Improvement of Pulmonary Functions Following Septoplasty: How Are Lower Airways Affected?

Arzu Tuzuner; Gulden Bilgin; Sule Demirci; Gulbahar Darilmaz Yuce; Cemile Acikgoz; Ethem Erdal Samim

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자료유형: 학술저널

저자정보: Arzu Tuzuner Gulden Bilgin Sule Demirci Gulbahar Darilmaz Yuce Cemile Acikgoz Ethem Erdal Samim

저널정보: 대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology 제9권 제1호

발행연도: 2016.1

수록면: 51 - 55 (5page)

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Objectives. 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 following septoplasty using spirometry and 6 minutes walking test (6mWT). And reveal the correlation of symptom score improvement with nasal obstruction symptom score (NOSE) and sino-nasal outcome test (SNOT22) questionnaires following surgery. Methods. Thirty patients with obvious nasal septal deviations were enrolled in the study. All patients had a detailed otorhinolaryngologic examination, filled NOSE/SNOT22 questionnaires, performed spirometry and 6mWT preoperatively. One month after surgery, NOSE/SNOT22 questionnaires filled by subjects and spirometry with 6mWT were performed again, and the results were compared. Results. The mean total walking distance was 702.3±68.2 m preoperatively, and it improved to 753.2±72.6 m postoperatively (P<0.001). Total tour count increased from 11 (range, 10.8 to 12.0) to 12 (range, 11 to 13.3), and the difference was found statistically significant (P<0.001). When the preoperative and postoperative mean 6mWT results were compared, diastolic blood pressure increased from 70 to 80 mmHg (P=0.031), heart rate increased from 83.5±13.2 to 90.1±12.5 bpm (P=0.017), dyspnea rate decreased from 1 to 0 (P=0.002), and fatigue scores reduced from 2 to 1 (P=0.003). Evaluation on spirometry findings revealed that FIF50% (maximum inspiratory flow at 50% of forced vital capacity [FVC]) scores and peak expiratory flow (PEF) values improved significantly after surgery. 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, as shown by 6mWT, exercise capacity improves following surgery. Postoperative NOSE and SNOT22 scores reduced markedly compared to preoperative values (P<0.001). Conclusion. These findings suggest that nasal septal surgery has a positive effect on pulmonary functions, and this can be an important clue for the relationship of lung disorders and nasal obstruction.

#Keywords. Nasal Obstruction #Spirometry #Questionnaires #Exercise Test

참고문헌 (30)

참고문헌 신청

Stewart MG. / 2004 / Outcomes after nasal septoplasty : results from the nasal obstruction septoplasty effectiveness(NOSE)study / Otolaryngol Head Neck Surg 130(3):283~290

Hopkins C. / 2009 / Psychometric validity of the 22-item sinonasal outcome test / Clin Otolaryngol 34(5):447~454

Buckland JR. / 2003 / Can the sino-nasal outcome test(SNOT-22)be used as a reliable outcome measure for successful septal surgery? / Clin Otolaryngol Allied Sci 28(1):43~47

American Thoracic Society / 1995 / Standardization of spirometry, 1994 update / Am J Respir Crit Care Med 152(3):1107~1136

Karaman M. / 2011 / Evaluation of patients with septal deviation using respiratory function tests before and after septoplasty / Kulak Burun Bogaz Bas Boyun Cerrahi Derg 19(1):1~5

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