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Sleep dysfunction and its association to chronic rhinosinusitis: Updated review
Quinn Orb1, Richard R Orlandi1, Jeremiah A Alt1
1Division of Head and Neck Surgery, Rhinology-Sinus & Skull Base Surgery Program, Department of Surgery; University of Utah, Salt Lake City, UT, U.S.A.
Poor sleep quality is common in chronic rhinosinusitis (CRS) patients. Treating CRS significantly improves subjective sleep, but more research is needed on objective sleep measures and underlying causes.
Area of Science:
- Sleep Medicine
- Otolaryngology
- Public Health
Background:
- Poor sleep significantly impacts health, increasing morbidity and mortality.
- Sleep dysfunction costs billions annually in the US.
- Chronic rhinosinusitis (CRS) affects 16% of the US population and is strongly linked to poor sleep quality.
Purpose of the Study:
- To review and synthesize current knowledge on the association between sleep and CRS.
- To identify gaps in the literature for future research.
Main Methods:
- A comprehensive literature search was conducted using OVID MEDLINE, PubMed, and EMBASE databases.
- Searches covered studies from 1946 to 2016 in the English language.
- Relevant abstracts were reviewed for inclusion in a narrative review.
Main Results:
- Studies analyzed subjective and objective measures of sleep dysfunction in CRS patients.
- Outcomes on sleep quality following CRS treatment were evaluated.
- The pathophysiology of sleep dysfunction in CRS was separately reviewed.
Conclusions:
- A significant majority of CRS patients experience compromised sleep quality.
- Treatment of CRS leads to notable improvements in subjective sleep quality.
- Further research is needed on objective sleep measures and the pathophysiology linking sleep dysfunction and CRS.
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