Obstructive disorders -FVC normal or↓, FEV1 ↓, FEF25-75% ↓, FEV1/FVC ↓, TLC normal or ↑.Restrictive disorders -FVC ↓, FEV1 ↓, FEF 25-75% normal to ↓, FEV1/FVC N↑, TLC ↓. ABSTRACTBackground: 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 FEF 50% (maximum expiratory flow at 50% of FVC)/FIF 50% , it increases PEF and FIF 50% 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.
Background: Chronic tonsillitis is most common condition which affects school going children. Improper use of antibiotic among the common population has led to many drug resistant organisms; therefore, it is necessary to study the antimicrobial susceptibility pattern before treating the patient with Chronic tonsillitis. Aim of the study is to determine whether fine-needle aspiration of tonsil, gives a representative picture of deep tonsil flora in chronic tonsillitis, as assessed by subsequent culture from the core of the resected tonsils, and to compare the findings of fine needle tonsils aspiration, with findings from a routine superficial tonsil surface swab. Methods: Study conducted at ENT department of Vinayaka mission medical college, Karaikal, Pondicherry over a period of 1year (June 2018 to May 2019). 77 patients were operated for chronic tonsillitis were included in the study. 3 swabs were collected from surface of tonsil. Tonsil aspiration was done using a 10-mL syringe with an18-gauge needle and swab from core of tonsil was collected for culture and sensitivity. Bacterial isolates were identified using standard methods and antibiotic susceptibility testing were done. Results: Group B hemolytic streptococcus, Streptococcus pneumonae and Staphlococcus aueus were the predominant microbes isolated in the aspirate and tonsil core tissue in outpatient population. Whereas Alpha hemolytic streptoccus and Group B hemolytic streptococcus were predominantly seen in tonsillar surface. Conclusions: Tonsil fine needle aspiration helps in diagnosis of Chronic tonsillitis and culture based antibiotic therapy. Due to which Tonsillectomy procedures can be avoided in Chronic tonsillitis patients.
<p class="abstract"><strong>Background:</strong> Allergic rhinosinuitis is one of the common clinical problems that otorhinolaryngologist faces daily. Sinusitis symptoms like headache, facial pain and eyelid oedema are frequent in patients with allergic rhinitis, which in turn will affect the cognitive function, productivity and quality of life which impair the efficiency of the individual work performance. It may result in a prescription for antibiotics but the role of antibiotics is debated. Anti-inflammatory drugs such as intranasal steroids play a major role in reducing the symptoms of allergic rhinitis. We plan to compare the efficacy of budesonide nasal spray with mometasone furoate nasal spray in reducing the nasal and sinus symptoms of allergic rhinosinusitis.</p><p class="abstract"><strong>Methods:</strong> 146 patients of allergic rhinitis with sinusitis symptoms were randomly divided into 2 groups as Group A (n=70) received 256 μg budesonide nasal spray of once daily and Group B (n=76) received 200 μg of mometasone furoate nasal spray daily. The patients were assessed by sino-nasal outcome test (SNOT) score and total nasal symptom score (TNSS) at 2, 6 and 12 weeks interval. </p><p class="abstract"><strong>Results:</strong> There is significant reduction in both the groups, in respect to the SNOT and TNSS scores. We also observed significant improvement in the SNOT score in the budesonide group when compared with the mometasone furoate group by 6weeks which continued till the 12 weeks (p=0.001).</p><p class="abstract"><strong>Conclusions:</strong> Budesonide nasal spray is more effective than mometasone furoate spray in managing both sinus and nasal symptoms in allergic rhinitis.</p>
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