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Evaluation of the subjective efficacy of nasal surgery

Published online by Cambridge University Press:  05 December 2016

J Wu ,
H R Zang ,
T Wang ,
B Zhou ,
J Y Ye ,
Y C Li  and
D M Han
J Wu
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, China
H R Zang
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, China
T Wang
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, China
B Zhou
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, China
J Y Ye
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, China
Y C Li
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, China
D M Han*
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, China
*
Address for correspondence: Dr D M Han, 1 Dong Jiao Min Xiang, Eastern District, Beijing 100730, China Fax: +86 01058268341 E-mail: handemin_ent@163.com
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Abstract

Objectives:

This study aimed to evaluate subjective symptom changes in obstructive sleep apnoea hypopnea syndrome patients following nasal surgery, and to explore treatment efficacy in improving patient quality of life.

Methods:

Patients with nasal blockage accompanied by habitual snoring were stratified into four groups. Their subjective symptoms were evaluated before and after nasal surgery.

Results:

There was a significant decrease in the nasal blockage symptom visual analogue scale, Epworth Sleepiness Scale, Snore Outcomes Survey, Spouse/Bed Partners Survey and Sino-Nasal Outcome Test 20 scores for all patients at six months after surgery. The visual analogue scale score for subjective olfactory function was significantly improved in the severe obstructive sleep apnoea hypopnea syndrome patient group.

Conclusion:

Nasal surgery can effectively improve the subjective symptoms of patients with simple snoring accompanied by nasal blockage and of patients with obstructive sleep apnoea hypopnea syndrome, thus improving their quality of life.

Keywords

Nasal Surgical ProceduresSleep Apnea, ObstructiveQuality of Life
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 1 , January 2017 , pp. 37 - 43
Copyright
Copyright © JLO (1984) Limited 2016 

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References

1 Nagai, T, Imamura, M, Iwasaki, Y, Mori, M. Obstructive sleep apnea syndrome accompanied by diabetes mellitus. J Med 2003;34:23–30 Google ScholarPubMed
2 Yaggi, HK, Concato, J, Kernan, WN, Lichtman, JH, Brass, LM, Mohsenin, V. Obstructive sleep apnea as a risk factor for stroke and death. N Engl J Med 2005;353:2034–41Google Scholar
3 Han, D, Zhang, L. Nasal cavity ventilation expansion techniques. Acta Otolaryngol 2011;131:1244–8Google Scholar
4 Johns, MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep 1991;14:540–5Google Scholar
5 Gliklich, RE, Wang, PC. Validation of the snore outcomes survey for patients with sleep-disordered breathing. Arch Otolaryngol Head Neck Surg 2002;128:819–24CrossRefGoogle ScholarPubMed
6 Piccirillo, JF, Merritt, MG, Richards, ML. Psychometric and clinimetric validity of the 20-item Sino-Nasal Outcome Test (SNOT-20). Otolaryngol Head Neck Surg 2002;126:41–7Google Scholar
7 World Health Organization Division of Mental Health and Prevention of Substance Abuse. WHOQOL User Manual: Programme on Mental Health. Geneva: World Health Organization, 1998 Google Scholar
8 Löth, S, Petruson, B, Wirén, L, Wilhelmsen, L. Better quality of life when nasal breathing of snoring men is improved at night. Arch Otolaryngol Head Neck Surg 1999;125:64–7Google Scholar
9 Virkkula, P, Bachour, A, Hytönen, M, Salmi, T, Malmberg, H, Hurmerinta, K et al. Snoring is not relieved by nasal surgery despite improvement in nasal resistance. Chest 2006;129:81–7Google Scholar
10 Kim, ST, Choi, JH, Jeon, HG, Cha, HE, Kim, DY, Chung, YS. Polysomnographic effects of nasal surgery for snoring and obstructive sleep apnea. Acta Otolaryngol 2004;124:297–300 CrossRefGoogle ScholarPubMed
11 Georgalas, C. The role of the nose in snoring and obstructive sleep apnoea: an update. Eur Arch Otorhinolaryngol 2011;268:1365–73CrossRefGoogle ScholarPubMed
12 Li, HY, Lin, Y, Chen, NH, Lee, LA, Fang, TJ, Wang, PC. Improvement in quality of life after nasal surgery alone for patients with obstructive sleep apnea and nasal obstruction. Arch Otolaryngol Head Neck Surg 2008;134:429–33Google Scholar
13 Fiz, JA, Abad, J, Jané, R, Riera, M, Mañanas, MA, Caminal, P et al. Acoustic analysis of snoring sound in patients with simple snoring and obstructive sleep apnoea. Eur Respir J 1996;9:2365–70CrossRefGoogle ScholarPubMed
14 Olsen, KD, Kerne, B. Nasal influences on snoring and obstructive sleep apnea. Mayo Clin Proc 1990;65:1095–105Google Scholar
15 Guilleminault, C, Partinen, M, Quera-Salva, MA, Hayes, B, Dement, WC, Nino-Murcia, G. Determinants of daytime sleepiness in obstructive sleep apnea. Chest 1988;94:32–7CrossRefGoogle ScholarPubMed
16 Chung, KF. Use of the Epworth Sleepiness Scale in Chinese patients with obstructive sleep apnea and normal hospital employees. J Psychosom Res 2000;49:367–72CrossRefGoogle ScholarPubMed
17 Kapur, VK, Baldwin, CM, Resnick, HE, Gottlieb, DJ, Nieto, FJ. Sleepiness in patients with moderate to severe sleep-disordered breathing. Sleep 2005;28:472–7Google Scholar
18 Li, HY, Wang, PC, Chen, YP, Lee, LA, Fang, TJ, Lin, HC. Critical appraisal and meta-analysis of nasal surgery for obstructive sleep apnea. Am J Rhinol Allergy 2011;25:45–9Google Scholar
19 Zang, HR, Li, LF, Zhou, B, Li, YC, Wang, T, Han, DM. Pharyngeal aerodynamic characteristics of obstructive sleep apnea/hypopnea syndrome patients. Chin Med J (Engl) 2012;125:3039–43Google Scholar
20 Koutsourelakis, I, Georgoulopoulos, G, Perraki, E, Vagiakis, E, Roussos, C, Zakynthinos, SG. Randomised trial of nasal surgery for fixed nasal obstruction in obstructive sleep apnoea. Eur Respir J 2008;31:110–17CrossRefGoogle ScholarPubMed