Neuropsychiatric symptoms, quality of sleep and quality of life in patients diagnosed with nasal septal deviation

Abstract

Objectives: This study aims to evaluate the psychiatric symptoms, quality of sleep, quality of life and the predictive factors affecting quality of sleep in patients diagnosed with nasal septal deviation (NSD). Patients and Methods:Forty male patients (mean age 22.3±1.4 years; range 21 to 26 years) who admitted to the otorhinolaryngology (ORL) clinic of the Ağrı Military Hospital and diagnosed with NSD as a result of a through ORL examination between February 2009 and April 2009 and 36 healthy volunteer (mean age 21.7±1.0 years; range 21 to 25 years) controls, were included in this study. Preand postoperative evaluations were performed using the Quality of Life Scale (Short Form-36/SF-36), the Pittsburgh Sleep Quality Index (PSQI) and the Symptom Check List Revised (SCL-90-R).Results: All patients and controls completed pre-and postoperative evaluations. No complications occurred. There was a statistically significant difference between the groups in the quality of sleep measures, in the SCL-90-R subscales of somatization, obsession, interpersonal sensitivity, depression, anxiety, phobic anxiety, hostility, paranoid thought, and psychoticism, additional scales and in physical health dimension of SF-36 Quality of Life Scale. Conclusion:Psychiatric symptoms are more common in patients with nasal septal deviation when compared to healthy controls. The impairments in nasal breathing in patients with NSD may cause a decline in the physical dimension of quality of life and a marked impairment in sleep quality.Key Words: Nasal septal deviation; psychiatric symptoms; quality of life; quality of sleep. Sonuç: Sağlıklı kontrollerle karşılaştırıldığında, psikiyatrik semptomlar nazal septal deviyasyonlu hastalarda daha fazladır. Nazal septal deviyasyonlu hastalarda nasal solunumla ilgili bozukluklar, yaşam kalitesinin fiziksel boyutunda azalmaya ve uyku kalitesinde belirgin kötüleşmeye neden olabilmektedir.Anahtar Sözcükler: Nazal septal deviyasyon; psikiyatrik semptomlar; yaşam kalitesi; uyku kalitesi.

Decreased hospital charges and postoperative pain in septoplasty by application of enhanced recovery after surgery

“…Septal deviation is a common and multifactorial clinical symptom that has a significant impact on the quality of life through its many complications that arise as the disease progresses. 12 This is usually caused by a trauma during the growth period and genetic factors. 13 The most common treatment for nasal septum deviation is through traditional nasal endoscopic septoplasty, which can relieve nasal congestion and hemorrhage, but has disadvantages including postoperative pain and high cost.…”

Examination of Factors Affecting the Sleep Quality of Psychiatry Patients Through Structural Equation Model

“…[34,38] Bir psikiyatrik tanıya sahip olma ve pskiyatri ilaçlarının kullanımı gibi nedenlerle çalışmamızda yaş ile uyku kalitesi arasında bir ilişki bulunamış olabilir. nedeniyle noktüri yaşaması, [40] kalp hastalığı olanların dispne nedeniyle sık uyanması, [41] boğaz enfeksiyonunda veya alerjik reaksiyonda gelişen ödem ve sürekli akıntı olması nedeniyle hava yolu obstrüksiyonu yaratarak uyku bölünmeleri, [42] ade- noid, tonsil vegetasyon gibi solunum yollarının obstrüksiyonunda intraluminal negatif basıncın düşüp farenksin kollabe olmasına ve horlama gibi uyku sorunları [9,43] kanserli hastanın ağrı yaşaması ve bazı ilaçların korkulu rüyalara neden olması gibi etkiler uyku kalitesinin bozulma nedenleri arasında sayılabilir. [5,44] Bu durum DSM-5'e göre de "Medikal Bozukluklar Ne-denine Bağlı Uyku Bozuklukları" kapsamında yer almaktadır.…”

“…yaşam kalitesini [9,10] ve ruhsal yapısını [10,11] olumsuz yönde etkilemektedir. [1,3,12] Uyku kalitesini olumsuz yönde etkileyen faktörlerden biri de anksiyete, depresyon vb.…”

Nasal diseases and psychological distress

“…Among these diseases, nasal septal perforation due to cocaine inhalation was hypothesized to have psychological aspects while cocaine inhalation could lead to psychological problems (Businco et al, 2008;Glauser & Queen, 2007). In nasal septal deviation patients, psychiatric symptoms were found to be more common than healthy controls (Fidan, Fidan, Ak, & Sutbeyaz, 2011). It was also discovered that sinonasal involvement of Wegener's granulomatosis impacts HRQoL (Srouji, Andrews, Edwards, & Lund, 2006).…”