Nasal obstruction: a common presentation in primary care

Mohamed, Salma; Emmanuel, Noel; Foden, Neil

doi:10.3399/bjgp19x707057

Cited by 4 publications

(3 citation statements)

References 6 publications

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“…Two of the most common causes of nasal obstruction are rhinitis and NSD. 8 However, as the overwhelming majority of patients in these studies (>99%) reported AR, 25 patients with NAR from a single arm in 1 study 9 were excluded from final analysis. Therefore, the 2 diagnostic entities included for systematic review and meta-analysis were AR and NSD.…”

Section: Methodsmentioning

confidence: 99%

“…Non‐English abstracts, nonhuman studies, review articles, case series (<10 patients), case reports, and studies with suspected overlapping cohorts were excluded. Two of the most common causes of nasal obstruction are rhinitis and NSD 8 . However, as the overwhelming majority of patients in these studies (>99%) reported AR, 25 patients with NAR from a single arm in 1 study 9 were excluded from final analysis.…”

Section: Methodsmentioning

confidence: 99%

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Impact of Treatment for Nasal Cavity Disorders on Sleep Quality: Systematic Review and Meta‐analysis

Fried

Yuen

Zhang

et al. 2021

Otolaryngol.--head neck surg.

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Objective To determine the impact of treatment for patients with nasal obstruction secondary to allergic rhinitis (AR) and nasal septal deviation (NSD) on sleep quality. Data Sources Primary studies were identified though PubMed, Scopus, Cochrane Library, and Web of Science. Review Methods A systematic review was performed by querying databases for articles published through August 2020. Studies were included that reported on objective sleep parameters (apnea-hypopnea index) and sinonasal and sleep-specific patient-reported outcome measures: Rhinoconjunctivitis Quality of Life Questionnaire, Nasal Obstruction Symptom Evaluation, Epworth Sleepiness Scale (EpSS), and Pittsburgh Sleep Quality Index (PSQI). Results The database search yielded 1414 unique articles, of which 28 AR and 7 NSD studies were utilized for meta-analysis. A total of 9037 patients (8515 with AR, 522 with NSD) were identified with a mean age of 35.0 years (35.3 for AR, 34.0 for NSD). Treatment for AR and NSD significantly improved subjective sleep quality. For AR, the EpSS mean difference was −1.5 (95% CI, –2.4 to –0.5; P = .002) and for the PSQI, –1.7 (95% CI, –2.1 to –1.2; P < .00001). For NSD, the EpSS mean difference was −3.2 (95% CI, –4.2 to –2.2; P < .00001) and for the PSQI, –3.4 (95% CI, –6.1 to –0.6; P = .02). Conclusion Subjective sleep quality significantly improved following treatment for AR and NSD. There were insufficient data to demonstrate that objective metrics of sleep quality similarly improved.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Impact of Treatment for Nasal Cavity Disorders on Sleep Quality: Systematic Review and Meta‐analysis

Fried

Yuen

Zhang

et al. 2021

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

show abstract

“…Nasal septal deviation is the most common condition encountered worldwide in Ear, Nose and Throat (ENT) outpatient departments. 1 It is recognized as a significant global health concern, affecting approximately 90% of the population. 2 Due to the global prevalence of septal deviation and the increasing levels of air pollution, 3 the prevalence of allergic rhinitis (AR) has been on the increase, 4 affecting millions globally, disrupting their daily lives, work performance and productivity.…”

Section: Introductionmentioning

confidence: 99%

A longitudinal prospective study of septoplasty impact on headache and allergic rhinitis in patients with septal deviation

Feroz,

Dawood,

Sohail

et al. 2023

J Int Med Res

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Objective To measure the severity of allergic rhinitis (AR) and different types of headaches in patients with septal deviation before and after septoplasty. Methods This multicentre, prospective, longitudinal, observational study enrolled patients with deviated nasal septum, nasal symptoms and headaches associated with persistent AR lasting at least 2 months without resolution. The nasal obstruction evaluation (NOSE) scale, immunoglobulin-E (Ig-E) levels and visual analogue scale (VAS) for headache pain severity were evaluated before and after septoplasty using Wilcoxon signed-rank test. Results A total of 196 patients were enrolled in the study (102 males; 94 females). A total of 134 patients (68%) were diagnosed with severe AR and 166 (85%) experienced headaches with AR. The majority (100 of 166 patients; 60%) had sinusoidal headaches, while 25% (42 of 166 patients) reported a combination of sinusoidal headache and migraine and 14% (24 of 166 patients) experienced migraines. A comparison of preoperative and postoperative Ig-E levels, NOSE and VAS scores demonstrated that septoplasty significantly improved AR symptoms and headaches. Although there were significant improvements in headaches overall post-septoplasty, only the sinusoidal components improved, while migraine remained unaffected. Conclusion Septoplasty improved AR and sinusoidal headaches in patients with septal deviation, but migraines remained unaffected.

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Economic impact analysis of a minimally invasive temperature-controlled radiofrequency device versus nasal surgery for the treatment of nasal airway obstruction in the United States

Yong,

Hollemon,

Baxter

et al. 2024

Journal of Medical Economics

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Nasal obstruction: a common presentation in primary care

Cited by 4 publications

References 6 publications

Impact of Treatment for Nasal Cavity Disorders on Sleep Quality: Systematic Review and Meta‐analysis

Impact of Treatment for Nasal Cavity Disorders on Sleep Quality: Systematic Review and Meta‐analysis

A longitudinal prospective study of septoplasty impact on headache and allergic rhinitis in patients with septal deviation

Economic impact analysis of a minimally invasive temperature-controlled radiofrequency device versus nasal surgery for the treatment of nasal airway obstruction in the United States

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