The prevalence of sleep dysfunction is high in patients with chronic rhinosinusitis (CRS) and significantly improves after endoscopic sinus surgery; in patients with CRS and comordid obstructive sleep apnea (OSA), sinus surgery confers substantial improvements in quality-of-life, according to a new report (JAMA Otolaryngol Head Neck Surg. 2015;141:873-881).
“We found that patients with chronic sinusitis describe fatigue and poor sleep quality even if they don’t have a diagnosis of obstructive sleep apnea,” said Timothy L. Smith, MD, director of the Oregon Sinus Center and chief of rhinology and sinus-skull base surgery at Oregon Health and Science University in Portland, and senior author of the study, which looked at the impact of comorbid OSA on CRS disease-specific quality-of-life outcomes and sleep dysfunction following functional endoscopic sinus surgery.
Of the 405 patients with CRS included in the study, 60 (15%) had comorbid OSA. Based on 285 (70%) of patients who provided survey responses, the study found significant improvement after surgery across all disease-specific quality-of-life measures and Pittsburgh Sleep Quality Index for patients with CRS, regardless of the presence of OSA.
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