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The Effect of Septoturbinoplasty for Quality of Life in Patients with Sleep-Disordered Breathing
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비중격 교정술 및 비갑개성형술이 수면 호흡장애 환자의 삶의 질에 미치는 영향

논문 기본 정보

Type
Academic journal
Author
Journal
대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제54권 제4호 KCI Accredited Journals
Published
2011.1
Pages
257 - 264 (8page)

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The Effect of Septoturbinoplasty for Quality of Life in Patients with Sleep-Disordered Breathing
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Background and Objectives Nasal obstruction is common in patients with sleep disordered breathing (SDB). Polysomnography (PSG) is a standard diagnositc tool for sleep disorders, but it can not evaluate the quality of life (QOL). We tried to assess the efficacy of the septoturbinoplasty on patients with SDB and nasal obstruction by using self reported measures that have been known as a tool for evaluating the general and disease specific QOL. Subjects and Method Thirty-five patients who had snoring and sleep apnea confirmed by PSG and symptomatic nasal obstruction caused by deviated nasal septum were enrolled. All patients underwent septoturbinoplasty to improve nasal obstruction. QOL was assessed before and 2 months after surgery. Medical Outcome Study Short Form 36 (SF-36) and Epworth Sleepiness Scale (ESS), Pittsburgh Sleep Quality Index (PSQI), Stanford Sleepiness Scale (SSS), Insomnia Severity Index (ISI), Beck Depression Inventory (K-BDI), Nasal Obstruction Symptom Evaluation (NOSE) scale were included in the measures. A statistical analysis was performed using a paired t-test. Results Snoring sound level, PSQI, ESS, ISI, and NOSE were improved significantly (p＜ 0.05). SSS, BDI and total SF-36 were improved but not significantly (p＞0.05). Conclusion QOL in patients with SDB and nasal obstruction was improved by nasal surgery. Different kinds of self-reported measures could be more informative as they can provide pre and post treatment results with respect to psychosomatic effects in patients with SDB.
#Sleep-disordered breathing ㆍNasal obstruction ㆍNasal septum.

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Buysse DJ / 1989 / The Pittsburgh Sleep Quality Index:a new instrument for psychiatric practice and research / Psychiatry Res 28 (2) : 193 ~ 213 google schola Friedman M / 2000 / Effect of improved nasal breathing on obstructive sleep apnea / Otolaryngol Head Neck Surg 122 (1) : 71 ~ 74 google schola Keller SD / 1997 / Comparison of responses to SF-36 Health Survey questions with oneweek and four-week recall periods / Health Serv Res 32 (3) : 367 ~ 84 google schola Lee JT / 2006 / Obstructive sleep apnea and quality of life:a preliminary study / J Korean Sleep Soc 3 (1) : 57 ~ 63 google schola Leger D / 2001 / SF-36:evaluation of quality of life in severe and mild insomniacs compared with good sleepers / Psychosom Med 63 (1) : 49 ~ 55 google schola

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