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For: Sukato DC, Abramowitz JM, Boruk M, Goldstein NA, Rosenfeld RM. Endoscopic Sinus Surgery Improves Sleep Quality in Chronic Rhinosinusitis: A Systematic Review and Meta-analysis. Otolaryngol Head Neck Surg 2017;158:249-256. [PMID: 29065273 DOI: 10.1177/0194599817737977] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]

For:	Sukato DC, Abramowitz JM, Boruk M, Goldstein NA, Rosenfeld RM. Endoscopic Sinus Surgery Improves Sleep Quality in Chronic Rhinosinusitis: A Systematic Review and Meta-analysis. Otolaryngol Head Neck Surg 2017;158:249-256. [PMID: 29065273 DOI: 10.1177/0194599817737977] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]

Number

Cited by Other Article(s)

Meltzer EO, Mullol J, Ko J, Saenz R, Steinke JW, Millette LA, Gevaert P. Omalizumab improves sleep and health status for patients with chronic rhinosinusitis with nasal polyps: An analysis of randomized clinical trials. Int Forum Allergy Rhinol 2024;14:1163-1172. [PMID: 38197558 DOI: 10.1002/alr.23322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2023] [Revised: 12/04/2023] [Accepted: 12/28/2023] [Indexed: 01/11/2024]

Callander JK, Chang JL. Treatment of the Nose for Patients with Sleep Apnea. Otolaryngol Clin North Am 2024;57:491-500. [PMID: 38072728 DOI: 10.1016/j.otc.2023.11.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/30/2024]

Beswick DM, Han EJ, Mace JC, Markarian K, Alt JA, Bodner TE, Chowdhury NI, Eshaghian PH, Getz AE, Hwang PH, Khanwalkar A, Kimple AJ, Lee JT, Li DA, Norris M, Nayak JV, Owens C, Patel Z, Poch K, Schlosser RJ, Smith KA, Smith TL, Soler ZM, Suh JD, Turner G, Wang MB, Taylor-Cousar JL, Saavedra M. Factors that predict pursuing sinus surgery in the era of highly effective modulator therapy. Int Forum Allergy Rhinol 2024;14:807-818. [PMID: 37725072 DOI: 10.1002/alr.23270] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Revised: 07/19/2023] [Accepted: 09/08/2023] [Indexed: 09/21/2023]

Abstract

BACKGROUND

Comorbid chronic rhinosinusitis (CRS) remains unresolved for many people with cystic fibrosis (PwCF). While highly effective modulator therapy improves quality-of-life and symptom severity, the impact of this intervention and other factors associated with pursuing endoscopic sinus surgery (ESS) remains understudied.

METHODS

Adult PwCF + CRS were enrolled into a prospective, observational, multi-institutional study. Participants completed validated outcome measures to evaluate respiratory symptom severity, depression, headache, and sleep quality, as well as nasal endoscopy, sinus computed tomography (CT), and olfactory testing. Bivariate comparisons and regression modeling evaluated treatment cofactors, disease characteristics, and outcome measures associated with pursuing ESS.

RESULTS

Sixty PwCF were analyzed, including 24 (40%) who elected ESS. Pursuing ESS was associated with worse SinoNasal Outcome Test (SNOT-22) total, rhinologic, psychological, and sleep dysfunction domain scores; worse Patient Health Questionnaire-9-Revised depression scores; worse Pittsburgh Sleep Quality Index total scores; worse weight, role, emotion, and eating domain scores on the Cystic Fibrosis Questionnaire-Revised; more severe disease on nasal endoscopy; and lack of modulator therapy (all p < 0.050). Multivariable regression identified that worse SNOT-22 total score was associated with electing ESS (odds ratio [OR] 1.09, 95% confidence interval [CI] 1.02-1.16, p = 0.015) and elexacaftor/tezacaftor/ivacaftor (ETI) treatment (OR 0.04, 95% CI 0.004-0.34, p = 0.004) was associated with pursing medical therapy.

CONCLUSIONS

Worse sinonasal symptom burden, lack of ETI treatment, sleep quality, depression, and nasal endoscopy scores were associated with electing ESS, while lung disease severity and sinus CT scores were not. ETI use was associated with lower odds of pursuing ESS independent of sinonasal symptom burden.

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Affiliation(s)

