Effects of Surgical Treatment for Allergic Rhinitis on Sleep and Mental Health in Adolescents

Takayuki Nakagawa,Shinya Hiroshiba,Eriko Ogino-Nishimura

doi:10.3390/surgeries3010005

Abstract

Allergic rhinitis (AR) is a common chronic condition that is usually treated medically. Adolescents form a unique population in which AR-associated symptoms are greater than those in adults or children, and are closely related to sleep and mental disorders. In the current study, a retrospective analysis was performed to illustrate the surgical effects of AR symptoms on sleep and mental disorders in adolescents. In 81 adolescents with AR symptoms refractory to medical management, the severity of the AR symptoms was correlated with that of sleep or mental disorders. As a standard surgical procedure, submucosal bony resection of inferior turbinates with posterior nasal neurectomy was performed and half of the subjects underwent septoplasty due to severe deviation of the nasal septum. The degree of improvement in AR-associated symptoms by surgical treatment was correlated with that of mental disorders in adolescent patients who had sleep and mental disorders preoperatively. Considering the impact of AR symptoms on the quality of life of adolescents, surgical treatment can be a potent option for the treatment of AR refractory to medical management in this population.

Highlights

Allergic rhinitis (AR) is a common chronic condition, and its symptoms, including nasal obstruction, repetitive sneezing, and watery nasal discharge, generally develop before the age of 20 years [1]
We focused on questions 17–22 as mental health questions
The burden of AR on education in adolescents has been reported [14,15,16]. These findings indicate that the impact of controlling AR symptoms on quality of life (QOL) can be greater in adolescents than in adults or children

Summary

Introduction

Allergic rhinitis (AR) is a common chronic condition, and its symptoms, including nasal obstruction, repetitive sneezing, and watery nasal discharge, generally develop before the age of 20 years [1]. The symptoms associated with AR in adolescents are different from those in children and adults, and have a more serious impact on their physical and mental conditions [3]. An AR-associated symptom [2], are more relevant in adolescents [3]. Appropriate management of AR symptoms is important in adolescents. The impact of surgical treatments for AR on sleep and mental disorders in adolescents is not fully understood. We retrospectively analyzed the efficacy of surgical treatment for AR in managing sleep and mental disorders in adolescents

Subjects

Surgical Procedure

Outcomes Measured

Statistical Analyses

Results

Conclusions