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Sinonasal outcomes in obstructive sleep apnea syndrome
Edward C Kuan1, Bobby A Tajudeen1, Kevin A Peng1
1Department of Head and Neck Surgery, David Geffen School of Medicine at the University of California, Los Angeles Medical Center, Los Angeles, California, U.S.A.
The Laryngoscope
|June 26, 2015
Summary
Obstructive sleep apnea syndrome (OSAS) impacts quality of life, with sinonasal symptoms correlating to OSAS severity. Otolaryngologists should consider these factors in patient care.
Area of Science:
- Otolaryngology
- Sleep Medicine
- Quality of Life Research
Background:
- Obstructive sleep apnea syndrome (OSAS) is a prevalent sleep disorder with significant health implications.
- OSAS frequently presents with sinonasal symptoms, complicating patient management for otolaryngologists.
- The interplay between OSAS severity and sinonasal complaints requires further investigation.
Purpose of the Study:
- To investigate the correlation between obstructive sleep apnea syndrome (OSAS) severity and quality-of-life outcomes.
- To analyze the relationship using the Sino-Nasal Outcome Test (SNOT-22) questionnaire in OSAS patients.
Main Methods:
- Retrospective chart review of 30 patients diagnosed with OSAS via polysomnography.
- SNOT-22 questionnaire data were subcategorized into rhinologic, otolaryngic, sleep, and psychological domains.
- Spearman rank correlation was used to assess relationships between SNOT-22 scores and clinical parameters (AHI, BMI, oxygen saturation, sleep efficiency).
Main Results:
- Body mass index (BMI) positively correlated with nonrhinologic otolaryngic symptoms, including ear fullness and facial pain/pressure.
- Apnea-hypopnea index (AHI) showed a negative correlation with postnasal drip.
- Lowest oxygen saturation correlated with reduced productivity, while sleep efficiency was linked to sleep difficulties and frustration.
Conclusions:
- Specific sinonasal symptoms are significantly associated with the severity of obstructive sleep apnea syndrome.
- Otolaryngologists should adopt a holistic approach, addressing sinonasal factors in the comprehensive care of OSAS patients.
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