Daniel M Beswick Department of Head and Neck Surgery, University of California, Los Angeles, California, USA
Ethan J Han Department of Head and Neck Surgery, University of California, Los Angeles, California, USA
Jess C Mace Department of Otolaryngology-Head and Neck Surgery, Oregon Health Sciences University, Portland, Oregon, USA
Karolin Markarian CTSI, David Geffen School of Medicine, University of California, Los Angeles, California, USA
Jeremiah A Alt Department of Otolaryngology-Head and Neck Surgery, University of Utah, Salt Lake City, Utah, USA
Todd E Bodner Department of Psychology, Portland State University, Portland, Oregon, USA
Naweed I Chowdhury Department of Otolaryngology-Head and Neck Surgery, Vanderbilt Health, Nashville, Tennessee, USA
Patricia H Eshaghian Department of Pulmonary Medicine, University of California, Los Angeles, California, USA
Anne E Getz Department of Otolaryngology-Head and Neck Surgery, University of Colorado, Colorado, Denver, USA
Peter H Hwang Department of Otolaryngology-Head and Neck Surgery, Stanford Medicine, Stanford, California, USA
Ashoke Khanwalkar Department of Otolaryngology-Head and Neck Surgery, University of Colorado, Colorado, Denver, USA
Adam J Kimple Department of Otolaryngology-Head and Neck Surgery, University of North Carolina, Chapel Hill, North Carolina, USA
Jivianne T Lee Department of Head and Neck Surgery, University of California, Los Angeles, California, USA
Douglas A Li Department of Pulmonary Medicine, University of California, Los Angeles, California, USA
Meghan Norris Department of Otolaryngology-Head and Neck Surgery, University of North Carolina, Chapel Hill, North Carolina, USA
Jayakar V Nayak Department of Otolaryngology-Head and Neck Surgery, Stanford Medicine, Stanford, California, USA
Cameran Owens Department of Otolaryngology-Head and Neck Surgery, University of Colorado, Colorado, Denver, USA
Zara Patel Department of Otolaryngology-Head and Neck Surgery, Stanford Medicine, Stanford, California, USA
Katie Poch Department of Medicine, National Jewish Health, Denver, Colorado, USA
Rodney J Schlosser Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA
Kristine A Smith Department of Otolaryngology-Head and Neck Surgery, University of Utah, Salt Lake City, Utah, USA
Timothy L Smith Department of Otolaryngology-Head and Neck Surgery, Oregon Health Sciences University, Portland, Oregon, USA
Zachary M Soler Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA
Jeffrey D Suh Department of Head and Neck Surgery, University of California, Los Angeles, California, USA
Grant Turner Department of Pulmonary Medicine, University of California, Los Angeles, California, USA
Marilene B Wang Department of Head and Neck Surgery, University of California, Los Angeles, California, USA
Jennifer L Taylor-Cousar Department of Medicine, National Jewish Health, Denver, Colorado, USA Department of Pediatrics, National Jewish Health, Denver, Colorado, USA
Milene Saavedra Department of Medicine, National Jewish Health, Denver, Colorado, USA

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Chang JL, Goldberg AN, Alt JA, Alzoubaidi M, Ashbrook L, Auckley D, Ayappa I, Bakhtiar H, Barrera JE, Bartley BL, Billings ME, Boon MS, Bosschieter P, Braverman I, Brodie K, Cabrera-Muffly C, Caesar R, Cahali MB, Cai Y, Cao M, Capasso R, Caples SM, Chahine LM, Chang CP, Chang KW, Chaudhary N, Cheong CSJ, Chowdhuri S, Cistulli PA, Claman D, Collen J, Coughlin KC, Creamer J, Davis EM, Dupuy-McCauley KL, Durr ML, Dutt M, Ali ME, Elkassabany NM, Epstein LJ, Fiala JA, Freedman N, Gill K, Boyd Gillespie M, Golisch L, Gooneratne N, Gottlieb DJ, Green KK, Gulati A, Gurubhagavatula I, Hayward N, Hoff PT, Hoffmann OM, Holfinger SJ, Hsia J, Huntley C, Huoh KC, Huyett P, Inala S, Ishman SL, Jella TK, Jobanputra AM, Johnson AP, Junna MR, Kado JT, Kaffenberger TM, Kapur VK, Kezirian EJ, Khan M, Kirsch DB, Kominsky A, Kryger M, Krystal AD, Kushida CA, Kuzniar TJ, Lam DJ, Lettieri CJ, Lim DC, Lin HC, Liu SY, MacKay SG, Magalang UJ, Malhotra A, Mansukhani MP, Maurer JT, May AM, Mitchell RB, Mokhlesi B, Mullins AE, Nada EM, Naik S, Nokes B, Olson MD, Pack AI, Pang EB, Pang KP, Patil SP, Van de Perck E, Piccirillo JF, Pien GW, Piper AJ, Plawecki A, Quigg M, Ravesloot MJ, Redline S, Rotenberg BW, Ryden A, Sarmiento KF, Sbeih F, Schell AE, Schmickl CN, Schotland HM, Schwab RJ, Seo J, Shah N, Shelgikar AV, Shochat I, Soose RJ, Steele TO, Stephens E, Stepnowsky C, Strohl KP, Sutherland K, Suurna MV, Thaler E, Thapa S, Vanderveken OM, de Vries N, Weaver EM, Weir ID, Wolfe LF, Tucker Woodson B, Won CH, Xu J, Yalamanchi P, Yaremchuk K, Yeghiazarians Y, Yu JL, Zeidler M, Rosen IM. International Consensus Statement on Obstructive Sleep Apnea. Int Forum Allergy Rhinol 2023;13:1061-1482. [PMID: 36068685 PMCID: PMC10359192 DOI: 10.1002/alr.23079] [Citation(s) in RCA: 53] [Impact Index Per Article: 53.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2022] [Revised: 08/12/2022] [Accepted: 08/18/2022] [Indexed: 11/08/2022]

Affiliation(s)

