title: The impact of nasal surgery on sleep quality: a prospective outcomes study.
abstract: OBJECTIVE
  (1) Evaluate the impact of nasal airway surgery on sleep quality using validated outcome measurements, (2) compare the utility of Epworth Sleepiness Scale (ESS) versus Pittsburgh Sleep Quality Index (PSQI) as a reflection of sleep quality, and (3) identify perioperative variables that might correlate with a beneficial effect of nasal surgery on sleep quality.
  
  
  METHODS
  Prospective outcome study of patients with symptomatic nasal obstruction undergoing nasal airway surgery.
  
  
  METHODS
  Academic medical center.
  
  
  METHODS
  Patients completed the Nasal Obstruction Symptom Evaluation (NOSE) scale, ESS, PSQI, and Ease-of-Breathing and Sleep Quality Likert scales preoperatively and 3 months postoperatively. A nonparametric analysis compared pre- and postoperative values, and associations were examined using Spearman correlations.
  
  
  RESULTS
  Sixty-one patients completed the study. Mean NOSE scores decreased significantly from 68.2 preoperatively to 17.5 three months after surgery. Mean ESS scores and PSQI scores improved (P < .0001) over that same interval (7.5 to 5.3 and 7.8 to 4.6, respectively). There was a correlation seen between the degree of change in both NOSE scores and Ease-of-Breathing scores and the change in sleep quality measured using the PSQI or Sleep Quality Likert scores. The PSQI correlated better with Sleep Quality Likert scores than the ESS. Overall, 86.9% of subjects reported subjective improvement in sleep quality postoperatively.
  
  
  CONCLUSIONS
  In patients undergoing nasal airway surgery there may be a secondary improvement in subjective sleep quality. The degree of change in sleep quality correlates with the severity of nasal obstruction preoperatively and the degree of improvement in obstruction with surgery.
authors: Department of Otolaryngology-Head and Neck Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
authors: Amanda L
authors: AL
authors: Stapleton
authors: Department of Otolaryngology-Head and Neck Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
authors: Yue-Fang
authors: YF
authors: Chang
authors: Department of Otolaryngology-Head and Neck Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
authors: Ryan J
authors: RJ
authors: Soose
authors: Department of Otolaryngology-Head and Neck Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA ggillman@pitt.edu.
authors: Grant S
authors: GS
authors: Gillman
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015508:Nasal Obstruction / Q000601:surgery*; D059747:Nasal Surgical Procedures; D017063:Outcome Assessment, Health Care; D011446:Prospective Studies; D011788:Quality of Life; D012890:Sleep; D055815:Young Adult
keywords: nasal surgery; obstruction; sleep quality; treatment outcomes