Sino-Nasal Outcome Test Tool Assessment in Patients with Chronic Rhinosinusitis and Obstructive Sleep Apnea
2012; Karger Publishers; Volume: 74; Issue: 5 Linguagem: Inglês
10.1159/000343802
ISSN1423-0275
AutoresVasileios A. Lachanas, Troy D. Woodard, Jastin L. Antisdel, Stilianos E. Kountakis,
Tópico(s)Allergic Rhinitis and Sensitization
Resumo<b><i>Objective:</i></b> The Sino-Nasal Outcome Test (SNOT-20) is a rhinosinusitis quality of life instrument. Nonrhinologic illnesses like obstructive sleep apnea (OSA) may elevate SNOT-20 scores. We compared SNOT-20 outcomes in patients with chronic rhinosinusitis (CRS) to those in patients with OSA. <b><i>Methods:</i></b> We analyzed prospectively collected data of patients with CRS and OSA. Pretreatment SNOT-20 and Lund-Kennedy endoscopy scores were obtained. Scores and patterns of SNOT-20 symptom distribution were compared. <b><i>Results:</i></b> Fifty-seven patients had CRS and 65 patients had OSA. Both groups had elevated mean total SNOT-20 scores (28 ± 12.2 and 29 ± 10.7, respectively). Higher scores were noticed for OSA patients on the wellness section of the SNOT-20 and for CRS patients on the sinonasal section of the SNOT-20 (p < 0.001). <b><i>Conclusions:</i></b> CRS and OSA patients present with elevated total SNOT-20 scores but differ in their symptom distribution pattern. This study demonstrates that other disorders can elevate SNOT-20 scores and confirms the need for additional objective data to confirm CRS diagnosis.
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