Jolie L. Chang University of California, San Francisco, California, USA
Andrew N. Goldberg University of California, San Francisco, California, USA
Jeremiah A. Alt University of Utah, Salt Lake City, Utah, USA
Mohammed Alzoubaidi Northwestern University, Chicago, Illinois, USA
Liza Ashbrook University of California, San Francisco, California, USA
Dennis Auckley Case Western Reserve University, Cleveland, Ohio, USA
Indu Ayappa Icahn School of Medicine at Mount Sinai, New York, New York, USA
Hira Bakhtiar Norwalk Hospital, Norwalk, Connecticut, USA
José E. Barrera Uniformed Services University, Washington D.C., USA
Bethany L. Bartley Harvard Medical School, Boston, Massachusetts, USA
Martha E. Billings University of Washington, Seattle, Washington, USA
Maurits S. Boon Sidney Kimmel Medical Center at Thomas Jefferson University, Philadelphia, Pennsylvania, USA
Pien Bosschieter Academic Centre for Dentistry Amsterdam, Amsterdam, The Netherlands
Itzhak Braverman Hillel Yaffe Medical Center, Hadera Technion, Faculty of Medicine, Hadera, Israel
Kara Brodie University of California, San Francisco, California, USA
Cristina Cabrera-Muffly University of Colorado School of Medicine, Aurora, Colorado, USA
Ray Caesar Stone Oak Orthodontics, San Antonio, Texas, USA
Michel B. Cahali University of Sao Paulo, São Paulo, Brazil
Yi Cai University of California, San Francisco, California, USA
Michelle Cao Stanford University, Palo Alto, California, USA
Robson Capasso Stanford University, Palo Alto, California, USA
Sean M. Caples Mayo Clinic, Rochester, Minnesota, USA
Lana M. Chahine University of Pittsburgh, Pittsburgh, Pennsylvania, USA
Corissa P. Chang University of Pennsylvania, Philadelphia, Pennsylvania, USA
Katherine W. Chang Washington University, St. Louis, Missouri, USA
Nilika Chaudhary Brigham and Women’s Hospital, Boston, MA, USA
Crystal S. J. Cheong National University Hospital, Singapore
Susmita Chowdhuri Wayne State University and John D. Dingell VA Medical Center, Detroit, Michigan, USA
Peter A. Cistulli Faculty of Medicine and Health, University of Sydney, Sydney, Australia
David Claman University of California, San Francisco, California, USA
Jacob Collen Uniformed Services University, Bethesda, Maryland, USA
Kevin C. Coughlin University of Tennessee, Memphis, Tennessee, USA
Jennifer Creamer Uniformed Services University, Bethesda, Maryland, USA
Eric M. Davis University of Virginia, Charlottesville, Virginia, USA
Kara L. Dupuy-McCauley Mayo Clinic, Rochester, Minnesota, USA
Megan L. Durr Kaiser Permanente, Oakland, California, USA
Mohan Dutt University of Michigan, Ann Arbor, Michigan, USA
Mazen El Ali University of Pittsburgh, Pittsburgh, Pennsylvania, USA
Nabil M. Elkassabany University of Virginia, Charlottesville, Virginia, USA
Lawrence J. Epstein Harvard Medical School, Boston, Massachusetts, USA
Justin A. Fiala Northwestern University, Chicago, Illinois, USA
Neil Freedman University of Chicago, Chicago, Illinois, USA
Kirat Gill Stanford University, Palo Alto, California, USA
M. Boyd Gillespie University of Tennessee, Memphis, Tennessee, USA
Lea Golisch University Hospital Mannheim, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany
Nalaka Gooneratne University of Pennsylvania, Philadelphia, Pennsylvania, USA
Daniel J. Gottlieb Harvard Medical School, Boston, Massachusetts, USA
Katherine K. Green University of Colorado, Aurora, Colorado, USA
Arushi Gulati University of California, San Francisco, California, USA
Indira Gurubhagavatula University of Pennsylvania, Philadelphia, Pennsylvania, USA
Nathan Hayward Monash Health, Victoria, Australia
Paul T. Hoff University of Michigan, Ann Arbor, Michigan, USA
Oliver M.G. Hoffmann University Hospital Mannheim, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany
Steven J. Holfinger Ohio State University, Columbus, Ohio, USA
Jennifer Hsia University of Minnesota, Minneapolis, Minnesota, USA
Colin Huntley Sidney Kimmel Medical Center at Thomas Jefferson University, Philadelphia, Pennsylvania, USA
Kevin C. Huoh University of California, Irvine, California, USA
Phillip Huyett Harvard Medical School, Boston, Massachusetts, USA
Sanjana Inala Icahn School of Medicine at Mount Sinai, New York, New York, USA
Stacey L. Ishman University of Cincinnati, Cincinnati, Ohio, USA
Tarun K. Jella Case Western Reserve University, Cleveland, Ohio, USA
Aesha M. Jobanputra Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA
Andrew P. Johnson University of Colorado School of Medicine, Aurora, Colorado, USA
Mithri R. Junna Mayo Clinic, Rochester, Minnesota, USA
Jenna T. Kado University of Toledo, Toledo, Ohio, USA
Thomas M. Kaffenberger University of Pittsburgh, Pittsburgh, Pennsylvania, USA
Vishesh K. Kapur University of Washington, Seattle, Washington, USA
Eric J. Kezirian University of Southern California, Los Angeles, California, USA
