Pulmonary function improvement following septoplasty
Keywords:Nasal septal deviation, Septoplasty, Spirometry
Background: Nasal septal deviation is a frequent cause of increased nasal airway resistance. A narrow nasal airway would result in a decreased airflow into the lungs. The aim of the present study was to evaluate the alterations of the pulmonary functions prior to and following septoplasty using spirometry.
Methods: Thirty patients with obvious nasal septal deviations were enrolled in the study. All patients had a detailed otorhinolaryngologic examination, and were performed spirometry, prior to and one month after septoplasty surgery, and the results were compared.
Results: Septoplasty improves the nasal breathing pattern. While reducing FEF50% (maximum expiratory flow at 50% of FVC)/FIF50%, it increases PEF and FIF50% values. In addition, exercise capacity improves following surgery. Postoperative scores showed reduction markedly compared to preoperative values (p<0.001).
Conclusions: Nasal septal surgery has a positive effect on pulmonary functions.
Ragab A, Clement P, Vincken W. Objective assessment of lower airway involvement in chronic rhinosinusitis. Am J Rhinol. 2004;18(1):15–21.
Karaman M, Tek A, Tuncel A, Erdem Habesoglu T. Evaluation of patients with septal deviation using respiratory function tests before and after septoplasty. Kulak Burun Bogaz Bas Boyun Cerrahi Derg. 2011;19(1):1-5.
Niedzielska G, Kotowski M, Niedzielski A. Assessment of pulmonary function and nasal flow in children with adenoid hypertrophy. Int J Pediatr Otorhinolaryngol. 2008;72(3):333-5.
Tuzuner A, Bilgin G, Demirci S, Yuce GD, Acikgoz C, Samim EE. Improvement of Pulmonary Functions Following Septoplasty: How Are Lower Airways Affected? Clin Exp Otorhinolaryngol. 2016; 9(1):51-5.
Rogha M, Amini J, Raisi M. Pulmonary function after adenotonsillectomy. Iran J Otorhinolaryngol. 2016;28(89):383-8.
Ikeda K, Tanno N, Tamura G. Endoscopic sinus surgery improves pulmonary function in patients with asthma associated with chronic sinusitis. Ann Otol Rhinol Laryngol. 1999;108:355–9.
Goldstein MF, Grundfast SK, Dunsky EH, Dyorin DJ, Lesser R. Effect of functional endoscopic sinus surgery on Bronchial asthma outcomes. Arch Otolaryngol. 1999;125:314–9.
Bulcun E, Kazkayasi M, Ekici MA, Tahran FD, Ekici M. Effects of septoplasty on pulmonary function tests in patients with nasal septal deviation. J Otolaryngol Head Neck Surg. 2010;39(2):196-202.
Aykan M, Aydın S, Öktem S, Demir MG, Tutar E. Effect of adenoid hypertrophy and pulmonary function tests in children with mild asthma. Kulak Burun Bogaz Ihtis Derg. 2016;26(5):253-7.
Kavukcu S, Coskun S, Cevik N, Kuscu B, Akkoclu A. The importance of pulmonary function tests in adenotonsillectomy indications. Indian J Pediatr. 1993;60:249–55.
Batra PS, Kern RC, Tripathi A, Conley DB, Ditto AM, Haines GK, Yarnold PR, Grammar L Outcome analysis of endoscopic sinus surgery in patients with nasal polyps and asthma. Laryngoscope. 2003;113(10):1703–6.
Karuthedath S, Singh I, Chadha S. Impact of Functional Endoscopic Sinus Surgery on the Pulmonary Function of Patients with Chronic Rhinosinusitis: A Prospective Study. Indian J Otolaryngol Head Neck Surg. 2014;66(4):441–8.
Yadav SP, Dodeja OP, Gupta KB, Chanda R. Pulmonary function tests in children with adenotonsillar hypertrophy. Int J Pediatr Otorhinolaryngol. 2003;67(2):121-5.