JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2018, Vol. 32 ›› Issue (2): 52-55.doi: 10.6040/j.issn.1673-3770.0.2017.423

Previous Articles     Next Articles

Effect of nasal dilation on quality of sleep in adult patients with chronic rhinosinusitis and

GONG Qi1, ZHANG Jie2, ZHAO Pingping2   

  1. Department of Otolaryngology, Dachang Hospital of Baoshan District of Shanghai, Shanghai 200436, China
  • Received:2017-10-12 Online:2018-03-20 Published:2018-03-20

PDF (PC)

311

Abstract: Objective To investigate the effect of nasal cavity expansion on the sleep quality of adult patients with chronic rhinosinusitis and sleep apnea-hypopnea syndrome. Methods Eighty patients with chronic rhinosinusitis and sleep apnea-hypopnea syndrome were enrolled in this study. Nasal resistance tests, nasopharyngeal and laryngological examination, and polysomnography, as well as Epworth sleepiness scale(ESS)and Nasal Sinus Outcome Measures-20 Scale(SNOT-20)assessments, were performed on all patients before treatment. At the 3-month postoperative follow-up, all patients were again assessed using the aforementioned indicators. Results After 3 months, SNOT-20 scale score decreased in all patients (P<0.05), compared with the preoperative score; ESS and total nasal resistance also significantly decreased(P<0.05 for both). Conclusion SNOT-20 Scale and polysomnography measurements accurately evaluate the efficacy of the nasal cavity expansion joint monitoring technique; application of the nasal expansion technique can significantly improve sleep quality in adult patients with chronic rhinosinusitis and sleep apnea-hypopnea syndrome.

Key words: Sleep apnea, obstructive, Nasal cavity expansion, Chronic rhinosinusitis, SNOT-20

CLC Number: 

