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. 2020 Feb 26;5(3):344-347.
doi: 10.1002/lio2.335. eCollection 2020 Jun.

Effect of endoscopic endonasal skull base surgery on snoring

Do Hyun Kim  1 , Min Hyeong Lee  1 , Jaeyoon Lee  1 , Sung Won Kim  1
Affiliations

Effect of endoscopic endonasal skull base surgery on snoring

Do Hyun Kim et al. Laryngoscope Investig Otolaryngol. .

Abstract

Background: As the number of endoscopic skull base surgeries has increased, postoperative changes in quality of life require attention, including evaluation of whether snoring symptoms change.

Objective: To investigate the effect of endoscopic endonasal skull base surgery on snoring and nasal symptom scores.

Methods: Between February 2009 and September 2018, 510 patients underwent skull base tumor resection via an endoscopic endonasal approach and were included in this study. Nasal symptoms were scored using the Nasal Obstruction Symptoms Evaluation (NOSE) scale and snoring symptoms were subjectively scored from 0 to 10 by partners using a visual analog scale (VAS). Computational fluid dynamics (CFD) was employed for pilot patient analysis.

Results: A pituitary adenoma was the most common surgical pathology encountered over the past 10 years (81.6% of all tumors). The NOSE scores increased significantly after surgery (pre-surgery, 3.28 ± 3.18; post-surgery, 4.09 ± 3.61; P < .001). The snoring VAS score decreased significantly postoperatively (pre-surgery, 2.91 ± 2.74; post-surgery, 2.43 ± 2.45; P < .001). A positive correlation was apparent between the NOSE and snoring score changes (r = 0.374; P < .001).

Conclusions: Snoring improved after endoscopic endonasal skull base surgery, associated with changes in nasal symptoms.

Level of evidence: 4.

Keywords: endonasal; endoscopic; skull base; snoring.

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Conflict of interest statement

The authors declare no potential conflict of interest.

Figures

Figure 1
Figure 1
Changes in NOSE and VAS scores in patients treated via endoscopic endonasal skull base surgery. *P‐value <.001. NOSE: Nasal Obstruction Symptoms Evaluation; VAS: visual analog scale
Figure 2
Figure 2
Computational fluid dynamics pilot study model before and after surgery on patients in whom snoring improved after surgery. Higher pressure drop and more velocity streamlining during inspiration were calculated especially in the nasopharyngeal area after surgery
See this image and copyright information in PMC

References

    1. Rotenberg B, Tam S, Ryu WH, Duggal N. Microscopic versus endoscopic pituitary surgery: a systematic review. Laryngoscope. 2010;120:1292‐1297. - PubMed
    1. Strychowsky J, Nayan S, Reddy K, Farrokhyar F, Sommer D. Purely endoscopic transsphenoidal surgery versus traditional microsurgery for resection of pituitary adenomas: systematic review. J Otolaryngol Head Neck Surg. 2011;40:175‐185. - PubMed
    1. Jones SH, Iannone AF, Patel KS, et al. The impact of age on long‐term quality of life after endonasal endoscopic resection of skull base meningiomas. Neurosurgery. 2016;79:736‐745. - PubMed
    1. Patel ZM, DelGaudio JM. Olfaction following endoscopic skull base surgery. Curr Opin Otolaryngol Head Neck Surg. 2016;24:70‐74. - PubMed
    1. Schaberg MR. Quality of life outcomes after endoscopic approaches to intracranial tumors. Curr Opin Otolaryngol Head Neck Surg. 2018;26:58‐64. - PubMed

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