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CC BY-NC-ND 4.0 · Sleep Sci 2025; 18(04): e436-e443
DOI: 10.1055/s-0045-1811199
Review Article

Sleep and chronic rhinosinusitis: a systematic review of postoperative data

Autor*innen

  • Ana Maria F. F. de Oliveira

    1   Department of Otorhinolaryngology, Head and Neck Surgery, University of Campinas (UNICAMP), Campinas, São Paulo, SP, Brazil

  • Daniel Mendes Lobato

    2   Universidade Estadual Paulista (UNESP), São José Dos Campos, SP, Brazil

  • Luiz Gabriel Signorelli

    1   Department of Otorhinolaryngology, Head and Neck Surgery, University of Campinas (UNICAMP), Campinas, São Paulo, SP, Brazil

  • Fábio T. M. Lorenzetti

    1   Department of Otorhinolaryngology, Head and Neck Surgery, University of Campinas (UNICAMP), Campinas, São Paulo, SP, Brazil

  • Edilson Zancanella

    1   Department of Otorhinolaryngology, Head and Neck Surgery, University of Campinas (UNICAMP), Campinas, São Paulo, SP, Brazil

  • Almiro José Machado Júnior 

    1   Department of Otorhinolaryngology, Head and Neck Surgery, University of Campinas (UNICAMP), Campinas, São Paulo, SP, Brazil
    2   Universidade Estadual Paulista (UNESP), São José Dos Campos, SP, Brazil

Funding The project was funded by the authors themselves.
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Abstract

Introduction

Patients with nasal obstruction due to chronic rhinosinusitis with nasal polyposis may present with altered sleep quality. Data on this subject in the literature remains scarce.

Objectives

To evaluate changes in sleep quality and polysomnographic parameters among patients who underwent functional endoscopic sinus surgery for chronic rhinosinusitis with nasal polyposis.

Materials and Methods

A systematic review was performed in three databases: PubMed, Cochrane, and Embase. The following keywords were used: chronic rhinosinusitis, nasal polyposis, sleep quality, and nasosinusal endoscopic surgery. Studies evaluating adults with nasal polyposis who underwent endoscopic nasosinusal surgery were selected. A meta-analysis was conducted to compare mean scores for polysomnographic and subjective variables from before to after the operation.

Results

A systematic review and meta-analysis of three studies were performed, only one of which was randomized. The total sample consisted of 64 patients. There was a decrease in the mean AHI score and improvements in mean and minimum saturation. The mean difference in percentage of stage N3 from before to after the operation was 1.12 with a 95% CI from −3.51 to 5.75, which was non-significant. There was a mean percentage increase in REM sleep duration and a decrease in PSQI scores, which were both statistically significant (p < 0.05).

Conclusion

There were improvements in the quality of sleep and duration of REM sleep after surgery, with no improvement in polysomnographic respiratory parameters.

Keywords

nasosinusal endoscopic surgery - sleep quality - Chronic rhinosinusitis with nasal polyposis

Ethical Statement

This article does not contain any studies with human participants or animals performed by any of the authors.




Publikationsverlauf

Eingereicht: 10. Februar 2025

Angenommen: 20. Juni 2025

Artikel online veröffentlicht:
31. Dezember 2025

© 2025. Brazilian Sleep Academy. 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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