Abstract | OBJECTIVE: 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:
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Authors | Hsueh-Yu Li, Ying Lin, Ning-Hung Chen, Li-Ang Lee, Tuan-Jen Fang, Pa-Chun Wang |
Journal | Archives of otolaryngology--head & neck surgery
(Arch Otolaryngol Head Neck Surg)
Vol. 134
Issue 4
Pg. 429-33
(Apr 2008)
ISSN: 1538-361X [Electronic] United States |
PMID | 18427011
(Publication Type: Journal Article)
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Topics |
- Adult
- Cohort Studies
- Female
- Health Surveys
- Humans
- Male
- Middle Aged
- Nasal Obstruction
(etiology, surgery)
- Nasal Septum
(abnormalities, surgery)
- Polysomnography
- Quality of Life
- Sleep Apnea, Obstructive
(etiology, surgery)
- Treatment Outcome
- Turbinates
(pathology, surgery)
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