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August 1991

Sleep and Nasal Disease-Reply

Author Affiliations

Ann Arbor, Mich.

Arch Intern Med. 1991;151(8):1669. doi:10.1001/archinte.1991.00400080149032

In Reply.—  We thank Dr Chester for his comments. As a part of our sleep questionnaire, we include two yes/no questions relating to sinus disease: (1) Do you have any problems with nasal congestion, obstruction, or discharge? (2) Have you ever had any problems with tonsils, adenoids, sinusitis, or nasal polyps? We reviewed the answers to these questions obtained from the 592 patients and 65 control subjects included in our study.1 We compared the frequency of positive responses to these questions obtained from patients with frequent headaches with that from patients without frequent headaches for each of the diagnostic groups. Comparisons between groups were performed using analysis of variance.The data presented in the Table do not support Chester's suggestion that sinus and nasal pathogeneses account for the morning headaches reported by our patients. However, nasal and sinus problems may account for some of the headaches reported in the

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