This small Scandinavian study looked at sleep quality in patients with CRS and nasal polyposis and whether this is improved by surgery, rated by questionnaires. A cohort of 42 Swedish patients in 2013-14 filled out four different validated sleep and one sinonasal questionnaire before and three months post sinus surgery. These patients all had grade 2-3 Lindholdt score nasal polyps. They were also assessed preoperatively with endoscopic examination and CT scan. A Swedish version of the SNOT-22 was used. For sleep, a polysomnograph was not used but rather the Epworth Sleepiness Score, Berlin questionnaire, Basic Nordic Sleep questionnaire and lastly the Multivariable Apnoea Prediction Index to assess sleep quality and predict sleep apnoea. A second group of 37 patients without CRS completed the same questionnaires at the same times. A large variety of statistical tests were employed to analyse the data. Not surprisingly there was a significant decrease in the SNOT-22 score post-surgery. Sleep would appear to improve also.

Sleep quality improves with endoscopic sinus surgery in patients with chronic rhinosinusitis and nasal polyposis.
Värendh M, Johannisson A, Hrubos-Strøm H, Andersson M.
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Shabbir Akhtar

Department of Surgery, The Aga Khan University and Hospital, Karachi, Pakistan.

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