Skip to main content
The Egyptian Journal of Otolaryngology
Download PDF
  • Original article
  • Open access
  • Published:

The relation between chronic rhinosinusitis and sleep-disordered breathing

The Egyptian Journal of Otolaryngology volume 35, pages 155–161 (2019)Cite this article

Abstract

Background

Chronic sinusitis is one of the most prevalent chronic illnesses affecting persons of all age groups. It is an inflammatory process that involves the paranasal sinuses and persists for 12 weeks or longer.

Purpose

The aim of this study was to investigate the effect of chronic rhinosinusitis (CRS) on sleep-disordered breathing.

Patients and methods

This study was conducted prospectively during the period spanning from June 2017 to June 2018 on 100 patients with CRS who attended to the ENT Departments of El-Maadi Armed Forces Medical Complex, Kobry El-Kobba Armed Forces Medical Complex, and El-Demerdash Hospitals. An additional 10 control patients were included in the study. All these patients gave informed consent to participate in this study.

Results

As regards apnea–hypopnea index, a comparative study between preoperative and postoperative measurements revealed a nonsignificant difference (P>0.05). As regards snore index and snore episodic measurements, the comparative study between preoperative and postoperative measurements revealed a highly significant decrease (P<0.01). As regards sleep efficiency and minimal and basal oxygen saturation measurements, the comparative study between preoperative and postoperative measurements revealed a highly significant increase (P<0.05).

Conclusion

Surgery decreased snoring and Epworth Sleepiness Scale scores, increased sleep efficiency and minimal and basal oxygen saturation measurements without changes in the apnea–hypopnea index, and improved sleep quality.

References

  1. Slavin RG, Spector SL, Bernstein IL, Kaliner MA, Kennedy DW, Virant FS, et al. The diagnosis and management of sinusitis: a practice parameter update. J Allergy Clin Immunol 2005; 116:S13–S47.

    Article  Google Scholar 

  2. Scadding GK, Durham SR, Mirakian R, Jones NS, Drake-Lee AB, Ryan D, et al. BSACI guidelines for the management of rhinosinusitis and nasal polyposis. Clin Exp Allergy 2008; 38:260–275.

    Article  CAS  Google Scholar 

  3. Alt JA, Smith TL. Chronic rhinosinusitis and sleep: a contemporary review. Int Forum Allergy Rhinol 2013; 3:941–949.

    Article  Google Scholar 

  4. American Academy of Pediatrics. Subcommittee on Management of Sinusitis and Committee on Quality Management. Clinical practice guideline: management of sinusitis. Pediatrics 2001; 108:798–808.

    Google Scholar 

  5. Kariya S, Okano M, Oto T, Higaki T, Makihara S, Haruna T, Nishizaki K. Pulmonary function in patients with chronic rhinosinusitis and allergic rhinitis. J Laryngol Otol 2014; 128:255–262.

    Article  CAS  Google Scholar 

  6. Tosun F, Kemikli K, Yetkin S, Ozgen F, Durmaz A, Gerek M. Impact of endoscopic sinus surgery on sleep quality in patients with chronic nasal obstruction due to nasal polyposis. J Craniofac Surg 2009; 20:446–449.

    Article  Google Scholar 

  7. Nakata S, Noda A, Yasuma F, Morinaga M, Sugiura M, Katayama N, et al. Effects of nasal surgery on sleep quality in obstructive sleep apnea syndrome with nasal obstruction. Am J Rhinol 2008; 22:59–63.

    Article  Google Scholar 

  8. Kim ST, Choi JH, Jeon HG, Cha HE, Kim DY, Chung YS. Polysomnographic effects of nasal surgery for snoring and obstructive sleep apnea. Acta Otolaryngol 2004; 124:297–300.

    Article  Google Scholar 

  9. Verse T, Maurer JT, Pirsig W. Effect of nasal surgery on sleep-related breathing disorders. Laryngoscope 2002; 112:64–68.

    Article  Google Scholar 

  10. Wu J, Zang HR, Wang T, Zhou B, Ye JY, Li YC, Han DM. Evaluation of the subjective efficacy of nasal surgery. J Laryngol Otol 2017; 131:37–43.

    Article  CAS  Google Scholar 

  11. Li HY, Lin Y, Chen NH, Lee LA, Fang TJ, Wang PC. Improvement in quality of life after nasal surgery alone for patients with obstructive sleep apnea and nasal obstruction. Arch Otolaryngol Head Neck Surg 2008; 134:429–433.

    Article  Google Scholar 

  12. Li HY, Wang PC, Chen YP, Lee LA, Fang TJ, Lin HC. Critical appraisal and meta-analysis of nasal surgery for obstructive sleep apnea. Am J Rhinol Allergy 2011; 25:45–49.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Otorhinolaryngology, Faculty of Medicine, Ain Shams University, 31 Hassan aflaton st Cairo egypt., Cairo, Egypt

    Yasser F. El-Beltagy MD & Ossama M. Mady

  2. Department of Otorhinolaryngology, Kobri El-Kobba Military Hospital, Cairo, Egypt

    Alaa F. Ghita

  3. Department of Otorhinolaryngology, El-Maadi Hospital, Cairo, Egypt

    Ahmed M. Ibrahim

Authors
  1. Yasser F. El-Beltagy MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Alaa F. Ghita
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ossama M. Mady
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Ahmed M. Ibrahim
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Yasser F. El-Beltagy MD.

Additional information

This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

El-Beltagy, Y.F., Ghita, A.F., Mady, O.M. et al. The relation between chronic rhinosinusitis and sleep-disordered breathing. Egypt J Otolaryngol 35, 155–161 (2019). https://doi.org/10.4103/ejo.ejo_60_18

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.4103/ejo.ejo_60_18

Keywords