Chronic Nasal Obstruction Causes Daytime Sleepiness and Decreased Quality of Life Even in the Absence of Snoring

Abstract

Induction of sleep-disordered breathing (SDB) is a possible cause of excessive daytime sleepiness and impaired QOL in subjects with nasal obstruction. A variant of SDB such as silent upper respiratory resistance syndrome may participate in this phenomenon in the absence of snoring.

Association of self-reported nasal blockage with sleep-disordered breathing and excessive daytime sleepiness in Pakistani employed adults

“…Secondly, presence of snoring in subjects with nasal congestion had an additive effect on daytime sleepiness. Similar findings were seen in a large sample of Japanese workers where chronic nasal blockage, even in the absence of snoring, was associated with higher ESS score and reduced quality of life and presence of snoring increased these effects [8].…”

“…A number of studies have shown an adverse impact of nasal congestion on sleep quality resulting in daytime fatigue and sleepiness [8,19]. Nasal congestion has a circadian pattern and is worse in supine position, thereby Association of self-reported nasal congestion and snoring with ESS score 10 Self-reported nasal congestion Subjects with ESS score 10 or above (%) Non-snorer Snorer Fig.…”

“…As a consequence of these changes, nasal blockage leads to sleep impairment, fatigue and daytime sleepiness [5]. Cross-sectional and longitudinal populationbased studies have shown an association of nasal blockage with snoring, sleep-disordered breathing (SDB) and excessive daytime sleepiness (EDS) [6][7][8]. Questionnaire studies from Asian population have also suggested an association of nasal blockage with daytime sleepiness [9] and an increased risk of SDB [10].…”

Rhinoplasty from a Rhinologist's Perspective: Need for Recognition of Associated Sinonasal Conditions

“…The negative influence of nasal mucosal disease on quality of life has been extensively documented. [8][9][10][11][12][14][15][16] On the other hand, the condition may frequently be trivialized and/or unrecognized. 15,16 Because most of these patients benefit from medical treatment, proper diagnosis and, when indicated, initiation of medical therapy should be implemented in the preoperative assessment of every patient undergoing esthetic nasal operation.…”

“…Most of the latter can be addressed during RP without interfering with nasal esthetics. 6,7 The negative influence of functional nasal pathology on patients' quality of life and on satisfaction after RP has already been established, [1][2][3][8][9][10][11][12][13] emphasizing the importance of a thorough preoperative evaluation of the nose in every patient seeking esthetic RP.…”