OBJECTIVE: Nasal septum deviation is a major cause of nasal obstruction. Although the relationship between sleep quality and respiratory functions is studied well, studies involving the relationship between sleep quality and nasal septum deviation are inadequate in Turkey. In this study we aimed to evaluate sleep and life quality of individuals with septum deviation who presented to the otolaryngology outpatient clinic.
METHODS: Fifty-one patients were enrolled in the study. Chronic sinusitis, obesity, nasal polyps, allergic rhinitis, history of chronic psychiatric disorder, presence of chronic medical illness were the exclusion criteria. 29.4% were women and mean age was 27.4. The data was collected by using Sociodemoghrapic Form, Nasal Obstruction Symptom Evaluation (NOSE) scale, Short Form-36 (Sf-36), and Pittsburgh Sleep Quality Index (PSQI).
RESULTS: Mean NOSE score was 52.4±22.4. The PSQI scores revealed that 25.5% (n=13) of participants’ (sleep quality was well, while 74.5% (n=38) of (them was bad. Those have worse sleep quality have higher NOSE scores than those who have better sleep quality. The difference between the study groups was statistically significant. There were statistically significant negative correlations between the NOSE scores and all subscales of the SF-36. Emotional role functioning and Social functioning subscales of SF-36 had highest correlation coefficiencies with NOSE total scores and the correlation was statistically significant.
CONCLUSION: The results obtained from the study showed that patients with nasal septum deviation had lower points in sleep and life quality scores. In a study with 3,442 patients, it was shown that patients with chronic nasal obstruction had lower scores in sleep and life quality when compared with the healthy controls. In this present study, statistically significant relationship was found between nasal obstruction severity and disruption of sleep quality. Although decreased scores in all areas of quality of life in patients with nasal obstruction, only the reduction in the subscales of emotional role difficulties and social functioning were statistically significant. We believed that these results were due to small sample size. Cross-sectional nature of the study, small sample size, and not including a control group were limitations of the study. Results of this study supports the notion that it is important to evaluate sleep and life quality of individuals with nasal septum deviation.