Meena Khan Ohio State University, Columbus, Ohio, USA
Douglas B. Kirsch University of North Carolina School of Medicine, Charlotte
Alan Kominsky Cleveland Clinic Head and Neck Institute, Cleveland, Ohio, USA
Meir Kryger Yale School of Medicine, New Haven, Connecticut, USA
Andrew D. Krystal University of California, San Francisco, California, USA
Clete A. Kushida Stanford University, Palo Alto, California, USA
Thomas J. Kuzniar University of Chicago, Chicago, Illinois, USA
Derek J. Lam Oregon Health and Science University, Portland, Oregon, USA
Christopher J. Lettieri Uniformed Services University, Bethesda, Maryland, USA
Diane C. Lim University of Miami, Miami, Florida, USA
Hsin-Ching Lin Chang Gung University, Kaohsiung, Taiwan
Stanley Y.C. Liu Stanford University, Palo Alto, California, USA
Stuart G. MacKay University of Wollongong, Wollongong, Australia
Ulysses J. Magalang Ohio State University, Columbus, Ohio, USA
Atul Malhotra University of California, San Diego, California, USA
Meghna P. Mansukhani Mayo Clinic, Rochester, Minnesota, USA
Joachim T. Maurer University Hospital Mannheim, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany
Anna M. May Case Western Reserve University, Cleveland, Ohio, USA
Ron B. Mitchell University of Texas, Southwestern and Children’s Medical Center Dallas, Texas, USA
Babak Mokhlesi Rush University Medical Center, Chicago, IL, USA
Anna E. Mullins University of Chicago, Chicago, Illinois, USA
Eman M. Nada Stony Brook University, New York, New York, USA
Sreelatha Naik Geisinger Health System, Danville, California, USA
Brandon Nokes University of California, San Diego, California, USA
Michael D. Olson Mayo Clinic, Rochester, Minnesota, USA
Allan I. Pack University of Pennsylvania, Philadelphia, Pennsylvania, USA
Edward B. Pang University of Glasgow, Glasgow, UK
Kenny P. Pang Paragon Medical Centre, Singapore
Susheel P. Patil Case Western Reserve University, Cleveland, Ohio, USA
Eli Van de Perck University of Antwerp, Belgium
Jay F. Piccirillo Washington University, St. Louis, Missouri, USA
Grace W. Pien Johns Hopkins University, Baltimore, Maryland, USA
Amanda J. Piper University of Sydney, Sydney, Australia
Andrea Plawecki Henry Ford Health, Detroit, Michigan, USA
Mark Quigg University of Virginia, Charlottesville, Virginia, USA
Madeline J.L. Ravesloot OLVG, Amsterdam, The Netherlands
Susan Redline Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA
Brian W. Rotenberg Western University, Ontario, Canada
Armand Ryden Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California, USA
Kathleen F. Sarmiento University of California, San Francisco, California, USA
Firas Sbeih Cleveland Clinic Head and Neck Institute, Cleveland, Ohio, USA
Amy E. Schell University of Colorado, Aurora, Colorado, USA
Christopher N. Schmickl University of California, San Diego, California, USA
Helena M. Schotland Icahn School of Medicine at Mount Sinai, New York, New York, USA
Richard J. Schwab University of Pennsylvania, Philadelphia, Pennsylvania, USA
Jiyeon Seo University of California, Los Angeles, California, USA
Neomi Shah Icahn School of Medicine at Mount Sinai, New York, New York, USA
Anita Valanju Shelgikar University of Michigan, Ann Arbor, Michigan, USA
Isaac Shochat Hillel Yaffe Medical Center, Hadera, Israel
Ryan J. Soose University of Pittsburgh, Pittsburgh, Pennsylvania, USA
Toby O. Steele University of California, Davis, California, USA
Erika Stephens University of California, San Francisco, California, USA
Carl Stepnowsky University of California, San Diego, California, USA
Kingman P. Strohl Case Western Reserve University, Cleveland, Ohio, USA
Kate Sutherland University of Sydney, Sydney, Australia
Maria V. Suurna Weill Cornell Medicine, New York, New York, USA
Erica Thaler University of Pennsylvania, Philadelphia, Pennsylvania, USA
Sritika Thapa Yale School of Medicine, New Haven, Connecticut, USA
Olivier M. Vanderveken University of Antwerp, Belgium
Nico de Vries Academic Centre for Dentistry Amsterdam, Amsterdam, The Netherlands
Edward M. Weaver University of Washington, Seattle, Washington, USA
Ian D. Weir Yale School of Medicine, New Haven, Connecticut, USA
Lisa F. Wolfe Northwestern University, Chicago, Illinois, USA
B. Tucker Woodson Medical College of Wisconsin, Milwaukee, Wisconsin, USA
Christine H.J. Won Yale School of Medicine, New Haven, Connecticut, USA
Josie Xu University of Toronto, Ontario, Canada
Pratyusha Yalamanchi University of Michigan, Ann Arbor, Michigan, USA
Kathleen Yaremchuk Henry Ford Health, Detroit, Michigan, USA
Yerem Yeghiazarians University of California, San Francisco, California, USA
Jason L. Yu Emory University, Georgia, USA
Michelle Zeidler University of California, Los Angeles, California, USA
Ilene M. Rosen University of Pennsylvania, Philadelphia, Pennsylvania, USA

