{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T01:41:59Z","timestamp":1779154919666,"version":"3.51.4"},"reference-count":24,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,5,9]],"date-time":"2023-05-09T00:00:00Z","timestamp":1683590400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Approximately 20% of patients with chronic rhinosinusitis (CRS) have comorbid obstructive sleep apnea (OSA). Patients with undiagnosed OSA are at high risk for perioperative complications. The Sinonasal Outcomes Test (SNOT\u201022) Questionnaire is commonly administered to CRS patients, whereas OSA screening tools are less routinely employed. This study compared SNOT\u201022 sleep subdomain (Sleep\u2010SNOT) scores among non\u2010OSA CRS versus OSA\u2010CRS patients undergoing ESS, and assessed sensitivity, specificity, and diagnostic accuracy of the Sleep\u2010SNOT for OSA screening.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective review of patients that underwent endoscopic sinus surgery (ESS) for CRS from 2012 to 2021. Patients either carried a reported OSA diagnosis and completed the SNOT\u201022, or had undocumented OSA status and completed both STOP\u2010BANG and SNOT\u201022. Demographics, questionnaire scores, and OSA status were collected. A receiver operating characteristic (ROC) curve assessed cutoff scores, sensitivity, and specificity of the Sleep\u2010SNOT for OSA screening.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 600 patients reviewed, 109 were included. 41% had comorbid OSA. OSA patients had a higher BMI (32.1\u2009\u00b1\u20097.7 vs. 28.35\u2009\u00b1\u20096.7\u2009kg\/m<jats:sup>2<\/jats:sup>; <jats:italic>p<\/jats:italic>\u2009=\u20090.02), Sleep\u2010SNOT (21.96\u2009\u00b1\u200912.1 vs. 16.8\u2009\u00b1\u200911.2; <jats:italic>p<\/jats:italic>\u2009=\u20090.021) and STOP\u2010BANG (3.1\u2009\u00b1\u20091.44 vs. 2.06\u2009\u00b1\u20091.27; <jats:italic>p<\/jats:italic>\u2009=\u20090.038) scores. A Sleep\u2010SNOT score of 17.5 had a sensitivity of 68.9%, specificity of 55.7%, and diagnostic accuracy of 63% for OSA detection (<jats:italic>p<\/jats:italic>\u2009=\u20090.022).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Sleep\u2010SNOT scores are greater for CRS\u2010OSA patients. The Sleep\u2010SNOT ROC curve demonstrates a high sensitivity, specificity, and accuracy for OSA screening in CRS patients. A Sleep\u2010SNOT score of \u226517.5 should prompt further OSA evaluation. The Sleep\u2010SNOT may be considered as a surrogate OSA screening tool when other validated tools are not employed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>Retrospective chart review, Level 3 <jats:italic>Laryngoscope<\/jats:italic>, 133:2029\u20132034, 2023<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.30730","type":"journal-article","created":{"date-parts":[[2023,5,10]],"date-time":"2023-05-10T20:57:02Z","timestamp":1683752222000},"page":"2029-2034","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Sleep Subdomain of the Sinonasal Outcome Test as a Potential Screening Tool for Sleep Apnea in Chronic Rhinosinusitis"],"prefix":"10.1002","volume":"133","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6847-442X","authenticated-orcid":false,"given":"Alexander N.","family":"Duffy","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Thomas Jefferson University Hospital  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rahul","family":"Alapati","sequence":"additional","affiliation":[{"name":"Sidney Kimmel Medical College Thomas Jefferson University  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9856-6149","authenticated-orcid":false,"given":"Chandala","family":"Chitguppi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Thomas Jefferson University Hospital  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Glen","family":"D'Souza","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Thomas Jefferson University Hospital  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0821-7784","authenticated-orcid":false,"given":"Sean M.","family":"Parsel","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology \u2010 Head and Neck Surgery Lehigh Valley Health Network  Allentown PA USA"},{"name":"Department of Surgery University of South Florida  Tampa FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elina M.","family":"Toskala","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Thomas Jefferson University Hospital  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4476-0426","authenticated-orcid":false,"given":"Marc R.","family":"Rosen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Thomas Jefferson University Hospital  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gurston G.","family":"Nyquist","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Thomas Jefferson University Hospital  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mindy R.","family":"Rabinowitz","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Thomas Jefferson University Hospital  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,5,9]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25411"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.1784"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.15-0903"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000002241"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.22905"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2018.03.003"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24581"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599815572097"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/srep20786"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.4193\/Rhino15.204"},{"issue":"1","key":"e_1_2_6_12_1","first-page":"36","article-title":"Assessment 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Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.30730","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,17]],"date-time":"2023-08-17T03:45:55Z","timestamp":1692243955000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.30730"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,9]]},"references-count":24,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["10.1002\/lary.30730"],"URL":"https:\/\/doi.org\/10.1002\/lary.30730","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,9]]},"assertion":[{"value":"2022-11-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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