  • R766.7
[1] 毛敏, 张建国, 陈观贵,等. 改良悬雍垂腭咽成形术联合同期鼻腔扩容术治疗阻塞性睡眠呼吸暂停低通气综合征的疗效分析[J]. 临床耳鼻咽喉头颈外科杂志, 2015,61(20):1808-1811. MAO Min, ZHANG Jianguo, CHEN Guangui, et al. Effect of Han-uvulopalatopharyngoplasty simultaneously combined with nasal cavity expansion for obstructive sleep apnea hypopnea syndrome[J]. Clin J Otorhinolarynol Head Neck Surg, 2015, 61(20):1808-1811.
[2] 李思, 苗旭涛, 张宁,等. 鼻阻塞症状评估量表联合Epworth嗜睡评估表用于鼻腔扩容术治疗OSAHS后症状改善的临床观察[J]. 临床耳鼻咽喉头颈外科杂志, 2015,34(6):525-528. LI Si, MIAO Xutao, ZHANG Ning, et al. Clinical observation of nasal obstruction symptom assessment scale combined with Epworth sleepiness assessment table for symptomatic improvement of nasal cavity expansion after OSAHS[J]. Clin J Otorhinolarynol Head Neck Surg, 2015, 34(6):525-528.
[3] Mohanty T, Sjögren J, Kahn F, et al. A novel mechanism for NETosis provides antimicrobial defense at the oral mucosa[J]. Blood, 2015, 126(18):2128-2137.
[4] Yue Q, Yulong G, Liting Q, et al. Mutations in and Expression of the tumor suppressor gene p53 in egg-type chickens infected with subgroup J avian leukosis virus[J]. Vet Pathol, 2015, 52(6):1052-1056.
[5] 刘小凤, 丁跃明. 慢性鼻-鼻窦炎伴鼻息肉患者上颌窦微生物感染的类型对鼻内镜手术近期疗效的影响[J]. 广东医学, 2015,7(2):227-229. LI Xiaofeng, DING Yuming. Effect of type of maxillary sinus infection on the short-term effect of endoscopic sinus surgery in patients with chronic rhinosinusitis and nasal polyps[J]. Guangdong Med, 2015, 7(2):227-229.
[6] 陈丹, 陈璐, Beule AG,等. 慢性鼻-鼻窦炎临床诊治进展[J]. 重庆医学, 2015,106(23):3286-3288. CHEN Dang, CHENG Lu, Beule AG, et al. Clinical diagnosis and treatment of chronic rhinosinusitis[J]. Chongqing Med, 2015, 106(23):3286-3288.
[7] 古庆家, 李静娴, 樊建刚,等. 修正性鼻内镜手术治疗复发性慢性鼻-鼻窦炎的临床分析[J]. 临床耳鼻咽喉头颈外科杂志, 2015,77(9):800-803. GU Qingjia, LI Jingxian, FAN Jiangang, et al. Clinical analysis of modified endoscopic sinus surgery for recurrent chronic rhinosinusitis[J]. Clin J Otorhinolarynol Head Neck Surg, 2015, 77(9):800-803.
[8] Soler ZM, Hyer JM, Ramakrishnan V, et al. Identification of chronic rhinosinusitis phenotypes using cluster analysis[J]. Am J Rhinol Allergy, 2015, 5(5):399-407.
[9] Shi JB, Fu QL, Zhang H, et al. Epidemiology of chronic rhinosinusitis: results from a cross-sectional survey in seven Chinese cities[J]. Allergy, 2015, 70(5):533-539.
[10] Tokunaga T, Sakashita M, Haruna T, et al. Novel scoring system and algorithm for classifying chronic rhinosinusitis: the JESREC study[J]. Allergy, 2015, 70(8):995-1003.
[11] 田昊, 马有祥, 丁秀勇,等. 慢性鼻-鼻窦炎患者鼻内镜手术前心理学特征初步分析[J]. 中华耳鼻咽喉头颈外科杂志, 2015,50(3):210-214. TIAN Hao, MA Youxiang, DING Xiuyong, et al. Psychological characteristics of patients with chronic rhinosinusitis before endoscopic sinus surgery [J]. Chin J Otorhinolaryngol Head Neck Surg, 2015, 50(3):210-214.
[12] 陈晓栋, 王海婷, 石照辉,等. 慢性鼻-鼻窦炎内镜手术应用布地奈德混悬液中鼻道浸润的长期疗效观察[J]. 临床耳鼻咽喉头颈外科杂志, 2016,11(3):203-205. CHEN Xiaodong, WANG Haiting, SHI Zhaohui, et al. Chronic nasosinusitis endoscopic surgery budesonide suspension in the long-term effect of nasal infiltration[J]. J Clin Otorhinolaryngol Head Neck, 2016, 11(3):203-205.
[13] Celik H, Akpinar S, Karabulut H, et al. Evaluation of IL-8 nasal lavage levels and the effects of nasal involvement on disease severity in patients with stable chronic obstructive pulmonary disease[J]. Inflammation, 2015, 38(2):616-622.
[14] Kuperan AB, Lieberman SM, Jourdy DN, et al. The effect of endoscopic olfactory cleft polyp removal on olfaction[J]. Am J of Rhinol Allergy, 2015, 29(4):309-310.
[15] 阻塞性睡眠呼吸暂停低通气综合征诊治指南写作. 阻塞性睡眠呼吸暂停低通气综合征诊治指南(基层版)[J]. 中国呼吸与危重监护杂志, 2015,14(4):398-405.
[1] SONG Xiaoyu, ZHANG Yu, LI Chenglin, SONG Xicheng. Enhanced recovery after surgery for the treatment of chronic rhinosinusitis with nasal polyps [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(5): 9-12.
[2] LIN Xing, LIN Zongtong, SHEN Ling.. Outcomes of sinus balloon catheter dilation in treatment of pediatric chronic rhinosinusitis: a systematic review and meta-analysis. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(6): 79-86.
[3] LUN Jie, ZHANG Ya′nan. Analysis on the factors related to the recurrence of chronic rhinosinusitis with nasal polyps. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(3): 80-83.
[4] . Progress of tight junctions and chronic rhinosinusitis. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(2): 112-115.
[5] . Modified UPPP with low-temperature plasma tongue volume reduction and selective nasal cavity expansion for moderate to severe OSAHS: short-term efficacy and safety evaluation. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(1): 50-54.
[6] SU Yi, XIE Jinghua, PAN Xiaoli, ZENG Guoqing. Efficacy and associated factors of endoscopic sinus surgery on patients with chronic rhinosinusitis with or without nasal polyps. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(4): 86-89.
[7] XIE Zhaofeng, LIN Honghao. Analysis of clinical risk factors on the postoperative prognosis of chronic rhinosinusitis. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(4): 90-93.
[8] ZHANG Jinling, CAI Xiaolan, LI Xuezhong, FENG Xin, QI Junjun, LIU Dayu. Study of autophagy-related genes atg3, ambra1 expressions in chronic rhinosinusitis without or with nasal polyps accompanied with asthma. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(2): 50-55.
[9] ZI Xiaoxue, ZHAO Li, JIN Peng, TU Yanyi, LI Ang, SHI Li.. Improvement of the olfaction and quality of life of the chronic rhinosinusitis patients with olfactory disorders. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(1): 21-25.
[10] WANG Zhiyuan, ZHANG Gehua. Establishment and application of model of chronic rhinosinusitis in mice [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(5): 76-78.
[11] ZHU Hui-tao, CAI Xiao-lan, FENG Xin, QI Jun-jun, ZHANG Jin-ling, MA Yue, LI Xue-zhong. Expression of TSLP and its relationship with the infiltrsting regulatory T cells in chronic rhinosinusitis [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(2): 48-51.
[12] LIU Na, YAN Juan, LIU Tao. Progress on the pathogenesis of chronic rhinosinusitis [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(3): 86-88.
[13] LIU Yang-yun1, CHEN Zhi-xi2, JIANG Wen1, LI Zheng-xian1, MAO Kun-hua1. Evaluation indexes for treatment plan and curative effect evaluation in nasopharyngeal carcinoma patients with postradiotherapy chronic rhinosinusitis [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(1): 22-26.
[14] LIU Yang-yun, LI Zheng-xian, JIANG Wen, MAO Kun-hua, CHEN Qiong, CHANG En-ge. Visual analogue score on treatment choice for nasopharyngeal carcinoma patients with post-radiotherapy chronic rhino-sinusitis [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(4): 66-69.
[15] ZHANG Xia1, XIA Li-jun2. A follow-up study of quality of life of 120 cases of chronic nasalsinusitis after endoscopic sinus surgery. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2012, 26(2): 51-54.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd