Korean J Otorhinolaryngol-Head Neck Surg.  2011 Apr;54(4):257-264. 10.3342/kjorl-hns.2011.54.4.257.

The Effect of Septoturbinoplasty for Quality of Life in Patients with Sleep-Disordered Breathing

Affiliations
  • 1Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Kyungpook National University, Daegu, Korea. sookim@knu.ac.kr
  • 2Department of Otolaryngology-Head and Neck Surgery, Sungso Medical Center, Andong, Korea.

Abstract

BACKGROUND AND OBJECTIVES
Nasal obstruction is common in patients with sleep disordered breathing (SDB). Polysomnography (PSG) is a standard diagnositc tool for sleep disorders, but it can not evaluate the quality of life (QOL). We tried to assess the efficacy of the septoturbinoplasty on patients with SDB and nasal obstruction by using self reported measures that have been known as a tool for evaluating the general and disease specific QOL. SUBJECTS AND METHOD: Thirty-five patients who had snoring and sleep apnea confirmed by PSG and symptomatic nasal obstruction caused by deviated nasal septum were enrolled. All patients underwent septoturbinoplasty to improve nasal obstruction. QOL was assessed before and 2 months after surgery. Medical Outcome Study Short Form 36 (SF-36) and Epworth Sleepiness Scale (ESS), Pittsburgh Sleep Quality Index (PSQI), Stanford Sleepiness Scale (SSS), Insomnia Severity Index (ISI), Beck Depression Inventory (K-BDI), Nasal Obstruction Symptom Evaluation (NOSE) scale were included in the measures. A statistical analysis was performed using a paired t-test.
RESULTS
Snoring sound level, PSQI, ESS, ISI, and NOSE were improved significantly (p<0.05). SSS, BDI and total SF-36 were improved but not significantly (p>0.05).
CONCLUSION
QOL in patients with SDB and nasal obstruction was improved by nasal surgery. Different kinds of self-reported measures could be more informative as they can provide pre and post treatment results with respect to psychosomatic effects in patients with SDB.

Keyword

Sleep-disordered breathing; Nasal obstruction; Nasal septum
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