Effectiveness of septoplasty on pulmonary function tests in symptomatic deviated nasal septum cases: a prospective study

Vidya Bhargavan Panicker, B.P. Belaldavar


Background: Deviation of normal pulmonary functions leads to dysfunction of the respiratory system and this affects the functions and vitality of other related systems. Pulmonary function tests give valuable information on the state of airways, lung volumes and lung function. Hence, the present study aimed to evaluate the effectiveness of septoplasty on pulmonary function tests in symptomatic deviated nasal septum cases.

Methods: A total of 35 patients (septoplasty: 31; septorhinoplasty: 4) with deviated nasal septum were involved in the study. Demographic data, clinical and physical examination including anterior and posterior rhinoscopy was performed. RMS Helios 702 spirometer was used to perform pre- and postoperative pulmonary function tests. Forced vital capacity (FVC), forced expiratory volume (FEV1) in 1 second, peak expiratory flow rate, and the ratio of FEV1 to FVC were the parameters measured. SPSSV. 17 was used to analyse the data.  

Results: The deviation was most commonly seen on the left side (54%), affecting mostly the cartilaginous septum (54%). Among patients with septoplasty, the postoperative values of FVC (p<0.05), FEV1 (p<0.05), and peak expiratory flow (p<0.05) were higher than the preoperative values and the results were statistically significant. Age, gender, laterality and duration of deviation, headache and inferior turbinate hypertrophy did not play a significant role in the enhancement of pulmonary functions after septoplasty.

Conclusions: A favorable outcome in pulmonary function was observed in patients with deviated nasal septum after septoplasty. However, due to limited sample size, it is advisable to conduct the study in a larger sample to validate these results.


Deviated nasal septum, Pulmonary function tests, Septoplasty, Septorhinoplasty

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