Kim Do Hyun, Lee Min Hyeong, Lee Jaeyoon, Kim Sung Won
Department of Otolaryngology-Head and Neck Surgery Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea Seoul South Korea.
Laryngoscope Investig Otolaryngol. 2020 Feb 26;5(3):344-347. doi: 10.1002/lio2.335. eCollection 2020 Jun.
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.
To investigate the effect of endoscopic endonasal skull base surgery on snoring and nasal symptom scores.
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.
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; < .001). The snoring VAS score decreased significantly postoperatively (pre-surgery, 2.91 ± 2.74; post-surgery, 2.43 ± 2.45; < .001). A positive correlation was apparent between the NOSE and snoring score changes ( = 0.374; < .001).
Snoring improved after endoscopic endonasal skull base surgery, associated with changes in nasal symptoms.
随着内镜颅底手术数量的增加，术后生活质量的变化需要关注，包括打鼾症状是否改变的评估。
探讨鼻内镜下经鼻颅底手术对打鼾及鼻部症状评分的影响。
2009年2月至2018年9月期间，510例患者经鼻内镜入路行颅底肿瘤切除术并纳入本研究。采用鼻阻塞症状评估（NOSE）量表对鼻部症状进行评分，打鼾症状由伴侣使用视觉模拟量表（VAS）从0到10进行主观评分。采用计算流体动力学（CFD）对试点患者进行分析。
垂体腺瘤是过去10年中最常见的手术病理类型（占所有肿瘤的81.6%）。术后NOSE评分显著升高（术前，3.28±3.18；术后，4.09±3.61；<0.001）。术后打鼾VAS评分显著降低（术前，2.91±2.74；术后，2.43±2.45；<0.001）。NOSE评分变化与打鼾评分变化之间存在明显的正相关（=0.374；<0.001）。
鼻内镜下经鼻颅底手术后打鼾情况改善，与鼻部症状的改变有关。
4级。
