Effects of endoscopic sinus surgery on objective and subjective measures of cognitive dysfunction in chronic rhinosinusitis
Abstract
BACKGROUND: Chronic rhinosinusitis (CRS) is a common condition that has been associated with cognitive dysfunction. The purpose of this study was to evaluate the effect of endoscopic sinus surgery (ESS) on the subjective and objective measures of cognitive dysfunction and related quality-of-life measures in CRS. METHODS: Thirty-five adults with CRS refractory to medical therapy were prospectively enrolled. Preoperatively and postoperatively (≥4 months), subjects completed objective neurocognitive evaluation with the Automated Neuropsychological Assessment Metrics (ANAM) platform and multiple questionnaires, including the Cognitive Failures Questionnaire (CFQ), a modified World Health Organization Health and Work Performance Questionnaire (ctHPQ), 22-item Sino-Nasal Outcomes Test (SNOT-22), Sinus Control Test (SCT), Questionnaire of Olfactory Disorders (QOD), Beck Depression Inventory-second edition (BDI-II), Pittsburgh Sleep Quality Index (PSQI), and Fatigue Severity Scale (FSS). RESULTS: Thirty-three of 35 patients satisfactorily completed the study. Postsurgical improvement in the CFQ was 46.7 ± 18.4 to 31.9 ± 17.8 (p < 0.001). Neurocognitive testing revealed significant improvements in mathematical processing (p = 0.003) and matching to sample (p = 0.023), as well as a significant decline in simple reaction time (p = 0.026). In addition, improvements were noted for SNOT-22 (54.8 ± 21.4 to 24.8 ± 21.1, p < 0.001), SCT (9.3 ± 2.6 to 3.9 ± 3.8, p < 0.001), PSQI (10.7 ± 4.5 to 6.9 ± 4.0, p < 0.001), BDI-II (14.0 ± 9.9 to 8.9 ± 9.0, p < 0.001), QOD (17.6 ± 13.4 to 9.9 ± 12.3, p = 0.001), and FSS (4.6 ± 1.4 to 3.1 ± 1.5, p < 0.001). There was significant improvement in overall presenteeism (7.3 ± 1.4 to 8.4 ± 1.3, p = 0.029). Analysis by polyp status revealed significant improvement in mathematical processing and matching to sample in only CRS patients without polyps. CONCLUSION: ESS is associated with improvement in subjective and some aspects of objective cognition.
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Nasal pathology negatively influences objective parameters in sleep studies and constitutes a relevant factor for CPAP intolerance.
“Nasal pathology carries an evident implication on the quality of sleep and cognitive functions; 44 it negatively influences the objective parameters in sleep studies 45 46 47 and constitutes a relevant factor for CPAP intolerance.”
From Role of Nasal Surgery in Adult Obstructive Sleep Apnea: A Systematic Review (2024) · cites this paper as [44]
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- Authors
- Yoo, F., Schlosser, R. J., Storck, K. A., Ganjaei, K. G., Rowan, N. R., & Soler, Z. M.
- Affiliations
- Medical University of South Carolina (US)
- Rutgers, The State University of New Jersey (US)
- Johns Hopkins University (US)
- Corresponding author
- Soler, Zachary M.
- Venue
- International Forum of Allergy & Rhinology
- Publisher
- Wiley
- Published
- 2019-08-26
- Volume
- 9
- Issue
- 10
- Pages
- 1135-1143
- ISSN
- 2042-6976 (ISSN-L)
- 2042-6984
- OpenAlex
- W2970856964
- Cited by
- 31
- References
- 51
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 6 · 2023: 3 · 2022: 2 · 2021: 5 · 2020: 8 · 2019: 1
- FWCI
- 3.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Forum of Allergy & Rhinology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Flight Attendant Medical Research Institute
- Topics
- Health Sciences › Medicine › Otorhinolaryngology › Sinusitis and nasal conditions
- Life Sciences › Neuroscience › Sensory Systems › Olfactory and Sensory Function Studies
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cystic Fibrosis Research Advances
- Keywords
- chronic rhinosinusitis, endoscopic sinus surgery, cognitive impairment, neurocognitive function, cognitive failure, quality of life, sleep quality, depression, fatigue, olfactory dysfunction, presenteeism, reaction time, refractory sinusitis, olfactory training
- MeSH terms
- Presenteeism, Sino-Nasal Outcome Test, Adult, Chronic Disease, Endoscopy, Fatigue, Female, Humans, Male, Memory Disorders, Middle Aged, Quality of Life, Rhinitis, Sinusitis, Thinking, Young Adult, Nasal Surgical Procedures, Cognitive Dysfunction
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 ›
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