Assessment of pulmonary function and nasal flow in children with adenoid hypertrophy

Niedzielska, G; Kotowski, Michał; Niedzielski, Artur

doi:10.1016/j.ijporl.2007.11.009

Cited by 16 publications

(11 citation statements)

References 10 publications

(8 reference statements)

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“…When it is remembered that nasal airway forms 50% of total airway resistance, it seems worthy to study the alterations of the nasal airflow parameters during exercise and during inspiration, following nasal surgery. Niedzielska et al [ 14 ] studied PFT differences in children after adenoidectomy, and found significant differences for vital capacity, FEV 1 , FVC, PEF, FEV 1 /PEF, and FEV 1 /FVC. The authors concluded that resolving the nasal obstruction with adenoidectomy improved PFT parameters in the postoperative period.…”

Section: Discussionmentioning

confidence: 99%

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

Tüzüner

Bilgin

Demirci

et al. 2016

Clin Exp Otorhinolaryngol

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ObjectivesNasal 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.MethodsThirty 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.ResultsThe 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).ConclusionThese 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.

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Section: Discussionmentioning

confidence: 99%

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

Tüzüner

Bilgin

Demirci

et al. 2016

Clin Exp Otorhinolaryngol

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“…Another study showed that FEV 1 values remained the same whereas PEF, FVC, FEV 1 /PEF, FEV 1 /FVC values improved significantly after adenoidectomy. [12] Moreover, Pherwani et al [13] investigated the comorbid conditions in allergic children and detected mild to moderate airway obstruction on spirometry including those who did not have any history or symptoms of asthma.…”

Section: Discussionmentioning

confidence: 99%

Effect of adenoid hypertrophy and pulmonary function tests in children with mild asthma

Aykan¹,

Aydın²,

Öktem³

et al. 2016

Kulak Burun Bogaz Ihtis Derg

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“…For these parameters except FEV1/FVC the p value was 0.001 which was significant, which is replicable in our findings, and nevertheless, the FEV1/FVC value also improved statistically with p value being 0.008. 3 Tzuner et al studied PFT differences after septoplasty in 30 patients, PEF values changed statistically significantly 1 month after septoplasty (p<0.001). 4 In accordance to all above studies, in our study as well, the spirometry parameters showed improved significantly.…”

Section: Discussionmentioning

confidence: 99%

“…Initially alone, the septum is straightened, stabilized splints, gauze packs, small plastic tubes, splints and sutures. 3 During controlled ventilatory maneuvers, air moves to the lungs and vice versa. Spirometry is non-invasive procedure used for measuring the movement pattern of air during this process.…”

Section: Introductionmentioning

confidence: 99%

Pulmonary function improvement following septoplasty

Arivazhagan

Srinivasa

Rafeeque

et al. 2019

Int J Otorhinolaryngol Head Neck Surg

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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.

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Assessment of pulmonary function and nasal flow in children with adenoid hypertrophy

Cited by 16 publications

References 10 publications

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

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

Effect of adenoid hypertrophy and pulmonary function tests in children with mild asthma

Pulmonary function improvement following septoplasty

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