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

Aykan, Merve; Aydın, Sedat; Öktem, Sedat; Demir, Mehmet Gökhan; Tutar, Engin

doi:10.5606/kbbihtisas.2016.88725

Cited by 2 publications

(3 citation statements)

References 11 publications

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“…The final forced mid-expiratory flow rate (FEF 25-75) values were statistically higher in patients who were using nasal steroids. 9 In another study by Goldstein et al, few patients demonstrated statistically significant improvement after FESS in asthma symptom scores (1 patient), medication use scores (1 patient), or pulmonary function test results (2 patients), which is in clearly proven to be the case in accordance to our findings as well. 7…”

Section: Discussionsupporting

confidence: 91%

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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Section: Discussionsupporting

confidence: 91%

Pulmonary function improvement following septoplasty

Arivazhagan

Srinivasa

Rafeeque

et al. 2019

Int J Otorhinolaryngol Head Neck Surg

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“…Adenoidectomy can contribute to an improvement in FEV1 by reducing airway resistance and facilitating smoother airflow. This can result in a greater volume of air expelled from the lungs within the first second of exhalation [1,20,[23][24][25][26]. Our study observed a significant increase in FEV1, pre-op it was 1.26% ± 0.52%, postop averaged 1.636% ± 0.551 (p < 0.001), showing adenoidectomy's impact on one-second forced exhalation.…”

Section: Discussionmentioning

confidence: 60%

“…AH is characterized by the excessive growth of adenoid tissues in the upper airway, leading to varying degrees of airway obstruction. This obstruction can disrupt normal airflow and potentially affect lung function parameters measured by PFTs [23][24][25]. In our study, we found that adenoidectomy has a positive effect on pulmonary functions, and after surgery, there were significant improvements in three spirometric parameters:…”

Section: Discussionmentioning

confidence: 61%

The effect of adenoidectomy on pulmonary function in children: prospective controlled study

YAGIZ AGAYAROV,

ALİYEVA,

KOCAHAN

2023

The European Research Journal

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Objectives: Adenotonsillar hypertrophy (AH) is a prevalent condition in children that can cause significant complications if left untreated. In this study, we investigated the impact of adenoidectomy on pulmonary function tests (PFTs) and explored the relationship between spirometric parameters in affected children. By evaluating these factors, we can better understand the post-surgical outcomes and the potential benefits of surgical intervention. Methods: The present study utilized a prospective controlled design to conduct a before and after clinical trial involving 23 children diagnosed with upper airway obstruction resulting from AH. Five specific spirometric parameters were selected to evaluate pulmonary function before and 1-3 months following the adenoidectomy procedure. Additionally, adenoid grade scores and gender differences were recorded for each patient to assess their effect on the lung. Results: Peak expiratory flow (PEF) (p = 0.002), the first second of expiration (FEV1) (p < 0.001), and the ratio of FEV1/FVC (p = 0.001) significantly increased postoperatively. However, no significant correlations were found between the forced vital capacity (FVC) (p = 0.39) and mid-expiratory forced expiratory flow (FEF25-75) (p = 0.2). Rising of the FVC, PEF, FEV1, and FEV1/FVC was observed in AH grade III patients compared to AH grade IV patients following the surgical intervention, in comparison to the preoperative baseline, especially statistical significance was FEV (p = 0.047), indicating a noteworthy change in lung function. Conclusions: These findings emphasize the beneficial effects of adenoidectomy on PFTs and highlight that adenoidectomy positively affects the upper and lower airways.

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

Cited by 2 publications

References 11 publications

Pulmonary function improvement following septoplasty

Pulmonary function improvement following septoplasty

The effect of adenoidectomy on pulmonary function in children: prospective controlled study

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