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He Y, Fu Y, Wu Y, Zhu T, Li H. Pathogenesis and treatment of chronic rhinosinusitis from the perspective of sinonasal epithelial dysfunction. Front Med (Lausanne) 2023;10:1139240. [PMID: 37138733 PMCID: PMC10149833 DOI: 10.3389/fmed.2023.1139240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2023] [Accepted: 03/13/2023] [Indexed: 05/05/2023] Open

Abstract

Background

Chronic rhinosinusitis (CRS) is a clinical syndrome primarily characterized by long-term mucosal inflammation of the nasal cavity and sinuses. The pathogenesis of CRS is still unclear due to its high heterogeneity. A number of studies have recently focused on the sinonasal epithelium. Thus, there has been a quantum leap in awareness of the role of the sinonasal epithelium, which is now understood as an active functional organ rather than simply an inert mechanical barrier. Undoubtedly, epithelial dysfunction plays a vital role in the onset and development of CRS.

Objective

In this article, we discuss the potential contribution of sinonasal epithelium dysfunction to CRS pathogenesis and explore a few current and developing therapeutic options targeting the sinonasal epithelium.

Results

Impaired mucociliary clearance (MCC) and an abnormal sinonasal epithelial barrier are usually considered to be the main causative factors in CRS. Epithelial-derived bioactive substances, such as cytokines, exosomes, and complements, play a vital role in the regulation of innate and adaptive immunity and contribute to the pathophysiological alterations of CRS. The phenomena of epithelial-mesenchymal transition (EMT), mucosal remodeling, and autophagy observed in CRS offer some novel insights into the pathogenesis of this disease. In addition, existing treatment options targeting disorder of sinonasal epithelium can help to relieve the main symptoms associated with CRS to some extent.

Conclusion

The presence of a normal epithelium is fundamental for maintaining homeostasis in the nasal and paranasal sinuses. Here, we describe various aspects of the sinonasal epithelium and highlight the contributions of epithelial dysfunction to CRS pathogenesis. Our review provides sound evidence of the need for in-depth study of the pathophysiological alterations of this disease and for the development of novel epithelium-targeting alternative treatments.

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Rudagi BM, Goyal J, Palande C, Patil P. Functional Endoscopic Sinus Surgery and Recurrence of Post-COVID Mucormycosis. J Maxillofac Oral Surg 2022:1-8. [PMID: 36249584 PMCID: PMC9553079 DOI: 10.1007/s12663-022-01810-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Accepted: 10/04/2022] [Indexed: 11/30/2022] Open

Fried J, Yuen E, Gudis DA, Schlosser RJ, Nguyen SA, Rowan NR. Changes in Sleep Quality Following Treatment for Chronic Rhinosinusitis: A Systematic Review and Meta-Analysis. Am J Rhinol Allergy 2021;36:386-396. [PMID: 34889643 DOI: 10.1177/19458924211061442] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]

Abstract

BACKGROUND

Chronic rhinosinusitis (CRS) presents with broad and systemic manifestations, including impaired sleep; however, the impact of CRS treatments upon sleep is unknown.

OBJECTIVE

To establish the effect of medical or surgical CRS treatment on subjective and objective sleep metrics for patients not previously diagnosed with sleep apnea.

METHODS

Review of PubMed, Scopus, Web of Science, and the Cochrane Library was performed from the databases' date of inception through August 13, 2020, for studies evaluating the effect of CRS treatment on sleep quality. All studies reporting on subjective and objective sleep parameters for patients with CRS, with completed pre- and posttreatment data were included. Studies composed of patients with diagnosed sleep apnea were excluded.

RESULTS

Sixteen unique studies reporting data on a total of 1770 patients (mean age, 50.6 ± 15.6 (n = 1675) years) following treatment for CRS were included. Patient-reported outcome measures, Epworth Sleepiness Scale, Pittsburgh Sleep Quality Index, and Fatigue Severity Scale, demonstrated mean posttreatment differences of -2.8 (95% CI: -4.9 to -0.7), -2.4 (95% CI: -3.7 to -1.2), and -1.2 (95% CI: -1.6 to -0.7), respectively. The SNOT-22 and its sleep domain demonstrated a mean posttreatment difference of -23.5 (95% CI: -31.7 to -15.3) and -5.4 (95% CI: -6.8 to -4.0), respectively. EpSS, FSS and SNOT-22 exceeded their respective reported MCID values. Objective findings did not significantly change with treatment; mean difference: AHI: 0.7 (95% CI: -1.5 to 2.9), oxygen nadir: 0.3 (95% CI: -0.4 to 0.9).

CONCLUSIONS

Treatment of CRS may lead to clinically meaningful reduction in disease burden and improvements in both overall sleep quality and patient-reported fatigue. Despite clinically meaningful quality of life improvements, objective sleep parameters did not demonstrate corresponding posttreatment improvements.

