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CC BY-NC-ND 4.0 · Sleep Sci 2019; 12(03): 126-131
DOI: 10.5935/1984-0063.20190077
ORIGINAL ARTICLE

Evaluation of sleep quality and risk of obstructive sleep apnea in patients referred for aesthetic rhinoplasty

Lucas Kenzo Miyahara
1   Universidade Federal de São Paulo, Department of Otolaryngology and Head and Neck Surgery - São Paulo - São Paulo - Brazil.
,
Renato Stefanini
1   Universidade Federal de São Paulo, Department of Otolaryngology and Head and Neck Surgery - São Paulo - São Paulo - Brazil.
,
Vinicius Magalhães Suguri
1   Universidade Federal de São Paulo, Department of Otolaryngology and Head and Neck Surgery - São Paulo - São Paulo - Brazil.
,
Guilherme Henrique Wawginiak
1   Universidade Federal de São Paulo, Department of Otolaryngology and Head and Neck Surgery - São Paulo - São Paulo - Brazil.
,
Rafael de Andrade Balsalobre
1   Universidade Federal de São Paulo, Department of Otolaryngology and Head and Neck Surgery - São Paulo - São Paulo - Brazil.
,
Fernanda Louise Martinho Haddad
1   Universidade Federal de São Paulo, Department of Otolaryngology and Head and Neck Surgery - São Paulo - São Paulo - Brazil.
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Importance >Aesthetic rhinoplasty is the fifth surgical procedure most performed worldwide by plastic surgeons. With the growing demand for rhinoplasty, there is an unmet need for research into the profile of patients who seek aesthetic nasal surgery in an attempt to improve not only cosmetic dissatisfactions, but also the manifestations of other, possibly interrelated disorders, especially sleep disturbances.

Objective To evaluate the sleep quality and the risk of Obstructive Sleep Apnea in patients referred for aesthetic rhinoplasty, as well as the association of these conditions with nasal symptoms. Design: Cross-sectional study performed at the period of June/2016 to August/2017. Setting: Department of Otolaryngology and Head and Neck Surgery - Universidade Federal de São Paulo. Participants: Patients of both sexes, aged 18 to 65 years, who were referred for aesthetic rhinoplasty. We evaluated 46 patients, two of whom were excluded because they were outside the inclusion age criteria. Main Outcome(s) and Measure(s): Anterior rhinoscopy and the following validated surveys were used. Pittsburgh Sleep Quality Index; Epworth Sleepiness Scale; Nasal Obstruction Symptom Evaluation scale; Berlin Questionnaire. The visual analog scale for snoring was also used.

Results Of the 44 participants, 18 (41%) were males and 26 (59%) were females. 82% had poor sleep quality. 46% presented excessive daytime sleepiness. There was a high risk for Obstructive Sleep Apnea in 27%. Regarding to nasal symptoms, the mean score in the Nasal Obstructive Symptoms Evaluation was 66.25±25.38. When comparing the groups with good and poor sleep quality, we observed a higher risk for Obstructive Sleep Apnea (p=0.05) in patients with poor sleep quality. Patients at high risk for Obstructive Sleep Apnea had higher scores on the Nasal Obstructive Symptoms Evaluation (p=0.001) and on the analogue snoring scale (p<0.001) compared to patients at low risk.

Conclusions We observed a high occurrence of poor sleep quality in participants. All participants who were at high risk for obstructive sleep apnea were also classified as having poor sleep quality. An association was also observed between the presence of high risk for obstructive sleep apnea and presence of nasal symptoms.

Rhinoplasty - Sleep - Sleep Apnea, Obstructive

Funding There was no source of funding.




Publication History

Received: 12 June 2018

Accepted: 24 August 2019

Article published online:
31 October 2023

© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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