The Relationship of Preseptoplasty and Postseptoplasty Early Period Comfort Level With Nasal Obstruction, Sleep Quality, and Fatigue Severity: A Prospective Study.

PURPOSE

The aim of this study was to compare the comfort level, nasal obstruction, sleep quality, and fatigue of patients with septal deviation preseptoplasty and postseptoplasty.

DESIGN

A prospective study conducted on 65 patients diagnosed with septal deviation.

METHODS

The data of the study were collected using an Introductory Information Form, a Short General Comfort Questionnaire, the Pittsburgh Sleep Quality Index, the Fatigue Severity Scale, and the Nasal Obstruction Septoplasty Effectiveness Scale. Linear regression was performed to evaluate the extent of the relationship of predictors affecting the comfort level.

FINDINGS

There was a statistically significant difference between the scores in the preoperative period and postoperative weeks 4 and 12. It was found that patients' use of sleeping medication, nasal obstruction, fatigue, and subjective sleep quality were the primary predictors of comfort levels in the preoperative period. In the postoperative week 4, comfort level predictors were daytime dysfunction and subjective sleep quality. Daytime dysfunction and working conditions were the predictors of comfort level in the postoperative week 12.

CONCLUSIONS

Many physical problems, such as nasal obstruction, fatigue, and sleep disorders were detected in patients before septoplasty. This study revealed the importance of performing septoplasty before sleep quality reaches a pathologic level or requires a sleep medication.