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Excessive daytime sleepiness and insomnia

P Lavie, J Zomer, I Eliaschar

    Archives of Otolaryngology (Chicago, Ill. : 1960)
    |June 1, 1982
    PubMed
    Summary
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    Deviated nasal septum can cause sleep disturbances like insomnia and fatigue due to breathing issues during sleep. Surgical correction improved sleep quality and reduced breathing abnormalities in most patients.

    Area of Science:

    • Otolaryngology
    • Sleep Medicine
    • Respiratory Physiology

    Background:

    • Deviated nasal septum is a common condition.
    • It can lead to increased upper airway resistance.
    • This may contribute to sleep-disordered breathing and daytime symptoms.

    Purpose of the Study:

    • To investigate sleep disturbances in adults with deviated nasal septum.
    • To assess the impact of surgical correction on sleep quality and breathing patterns.

    Main Methods:

    • Polysomnography was conducted on 25 adults with deviated septum and sleep complaints.
    • 14 patients underwent surgical correction.
    • Follow-up polysomnography was performed on 7 patients post-surgery.

    Main Results:

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    • Sleep recordings revealed disordered breathing, including periodic breathing, hypopneas, central apneas, and microarousals.
    • 12 of 14 surgically treated patients reported improved daytime alertness and sleep quality.
    • Follow-up recordings in 7 patients showed reduced waking and abnormal breathing.

    Conclusions:

    • Increased upper airway resistance from deviated septum can cause nonapneic sleep-disordered breathing.
    • Surgical correction may alleviate these breathing disorders and improve sleep quality.
    • Deviated nasal septum should be considered in the differential diagnosis of sleep disturbances.