Improvement in Quality of Life After Nasal Surgery Alone for Patients With Obstructive Sleep Apnea and Nasal Obstruction
Abstract
OBJECTIVE: To evaluate the impact of nasal surgery alone on quality of life (QOL) in patients with obstructive sleep apnea and nasal obstruction using generic and disease-specific QOL questionnaires. DESIGN: Prospective, longitudinal cohort study. PATIENTS: Fifty-one consecutive patients with obstructive sleep apnea (50 men and 1 woman; mean age, 39 years; mean [SD] apnea-hypopnea index, 37.4 [28.9] events/h; and mean +/- SD body mass index [calculated as weight in kilograms divided by height in meters squared], 26.0 [3.5]) with symptoms of nasal obstruction due to a deviated nasal septum. INTERVENTION: Septomeatoplasty. OUTCOME MEASURES: Surgical outcomes were measured using the Snore Outcomes Survey, the Epworth Sleepiness Scale, and the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) 3 months after surgery. We compared baseline and postoperative scores. Normative SF-36 data obtained from 4591 age- and sex-matched adults were used as references. RESULTS: Nasal obstruction symptoms significantly improved (mean [SD] visual analog scale score, -5.2 [1.4]; P < .001). Assessments also showed significant improvement in the Snore Outcomes Survey (P < .001) and Epworth Sleepiness Scale (P < .001) scores and 6 of the 8 SF-36 subscale scores (P < .05). Remarkable improvements were observed in disease-specific Snore Outcomes Survey (by 43.1%), Epworth Sleepiness Scale (by 27.3%), and generic SF-36 role-emotional (by 30.4%) and role-physical (by 20.7%) QOL subscales. The postoperative role-emotional, bodily pain, and social function dimensions of health were indistinguishable from referential population data (P > .05). CONCLUSIONS: Correction of an obstructed nasal airway significantly improves disease-specific and generic QOL in adult patients with obstructive sleep apnea who also have nasal obstruction symptoms. After nasal surgery, patients may experience greater improvement in snoring and daytime sleepiness than in other generic health status. Our findings substantiate the role of nasal surgery in treating patients with obstructive sleep apnea and nasal obstruction.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Five studies did not specify the time frame within which patients were included.
“five studies did not specify the time frame within which patients were included [20,23,24,27,29].”
From The Role of Isolated Nasal Surgery in Obstructive Sleep Apnea Therapy—A Systematic Review (2022) · cites this paper as [23]
The overall AHI was not significantly different after nasal surgery in twelve studies.
“The overall AHI was not significantly different after nasal surgery in twelve studies [15,16,17,18,21,22,23,24,25,28,29,30].”
From The Role of Isolated Nasal Surgery in Obstructive Sleep Apnea Therapy—A Systematic Review (2022) · cites this paper as [23]
In thirteen studies, it was not reported if patients used CPAP during the study period.
“In thirteen studies, it was not reported if patients used CPAP during the study period [12,13,14,15,16,19,20,23,24,26,27,29,32].”
From The Role of Isolated Nasal Surgery in Obstructive Sleep Apnea Therapy—A Systematic Review (2022) · cites this paper as [23]
The citation lists haven’t been fetched yet
References 22 · Cited by 127
- Authors
- Li, H.-Y., Lin, Y., Chen, N.-H., Lee, L.-A., Fang, T.-J., & Wang, P.-C.
- Affiliations
- Chang Gung Memorial Hospital (TW)
- Fu Jen Catholic University (TW)
- Venue
- Archives of Otolaryngology–Head & Neck Surgery
- Publisher
- American Medical Association (AMA)
- Published
- 2008-04-01
- Volume
- 134
- Issue
- 4
- Pages
- 429
- ISSN
- 0886-4470 (ISSN-L)
- OpenAlex
- W1974628454
- Cited by
- 127
- References
- 22
- Citations by year
- 2026: 2 · 2025: 8 · 2024: 5 · 2023: 9 · 2022: 6 · 2021: 7 · 2020: 5 · 2019: 6 · 2018: 3 · 2017: 12 · 2016: 8 · 2015: 8 · 2014: 7 · 2013: 7 · 2012: 12
- FWCI
- 4.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Otolaryngology - Head and Neck Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Health Sciences › Medicine › Otorhinolaryngology › Sinusitis and nasal conditions
- Keywords
- obstructive sleep apnea, nasal obstruction, septal deviation, quality of life, snoring, daytime sleepiness, Epworth Sleepiness Scale, SF-36, septoplasty, turbinate reduction, postoperative outcomes, body mass index, apnea-hypopnea index
- MeSH terms
- Adult, Female, Health Surveys, Humans, Male, Middle Aged, Nasal Septum, Quality of Life, Turbinates, Cohort Studies, Nasal Obstruction, Treatment Outcome, Polysomnography, Sleep Apnea, Obstructive
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