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Won JY, Nam EC, Lim T, Joo JB, Hong SN, Lee WH. Effect of sinus opacification on the severity of obstructive sleep apnea. Sleep Breath 2021;26:847-853. [PMID: 34255263 DOI: 10.1007/s11325-021-02431-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2021] [Revised: 05/27/2021] [Accepted: 06/30/2021] [Indexed: 10/20/2022]

Oakley GM, Smith KA, Ashby S, Orlandi RR, Alt JA. Sleep Dysfunction is an Independent Predictor of Productivity Losses in Patients with Chronic Rhinosinusitis. Ann Otol Rhinol Laryngol 2021;130:1332-1339. [PMID: 33813882 DOI: 10.1177/00034894211005986] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]

Multiple genetic variations of chronic rhinosinusitis with nasal polyps are associated with respiratory parameters in men with obstructive sleep apnea. Sleep Breath 2021;26:57-65. [PMID: 33770380 PMCID: PMC8857115 DOI: 10.1007/s11325-021-02356-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2020] [Revised: 02/19/2021] [Accepted: 03/19/2021] [Indexed: 11/13/2022]

Tiotiu A, Novakova P, Baiardini I, Bikov A, Chong-Neto H, de-Sousa JC, Emelyanov A, Heffler E, Fogelbach GG, Kowal K, Labor M, Mihaicuta S, Nedeva D, Novakova S, Steiropoulos P, Ansotegui IJ, Bernstein JA, Boulet LP, Canonica GW, Dubuske L, Nunes C, Ivancevich JC, Santus P, Rosario N, Perazzo T, Braido F. Manifesto on united airways diseases (UAD): an Interasma (global asthma association - GAA) document. J Asthma 2021;59:639-654. [PMID: 33492196 DOI: 10.1080/02770903.2021.1879130] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]

Abstract

OBJECTIVE

The large amount of evidence and the renewed interest in upper and lower airways involvement in infectious and inflammatory diseases has led Interasma (Global Asthma Association) to take a position on United Airways Diseases (UAD).

METHODS

Starting from an extensive literature review, Interasma executive committee discussed and approved this Manifesto developed by Interasma scientific network (INES) members.

RESULTS

The manifesto describes the evidence gathered to date and defines, states, advocates, and proposes issues on UAD (rhinitis, rhinosinusitis and nasal polyposis), and concomitant/comorbid lower airways disorders (asthma, chronic obstructive pulmonary disease, bronchiectasis, cystic fibrosis, obstructive sleep apnoea) with the aim of challenging assumptions, fostering commitment, and bringing about change. UAD refers to clinical pictures characterized by the coexistence of upper and lower airways involvement, driven by a common pathophysiological mechanism, leading to a greater burden on patient's health status and requiring an integrated diagnostic and therapeutic plan. The high prevalence of UAD must be taken into account. Upper and lower airways diseases influence disease control and patient's quality of life.

CONCLUSIONS

Patients with UAD need to have a timely and adequate diagnosis, treatment, and, when recommended, referral for management in a specialized center. Diagnostic testing including skin prick or serum specific IgE, lung function, fractional exhaled nitric oxide (FeNO), polysomnography, allergen-specific immunotherapies, biological therapies and home based continuous positive airway pressure (CPAP) whenever these are recommended, should be part of the management plan for UAD. Education of medical students, physicians, health professionals, patients and caregivers on the UAD is needed.

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Affiliation(s)

Angelica Tiotiu Department of Pulmonology, University Hospital of Nancy, Nancy, France.,EA 3450 DevAH - Development, Adaptation and Disadvantage, Cardiorespiratory Regulations and Motor Control, University of Lorraine, Nancy, France
Plamena Novakova Clinic of Clinical Allergy, Medical University Sofia, Sofia, Bulgaria
Ilaria Baiardini Department of Biomedical Sciences, Humanitas University, Milan, Italy
Andras Bikov Manchester University NHS Foundation Trust, Manchester, United Kingdom.,Division of Infection, Immunity and Respiratory Medicine, University of Manchester, Manchester, United Kingdom
Herberto Chong-Neto Division of Allergy and Immunology, Department of Pediatrics, Federal University of Paraná, Curitiba, Brazil
Jaime Correia- de-Sousa Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal.,ICVS/3B's, PT Government Associate Laboratory, Braga/Guimarães, Portugal
Alexander Emelyanov Department of Respiratory Medicine, North-Western Medical University named after I.I.Mechnikov, St-Petersburg, Russia
Enrico Heffler Department of Biomedical Sciences, Humanitas University, Milan, Italy.,Personalized Medicine, Asthma & Allergy, Humanitas Clinical and Research Center, IRCCS, Rozzano, MI, Italy
Guillermo Guidos Fogelbach Clinic of Clinical Allergy, Medical University Sofia, Sofia, Bulgaria.,Instituto Politécnico Nacional, Escuela Nacional de Medicina y Homeopatía, Laboratorio de Bioquímica Estructural, Ciudad de México, México
Krzysztof Kowal Department of Allergology and Internal Medicine, Medical University of Bialystok, Bialystok, Poland
Marina Labor Värnamo Hospital, Jönköping district, Sweden
Stefan Mihaicuta Pulmonology Department, Cardio Prevent Foundation, University of Medicine and Pharmacy "Dr Victor Babes", Timisoara, Romania
Denislava Nedeva Clinic of Clinical Allergy, Medical University Sofia, Sofia, Bulgaria
Sylvia Novakova Allergy Unit of Internal Consulting Department, University Hospital "St. George", Plovdiv, Bulgaria
Paschalis Steiropoulos Department of Respiratory Medicine, Medical School, Democritus University of Thrace, Alexandroupolis, Greece
Ignacio J Ansotegui Hospital Quirónsalud Bizkaia, Bilbao, Spain
Jonathan A Bernstein Department of Internal Medicine, Division of Immunology, Allergy Section University of Cincinnati, Cincinnati, OH, USA
Louis-Philippe Boulet Québec Heart and Lung Institute-Laval University, Québec City, Canada
Giorgio Walter Canonica Department of Biomedical Sciences, Humanitas University, Milan, Italy.,Personalized Medicine, Asthma & Allergy, Humanitas Clinical and Research Center, IRCCS, Rozzano, MI, Italy
Lawrence Dubuske Division of Allergy and Immunology, Department of Internal Medicine, George Washington University School of Medicine and Health Sciences, George Washington University Medical Faculty Associates, Washington, DC, USA
Carlos Nunes Centro de ImmunoAlergologia de Algarve, Porto, Portugal
Juan Carlos Ivancevich Immunology Department, Faculty of Medicine, del Salvador University, Buenos Aires, Argentina
Pierachille Santus Department of Biomedical and Clinical Sciences, University of Milan, Division of Respiratory Diseases "L. Sacco" Hospital, ASST Fatebenefratelli Sacco, Milan, Italy
Nelson Rosario Federal University of Paraná (UFPR), Curitiba, Brazil
Tommaso Perazzo Department of Internal Medicine, University of Genoa, Genova, Italy
Fulvio Braido Department of Internal Medicine, University of Genoa, Genova, Italy.,Respiratory Unit for Continuity of Care IRCCS, Ospedale Policlinico San Martino, Genova, Italy

