DETROIT While mood disorders like depression or anxiety tend to negatively affect treatment for allergies and chronic rhinosinusitis, the same cannot be said for patients with nasal obstructions such as deviated septum, according to researchers at Henry Ford Hospital.
The new study shows mood disorders are not linked to either nasal obstructive symptoms or the failure of nasal obstruction surgery.
Results also suggest that those patients with nasal obstruction caused by septal deviation a blockage of the nasal airway caused by a portion of cartilage or bony septum who do not have signs and symptoms of allergic rhinitis would not benefit from depression screening if nasal treatment is unsuccessful.
"Although the literature supports more negative outcomes of allergic rhinitis and chronic rhinosinusitis patients with mood disorders, our data does not show a similar relationship for septal deviation," says study author Lamont R. Jones, M.D., vice chair, Department of Otolaryngology-Head and Neck Surgery at Henry Ford.
"It's unclear why depression would exacerbate symptoms after certain nasal procedures, but not others; although it's very likely that the difference could be due to the inflammatory nature of rhinosinusitis and seasonal allergies."
The study will be presented this week at the Combined Otolaryngological Spring Meetings in San Diego.
Nasal obstruction is a common complaint among patients in otolaryngology (ear, nose and throat) clinics. It is often caused by inflammation from inhalant allergies, mucosal edema from chronic rhinosinusitis, and mechanical obstruction from a deflected septum.
Treatment ranges from nasal saline irrigations, topical corticosteroid sprays, allergy control and surgery. Yet some patients lack long-lasting benefit from treatment. According to some research reports, many of these difficult-to-treat nasal patients may also have a mood disorder.
|Contact: Krista Hopson|
Henry Ford Health System