title: Surgery for chronic rhinosinusitis may improve sleep and sexual function.
abstract: OBJECTIVE
  This study was designed to evaluate the impact of surgery on the sexual function and sleep function of patients with chronic rhinosinusitis (CRS).
  
  
  METHODS
  A retrospective review of a cohort of prospectively enrolled patients with chronic rhinosinusitis who have undergone endoscopic sinus surgery.
  
  
  METHODS
  Each patient completed the Rhinosinusitis Disability Index (RSDI) prior to surgery and at least nine months following endoscopic sinus surgery, and the preoperative and postoperative scores for the questions related to sleep and sexual activity were evaluated. Wilcoxon signed-rank test was used to assess the magnitude and direction of change between observation points.
  
  
  RESULTS
  Mean response scores regarding sexual activity between preoperative (1.1 +/- 1.0) and postoperative scores (0.7 +/- 0.8) are significantly different (P < .001). Mean response scores regarding sleep dysfunction between preoperative (2.4 +/- 1.0) and postoperative scores (1.5 +/- 1.1) are also significantly different (P < .001). For both questions, a higher frequency of subjects responded "never" and "almost never" in the postoperative period compared with preoperative measures.
  
  
  CONCLUSIONS
  Using the questions from the RSDI, there is an improvement in scores of sexual function and sleep after surgery for patients with chronic rhinosinusitis. Further, more in-depth evaluations of these potential benefits are needed.
authors.affiliation: The Head and Neck Institute, The Cleveland Clinic, Cleveland, Ohio 44195, USA. benninm@ccf.org
authors.forename: Michael S
authors.initials: MS
authors.lastname: Benninger
authors.forename: Ayesha N
authors.initials: AN
authors.lastname: Khalid
authors.forename: Ryan M
authors.initials: RM
authors.lastname: Benninger
authors.forename: Timothy L
authors.initials: TL
authors.lastname: Smith
mesh_terms: D000328:Adult; D002908:Chronic Disease; D004724:Endoscopy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D012189:Retrospective Studies; D012220:Rhinitis / Q000150:complications / Q000601:surgery*; D012725:Sexual Behavior; D012852:Sinusitis / Q000150:complications / Q000601:surgery*; D012890:Sleep; D012893:Sleep Wake Disorders / Q000209:etiology*