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Int Forum Allergy Rhinol. Author manuscript; available in PMC 2017 April 01. Published in final edited form as: Int Forum Allergy Rhinol. 2016 April ; 6(4): 414–422. doi:10.1002/alr.21682.

Improvements in sleep-related symptoms after endoscopic sinus surgery in patients with chronic rhinosinusitis Edward El Rassi, MD1, Jess C. Mace, MPH1, Toby O. Steele, MD2, Jeremiah A. Alt, MD, PhD3, and Timothy L. Smith, MD, MPH1 1Division

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of Rhinology and Sinus/Skull Base Surgery, Oregon Sinus Center, Department of Otolaryngology – Head and Neck Surgery; Oregon Health and Science University, Portland, Oregon, USA

2Department

of Otolaryngology – Head and Neck Surgery, University of California Davis, Sacramento, CA, USA

3Division

of Head and Neck Surgery, Rhinology – Sinus and Skull Base Surgery Program, Department of Surgery, University of Utah, Salt Lake City, Utah, USA

Abstract Background—Sleep impairment is highly prevalent in patients with CRS. While endoscopic sinus surgery (ESS) has been shown to improve overall patient-reported sleep quality, the postoperative impact on individual sleep symptoms remains unclear.

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Methods—Patients with medically-recalcitrant CRS who elected to undergo ESS were prospectively enrolled into a multi-institutional, observational cohort study. Sleep-related symptom severity and treatment outcomes were assessed using the 22-item Sino-Nasal Outcome Test (SNOT-22) sleep domain. Results—A total of 334 participants met criteria and were followed postoperatively for an average of 14.5[SD×4.9] months. Mean SNOT-22 sleep domain scores improved from 13.7[6.8] to 7.7[6.6] (p

Improvements in sleep-related symptoms after endoscopic sinus surgery in patients with chronic rhinosinusitis.

Sleep impairment is highly prevalent in patients with chronic rhinosinusitis (CRS). Although endoscopic sinus surgery (ESS) has been shown to improve ...
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