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Updated: Jun 12, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Published on: June 20, 2018

Surgery for chronic rhinosinusitis may improve sleep and sexual function.

Michael S Benninger¹, Ayesha N Khalid, Ryan M Benninger

¹The Head and Neck Institute, The Cleveland Clinic, Cleveland, Ohio 44195, USA. benninm@ccf.org

The Laryngoscope

|June 22, 2010

Summary

Endoscopic sinus surgery significantly improves sexual and sleep function in patients with chronic rhinosinusitis (CRS). Postoperative scores show a notable reduction in dysfunction, indicating a positive impact of surgical intervention.

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Area of Science:

Otolaryngology
Surgical Outcomes
Quality of Life

Background:

Chronic rhinosinusitis (CRS) significantly impacts patient quality of life.
Sexual and sleep dysfunction are common comorbidities in CRS patients.
The effect of surgical intervention on these specific functions requires detailed evaluation.

Purpose of the Study:

To assess the impact of endoscopic sinus surgery on sexual function in CRS patients.
To evaluate the effect of surgery on sleep function in individuals with CRS.
To quantify changes in sexual and sleep-related quality of life post-CRS surgery.

Main Methods:

Retrospective review of prospectively enrolled CRS patients undergoing endoscopic sinus surgery.
Utilized the Rhinosinusitis Disability Index (RSDI) for pre- and postoperative assessments (≥9 months).
Analyzed changes in sleep and sexual activity scores using the Wilcoxon signed-rank test.

Main Results:

Significant improvement in sexual activity scores (P < .001) post-surgery.
Significant reduction in sleep dysfunction scores (P < .001) after surgery.
Increased reporting of "never" or "almost never" for dysfunction in the postoperative period.

Conclusions:

Endoscopic sinus surgery leads to significant improvements in sexual and sleep function for CRS patients.
RSDI scores indicate enhanced quality of life regarding these functions post-intervention.
Further research is recommended to explore these benefits more deeply.