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Yim MT, Smith KA, Alt JA, Orlandi RR. The value of endoscopic sinus surgery in chronic rhinosinusitis. Laryngoscope Investig Otolaryngol 2021;6:58-63. [PMID: 33614930 PMCID: PMC7883602 DOI: 10.1002/lio2.523] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2020] [Revised: 11/25/2020] [Accepted: 01/11/2021] [Indexed: 12/19/2022] Open

Fried J, Yuen E, Li A, Zhang K, Nguyen SA, Gudis DA, Rowan NR, Schlosser RJ. Rhinologic disease and its impact on sleep: a systematic review. Int Forum Allergy Rhinol 2020;11:1074-1086. [PMID: 33275331 DOI: 10.1002/alr.22740] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2020] [Revised: 10/28/2020] [Accepted: 11/05/2020] [Indexed: 01/26/2023]

Abstract

BACKGROUND

Rhinologic disease can be responsible for systemic symptoms affecting mood, cognition, and sleep. It is unclear whether sleep disturbance in specific rhinologic disorders (chronic rhinosinusitis [CRS], rhinitis, and nasal septal deviation [NSD]) is an obstructive phenomenon or due to other mechanisms. In this review we examine the impact of CRS, rhinitis, and NSD on objective and subjective sleep outcome metrics and draw comparisons to normal controls and patients with known obstructive sleep apnea (OSA).

METHODS

A systematic review of 4 databases (PubMed, Scopus, Cochrane Library, and Web of Science) was performed. Studies reporting on objective (apnea-hypopnea index [AHI], respiratory disturbance index [RDI], oxygen nadir) and subjective (Epworth Sleepiness Scale [EpSS], Pittsburgh Sleep Quality Index [PSQI], Fatigue Severity Scale [FSS]) sleep parameters and disease-specific patient-reported outcome measures (PROMs; 22-item Sino-Nasal Outcome Test [SNOT-22], Rhinoconjunctivitis Quality of Life Questionnaire [RQLQ], Nasal Obstruction Symptom Evaluation [NOSE]) were included.

RESULTS

The database search yielded 1414 unique articles, of which 103 were included for analysis. Baseline PROMs were at the high end of normal to abnormal for all 3 conditions: EpSS: CRS (9.8 ± 4.0), rhinitis (9.7 ± 4.3), and NSD (8.9 ± 4.6); and PSQI: CRS (11.0 ± 4.5), rhinitis (6.1 ± 3.7), and NSD (8.6 ± 3.5). Objective measures demonstrated a mild to moderate OSA in the studied diseases: AHI: CRS (10.4 ± 11.5), rhinitis (8.6 ± 8.8), and NSD (13.0 ± 6.9). There were significant differences when compared with reported norms in all measured outcomes (p < 0.001).

CONCLUSION

Sleep quality is impacted by rhinologic (CRS, rhinitis, NSD) disease. There is likely a mild obstructive component contributing to poor sleep, but other contributing factors may be involved.

