records, UACT, and polysomnography. UACT was performed from the skull base to the carina level of the distal trachea to examine the upper airway. ResultsaaOf the 378 patients evaluated, 74 had lesions that were unrelated to SRBD. Among these patients (male: 59, female: 15) there were 32 cases of sinusitis, 16 cases of thyroid disease, 6 cases of lymphadenopathy, 6 cases of brain lesions, 3 cases of pulmonary tuberculosis, 2 cases of vallecular cyst, 1 case of pulmonary nodule, and 9 other cases. In this case, a total of 25 patients underwent medical treatment, and 11 had surgical treatment. ConclusionsaaClinically important diseases can also be detected incidentally from UACT, and it is necessary to carefully evaluate and manage the suspected diseases.

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Section: Discussionmentioning

confidence: 99%

Incidental Findings on Upper Airway CT Images in Patients with Sleep-Disordered Breathing

Park

Bae

2020

Sleep Med Res

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“…nei sveiki (8-18 proc.) asmenys, todėl sutrinka mokymasis, dėmesio koncentracija, prastėja psichinė sveikata [5][6][7][8]. Atliktos apklausos duomenimis, vidutiniškai 20 proc.…”

Section: įVadasunclassified

Alergeno sukelto lokalaus ir sisteminio imuninio atsako žymenų bei gyvenimo kokybės sąsajų vertinimas sergant alerginiu rinitu

Ragelytė¹,

Glinskytė²,

Šitkauskienė³

et al. 2020

PIA

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Alerginis rinitas (AR) – tai dažna alerginė liga, sutrikdanti sergančiųjų gyvenimo kokybę. Klinikinėje praktikoje sergantiesiems AR dažnai atliekami imuninio atsako tyrimai (bendrojo imunoglobulino E (IgE) kieko kraujyje, eozinofilų kiekio kraujyje ir nosies sekrete nustatymas), bet jų ryšys su pacientų gyvenimo kokybe plačiau nebuvo tirtas. Tyrimo tikslas. Nustatyti sergančiųjų AR vietinio ir sisteminio imuninio atsako savitumus bei sąsajas su jų gyvenimo kokybe. Metodai. Ištirti 52 pacientai, sergantys AR, kurie buvo konsultuoti Lietuvos sveikatos mokslų universiteto ligoninės Kauno klinikų (toliau – Kauno klinikos) Imunologijos ir alergologijos klinikoje ir užpildė gyvenimo kokybės klausimyną (RQLQ(S)), taip pat išmedicininių dokumentų rinkti duomenys apie tiriamųjų amžių, lytį, alerginio rinito tipą, eozinofilų kiekį nosies sekrete bei kraujyje, bendrojo IgE kiekį, įsijautrinimą aplinkos alergenams. Rezultatai. Sergančiųjų AR amžiaus vidurkis – 30,52±11,98 metų, bendros gyvenimo kokybės mediana – 1,57 (0–4,64); nenustatyta sąsajų tarp bendros gyvenimo kokybės ir eozino-filų kiekio nosies sekrete (r = 0,111, p = 0,449), eozinofilų kraujyje, proc. (r = 0,210, p = 0,162), kraujo eozinofilų, ×109/l (r = 0,219, p = 0,143), bendrojo IgE (r = 0,206, p = 0,165). Gyvenimo kokybės klausimyno rezultatai, vertinti atsižvelgiant į lytį, nesiskyrė, išskyrus praktines problemas, kurios labiau varginomoteris (2 (0–5,67), palyginus su 0,67 (0–4), p = 0,033). Tiriamųjų, įsijautrinusių naminių gyvūnų alergenams, miego kokybė buvo blogesnė (1,5 (0–6), palyginus su 0,33 (0–3,33), p = 0,036), o įsijautrinusių maisto alergenams – didesni bendrojo IgE rezultatai (398,65 (42,4–1382,7), palyginus su 127,55(3–1899,3), p = 0,019). Išvados.Gyvenimo kokybė nepriklausė nei nuo vietinio arba sisteminio imuninio atsako raiškos, nei nuo AR tipo. Praktinės problemos, susijusios su AR, labiau vargino moteris nei vyrus. Tiriamiesiems, kurie buvo įsijautrinę naminių gyvūnų alergenams, labiau sutriko miego kokybė, įsijautrinusiems maisto produktams, sisteminė imuninio atsako raiška buvo didesnė.

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“…According to various studies any condition resulting in nasal air passage obstruction causes sleep disruption. 19,20 Complete nasal obstruction can increase apneic episodes and transient hypoxia in healthy individuals which indicates that nasal obstruction causes sleep related problems. 21 In our observation most of the CRS patients from both phenotypes exhibit sleep disruption.…”

Section: Sleep Dysfunctionmentioning

confidence: 99%

Effect of endoscopic sinus surgery on general health related quality of life domains in chronic rhino sinusitis patients

Jose

George

2020

Int J Otorhinolaryngol Head Neck Surg

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Background: Chronic rhino sinusitis (CRS) is a common health problem affecting around 5-12% of the general population in a year. Treatment of CRS consist of medical and surgical management. Surgical management is considered when patient is not responding to maximal medical treatment or in case of complication. Sino nasal outcome test 22 (SNOT- 22) is considered as the most appropriate instrument in the evaluation of HRQOL impairment in CRS patients. This study evaluated general health related quality of life (QOL) domains of SNOT- 22 changes following endoscopic sinus surgery.Methods: This study was conducted in 53 subjects who underwent endoscopic sinus surgery for chronic rhino sinusitis in Department of otorhinolaryngology, Government Medical College, Kottayam over a period of one year. Detailed history including SNOT-22 questionnaire enquired. Clinical, radiological and endoscopic examinations were performed. This patient followed up after 1 week, 1month and 3 months. SNOT-22 scores were recorded at each visit; data compiled and analysed with help of SPSS.Results: The baseline SNOT-22 score for study population was 37.51. General health related quality of life domains was assessed separately. The score for psychological dysfunction and sleep dysfunction decreased from 10.72, 6.00 to 1.58 and 1.02 respectively at the end of 3 months.Conclusions: Chronic rhinosinusitis patients reported significant improvement in psychosocial dysfunction and sleep related symptoms after endoscopic sinus surgery. Chronic rhino sinusitis patient with anxiety and depressive disorders need special attention to improve health related quality of life (HRQOL).

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Sleep disruption in chronic rhinosinusitis

Cited by 48 publications

References 61 publications

Incidental Findings on Upper Airway CT Images in Patients with Sleep-Disordered Breathing

Incidental Findings on Upper Airway CT Images in Patients with Sleep-Disordered Breathing

Alergeno sukelto lokalaus ir sisteminio imuninio atsako žymenų bei gyvenimo kokybės sąsajų vertinimas sergant alerginiu rinitu

Effect of endoscopic sinus surgery on general health related quality of life domains in chronic rhino sinusitis patients

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