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Little RE, Alt JA, Ramakrishnan VR, Platt MP, Schlosser RJ, Storck KA, Soler ZM. Objective sleep measures after endoscopic sinus surgery in patients with chronic rhinosinusitis. Int Forum Allergy Rhinol 2020;11:1056-1063. [PMID: 33226190 DOI: 10.1002/alr.22738] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2020] [Revised: 10/30/2020] [Accepted: 11/02/2020] [Indexed: 11/11/2022]

Takabayashi K, Nakayama M, Nagamine M, Fujita T. The impact of nasal surgery on sleep quality. Auris Nasus Larynx 2020;48:415-419. [PMID: 33115611 DOI: 10.1016/j.anl.2020.09.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2020] [Revised: 09/16/2020] [Accepted: 09/18/2020] [Indexed: 11/26/2022]

Farrell NF, Mace JC, Sauer DA, Thomas AJ, Geltzeiler M, Detwiller KY, Alt JA, Smith TL. Patient-reported sleep outcomes lack association with mucosal eosinophilia or neutrophilia in patients with chronic rhinosinusitis undergoing functional endoscopic sinus surgery. Int Forum Allergy Rhinol 2020;11:784-793. [PMID: 32783400 DOI: 10.1002/alr.22678] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2020] [Revised: 07/15/2020] [Accepted: 07/29/2020] [Indexed: 12/12/2022]

Abstract

BACKGROUND

Chronic rhinosinusitis (CRS) is associated with sleep dysfunction, but the underlying pathophysiology is poorly understood. The purpose of this study was to determine if mucosal eosinophilia or neutrophilia were associated with sleep dysfunction severity or altered the improvement in sleep dysfunction following functional endoscopic sinus surgery (FESS).

METHODS

A total of 104 patients with medically refractory CRS with nasal polyposis (CRSwNP) and CRS without nasal polyposis (CRSsNP), completed the Pittsburgh Sleep Quality Index (PSQI) before and after FESS. Anterior ethmoid mucosa was collected during FESS and densest infiltrates of eosinophilia and neutrophilia per high-power field (HPF) were determined by microscopy. Eosinophilic (>10 eosinophils/HPF) and neutrophilic (>4 neutrophils/HPF) CRS were then compared to preoperative and postoperative PSQI measures.

RESULTS

Of 104 study participants, 88 (85%) reported preoperative PSQI scores consistent with "poor sleep," (PSQI total > 5). The cohort overall demonstrated significant improvement in poor sleep (65%; χ² = 12.03; p < 0.001) 16.8 ± 5.0 months after FESS. Regardless of nasal polyposis, neither eosinophilic nor neutrophilic CRS was associated with differences in mean postoperative PSQI improvement. However, in patients with neutrophilic CRSsNP, there was a significant relationship between severity of neutrophilia and improvement in sleep latency (R = -0.798, p = 0.003) and sleep efficacy (R = -0.777, p = 0.005).

CONCLUSION

Chronic inflammation has been hypothesized to play a pathophysiologic role in sleep dysfunction associated with CRS. This study suggests that in patients with medically refractory CRS, evidence of mucosal eosinophilia and neutrophilia lack strong associations with patient-reported sleep dysfunction or improvements in sleep quality after FESS, overall. However, neutrophilia may impact sleep latency and efficacy in patients with CRSsNP.

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Kim DH, Lee MH, Lee J, Kim SW. Effect of endoscopic endonasal skull base surgery on snoring. Laryngoscope Investig Otolaryngol 2020;5:344-347. [PMID: 32596475 PMCID: PMC7314477 DOI: 10.1002/lio2.335] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2019] [Revised: 10/25/2019] [Accepted: 11/07/2019] [Indexed: 12/16/2022] Open

Martinez-Monedero R, Danielian A, Angajala V, Dinalo JE, Kezirian EJ. Methodological Quality of Systematic Reviews and Meta-analyses Published in High-Impact Otolaryngology Journals. Otolaryngol Head Neck Surg 2020;163:892-905. [PMID: 32450783 DOI: 10.1177/0194599820924621] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]

Yoo F, Schlosser RJ, Storck KA, Ganjaei KG, Rowan NR, Soler ZM. Effects of endoscopic sinus surgery on objective and subjective measures of cognitive dysfunction in chronic rhinosinusitis. Int Forum Allergy Rhinol 2019;9:1135-1143. [DOI: 10.1002/alr.22406] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2019] [Revised: 07/14/2019] [Accepted: 07/28/2019] [Indexed: 02/03/2023]

Ghadami MR. Chronic Rhinosinusitis and Increased Risk of Depression and Anxiety: The Role of Impaired Sleep Quality. JAMA Otolaryngol Head Neck Surg 2019;145:689-690. [PMID: 31120483 DOI: 10.1001/jamaoto.2019.0916] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]

The Influence of Functional Endoscopic Sinus Surgery on Sleep Related Outcomes in Patients with Chronic Rhinosinusitis. Int J Otolaryngol 2019;2019:7951045. [PMID: 31275397 PMCID: PMC6582851 DOI: 10.1155/2019/7951045] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2019] [Revised: 04/23/2019] [Accepted: 04/30/2019] [Indexed: 01/05/2023] Open

Rowan NR, Schlosser RJ, Storck KA, Ganjaei KG, Soler ZM. The impact of medical therapy on cognitive dysfunction in chronic rhinosinusitis. Int Forum Allergy Rhinol 2019;9:738-745. [DOI: 10.1002/alr.22323] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2018] [Revised: 01/09/2019] [Accepted: 02/01/2019] [Indexed: 01/09/2023]

Alt JA, Ramakrishnan VR, Platt MP, Schlosser RJ, Storck T, Soler ZM. Impact of chronic rhinosinusitis on sleep: a controlled clinical study. Int Forum Allergy Rhinol 2018;9:16-22. [DOI: 10.1002/alr.22212] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2018] [Revised: 09/01/2018] [Accepted: 09/05/2018] [Indexed: 01/18/2023]